CARDIOVASCULAR FOUNDATION OF SOUTHEAST TEXAS: Form 990EZ, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CARDIOVASCULAR FOUNDATION OF SOUTHEAST TEXAS (EIN 35-2561237)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-06-18
- IRS object ID
- 202011709349200601
- Schema version
- 2019v5.1
- 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 | 2020-06-18T07:07:34-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 260516665 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COOK PARKER PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7343 | AddressLine1Txt |
| City | BEAUMONT | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 777267343 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352561237 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARDIOVASCULAR FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | OF SOUTHEAST TEXAS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARD | BusinessNameControlTxt |
| Phone | 4093633288 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2680 MCFADDIN STREET | AddressLine1Txt |
| City | BEAUMONT | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77702 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RODOLFO P SOTOLONGO | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4096587948 | PhoneNum |
| Signature | 2020-06-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | J DAVID COOK | PreparerPersonNm |
| PTIN | P01055352 | PTIN |
| Phone | 4098991040 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 70.124.216.78 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-16 | IPDt |
| IP Tm | 14:42:57 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 9275412B9FEDA5AA90168A8DCE0FEC6A51EA4043 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9275412B9FEDA5AA90168A8DCE0FEC6A51EA4043 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | HTTP://SETXCARDIOFOUND.COM/ | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $95,676 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $30,000 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $255 | InvestmentIncomeAmt |
| Fundraising Gross Income | $65,421 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $11,910 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $53,511 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $83,766 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $31,526 | GrantsAndSimilarAmountsPaidAmt |
| Salaries Other Comp Empl Bnft | $5,500 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $2,558 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $817 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $8,728 | OtherExpensesTotalAmt |
| Total Expenses | $49,129 | TotalExpensesAmt |
| Excess Or Deficit For Year | $34,637 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $75,864 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $110,501 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,168 | BOYAmt |
| EOY | $110,805 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,168 | BOYAmt |
| EOY | $110,805 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304 | BOYAmt |
| EOY | $304 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,864 | BOYAmt |
| EOY | $110,501 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO IMPROVE CARDIOVASCULAR OUTCOMES THROUGH CLINICAL RESEARCH, EDUCATION, AND PATIENT ASSISTANCE. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| THE CFST PROVIDES FUNDING FOR HEALTH CARE FOR INDIGENT PATIENTS IN SOUTHEAST TEXAS. THESE FUNDS ASSIST WITH DIAGNOSTICS, TREATMENT PROCEDURES AND MEDICATIONS. | $1,995 | $0 |
| THE CFST DEVELOPS, PROMOTES, AND SPONSORS EDUCATIONAL ACTIVITIES FOR HEALTHCARE PROVIDERS IN SOUTHEAST TEXAS. THE FOUNDATION ALSO PROVIDES EDUCATIONAL GRANTS AND SCHOLARSHIP FUNDS FOR HEALTH SCIENCE STUDENTS IN OUR AREA. | $7,431 | $4,144 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,144 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| RODOLFO P SOTOLONGO MD | ||||
| PRESIDENT/DIRECTOR | 1.00 | $0 | $0 | $0 |
| MICHAEL PEREZ | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| BROOKE HALL | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| PARIS P BRANSFORD MD | ||||
| SECRETARY | 1.00 | $0 | $0 | $0 |
| NEREIDA SOTOLONGO | ||||
| TREASURER | 0.00 | $0 | $0 | $0 |
| GISELLE MAZZOLA | ||||
| EXECUTIVE DIRECTOR | 3.00 | $5,500 | $0 | $0 |
| BONNIE VESSEL | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GISELLE MAZZOLA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2680 MCFADDIN STREET | AddressLine1Txt |
| City | BEAUMONT | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4093633288 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
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 Minus3 Years | $71,849 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $66,780 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,825 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,000 | CurrentTaxYearAmt |
| Total | $180,454 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $7,350 | CurrentTaxYearMinus3YearsAmt |
| Total | $7,350 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $21,643 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,421 | CurrentTaxYearAmt |
| Total | $87,064 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $79,199 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $66,780 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,468 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $95,421 | CurrentTaxYearAmt |
| Total | $274,868 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $274,868 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $37 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $167 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $220 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $255 | CurrentTaxYearAmt |
