VERANOVA HEALTH FOUNDATION: Form 990EZ, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
VERANOVA HEALTH FOUNDATION (EIN 83-2917524)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-03-27
IRS object ID
202120869349200202
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)
Return2021-03-27T08:50:19-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN311488076PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HOBE & LUCAS CPASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14807 ROCKSIDE ROAD 510AddressLine1Txt
CityINDEPENDENCECityNm
State AbbreviationOHStateAbbreviationCd
ZIP44131ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN832917524EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FRESNEL SHORESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFRESBusinessNameControlTxt
Phone3126261600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line121887 LORAIN ROAD 241AddressLine1Txt
CityFAIRVIEW PARKCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44126ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY E JAKUBISINPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3126261600PhoneNum
Signature2021-02-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTIMOTHYPersonFirstNm
Person LastJAKUBISINPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES P GEROPreparerPersonNm
PTINP00727405PTIN
Phone2165248900PhoneNum
Preparation2021-02-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressFRESNELSHORES.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$94,477GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$94,474ContributionsGiftsGrantsEtcAmt
Investment Income$3InvestmentIncomeAmt
Total Revenue$94,477TotalRevenueAmt
Grants And Similar Amounts Paid$18,313GrantsAndSimilarAmountsPaidAmt
Fees And Other Pymt To Ind Cntrct$17,029FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$337OccupancyRentUtltsAndMaintAmt
Other Expenses Total$6,181OtherExpensesTotalAmt
Total Expenses$41,860TotalExpensesAmt
Excess Or Deficit For Year$52,617ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$45,272NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$97,889NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$39,478BOYAmt
EOY$92,695EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$5,794BOYAmt
EOY$5,194EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$45,272BOYAmt
EOY$97,889EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

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

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$45,272BOYAmt
EOY$97,889EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeSUPPORTING AND PROMOTING INITIATIVES THAT SUPPORT THE PROCREATIVE POTENTIAL OF THE HUMAN PERSON AND HEALTHY NUCLEAR FAMILIES. PROMOTING AND SUPPORTING INITIATIVES WHICH EDUCATE THE GENERAL PUBLIC ABOUT AND FACILITATE NATURAL FAMILY PLANNING. PROMOTING AND SUPPORTING QUALIFIED HEALTHCARE FACILIIES WHICH PROVIDE CARE TO WOMEN AND FAMILIES IN ACCORDANCE WITH THE ROMAN CATHOLIC CHURCH.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomPROMOTING AND SUPPORTING QUALIFIED HEALTHCARE FACILITIES WHICH PROVIDE CARE TO WOMEN AND NATURAL FAMILY PLANNING.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$41,860ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$41,860TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
TIMOTHY E JAKUBISIN
PRESIDENT20.00$0$0$0
MARY ELLEN JAKUBISIN
DIRECTOR20.00$0$0$0
THOMAS MANION
TREASURER5.00$0$0$0
KYLE TALJAN
VICE PRESIDENT2.00$0$0$0
JESSICA TRAHEY
DIRECTOR2.00$0$0$0
VICTOR A MEZACAPA IV
SECRETARY2.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonVICTOR A MEZACAPA IVPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line121881 MARIAN CIRAddressLine1Txt
CityFAIRVIEW PARKCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44126ZIPCd
FieldValueIRS element (for citing)
Phone4407322173PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)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$25,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,200CurrentTaxYearMinus1YearAmt
Current Tax Year$94,474CurrentTaxYearAmt
Total$147,674TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$25,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,200CurrentTaxYearMinus1YearAmt
Current Tax Year$94,474CurrentTaxYearAmt
Total$147,674TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$122,280SubstantialContributorsTotAmt
Public Support Total170$25,394PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$2CurrentTaxYearMinus1YearAmt
Current Tax Year$3CurrentTaxYearAmt
Total$5TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$300CurrentTaxYearMinus1YearAmt
Total$300TotalAmt
FieldValueIRS element (for citing)
Total Support$147,979TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME - 2019 AMOUNT: $ 300.ExplanationTxt

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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: INTEREST INCOME. AMOUNT: 3.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: CREIGHTON MEDICAL CONSULTANT. GRANTEE NAME: DR. JESSE FELTS. AMOUNT GIVEN: 2,888.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: CREIGHTON PRACTITIONER. GRANTEE NAME: TINA ANGHILANTE GRANTEE NAME: TINA ANGHILANTE. AMOUNT GIVEN: 425.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: VERANOVA HEALTH. GRANTEE NAME: VERANOVA HEALTH NONPROFIT CORPORATION. AMOUNT GIVEN: 15,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 18,313.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: CONFERENCE EXPENSE. AMOUNT: 200. DESCRIPTION: WEBSITE HOST/MAINTENANCE. AMOUNT: 4,107. DESCRIPTION: FEES & LICENSES. AMOUNT: 500. DESCRIPTION: SOFTWARE LICENSES. AMOUNT: 1,329. DESCRIPTION: OFFICE SUPPLIES. AMOUNT: 28. DESCRIPTION: BANK CHARGES. AMOUNT: 17. TOTAL TO FORM 990-EZ, LINE 16: 6,181.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: INTERCOMPANY VERANOVA HEALTH. BEG. OF YEAR AMOUNT: 4,594. END OF YEAR AMOUNT: 4,994. DESCRIPTION: CONTRIBUTIONS PROMISED. BEG. OF YEAR AMOUNT: 1,200. END OF YEAR AMOUNT: 0. DESCRIPTION: CONTRIBUTIONS IN TRANSIT. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 200.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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