| Total | $679 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $37 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $167 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $220 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $255 | CurrentTaxYearAmt |
| Total | $679 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $79,236 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $66,947 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,688 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $95,676 | CurrentTaxYearAmt |
| Total | $275,547 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99750 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99760 | PublicSupportPY509Pct |
| Investment Income CY | 0.00250 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00240 | 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 G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | 0 | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CLAYS FOR CARDIO | Event1Nm |
| Gross Receipts Event1 | $65,421 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $0 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $65,421 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $2,864 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $5,101 | RentFacilityCostsEvent1Amt |
| Entertainment Event1 | $892 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $3,053 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $65,421 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $65,421 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,864 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $5,101 | RentFcltyCostsTotalEventsAmt |
| Entertainment Total Events | $892 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,053 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $11,910 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $53,511 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (23 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST. AMOUNT: 255. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTION. GRANTEE NAME: BEAUMONT ROTARY FOUNDATION. GRANTEE ADDRESS: 2355 IH 10 SOUTH STE 213 BEAUMONT, TX 77705. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/04/19. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTION. GRANTEE NAME: ALZHEIMER'S ASSOCIATION. GRANTEE ADDRESS: 700 NORTH ST M BEAUMONT, TX 77701. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/16/19. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTION. GRANTEE NAME: GIFT OF LIFE. GRANTEE ADDRESS: 2390 DOWLEN ROAD BEAUMONT, TX 77706. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/22/19. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTION. GRANTEE NAME: UBI CARITAS. GRANTEE ADDRESS: 4450 HIGHLAND AVE BEAUMONT, TX 77705. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 11/21/19. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: ALEXANDRIA SKILES. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 05/15/19. AMOUNT GIVEN: 1,338. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: CHRISTEN DARNELL. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 10/19/19. AMOUNT GIVEN: 150. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: JANET DANCER. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 10/19/19. AMOUNT GIVEN: 150. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: WALMART. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 08/28/19. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: KROGER. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 10/01/19. AMOUNT GIVEN: 506. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: SABRINA LEBLANC. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 10/19/19. AMOUNT GIVEN: 100. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTION. GRANTEE NAME: HUNTSMAN CANCER FOUNDATION. GRANTEE ADDRESS: 500 S HUNTSMAN WAY SALT LAKE CITY, UT 84108. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 07/26/19. AMOUNT GIVEN: 10,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: MISC STUDENT EXPENSE. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 08/22/19. AMOUNT GIVEN: 261. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: HEB. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 12/17/19. AMOUNT GIVEN: 506. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: MISCELLANEOUS. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 07/22/19. AMOUNT GIVEN: 83. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: JAMES CARTER. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 02/23/19. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: CHELCIE BARNETT. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 02/23/19. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTION. GRANTEE NAME: MISCELLANEOUS. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/03/19. AMOUNT GIVEN: 100. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: HOAN NGUYEN. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/16/19. AMOUNT GIVEN: 3,171. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: MELLISA STROTHER. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 05/28/19. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: CHANTAL FOYIL. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 07/29/19. AMOUNT GIVEN: 2,161. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 31,526. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: BANK CHARGES. AMOUNT: 23. DESCRIPTION: SUPPLIES. AMOUNT: 1,148. DESCRIPTION: PAYROLL TAXES. AMOUNT: 421. DESCRIPTION: WEBSITE. AMOUNT: 1,116. DESCRIPTION: ADVERTISING. AMOUNT: 1,349. DESCRIPTION: DUES & SUBSCRIPTIONS. AMOUNT: 450. DESCRIPTION: MEALS. AMOUNT: 77. DESCRIPTION: CLINCAL RESEARCH/EDUCATION. AMOUNT: 4,144. TOTAL TO FORM 990-EZ, LINE 16: 8,728. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: DUE TO SETCA. BEG. OF YEAR AMOUNT: 304. END OF YEAR AMOUNT: 304. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE 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 |