PLUMAS HEALTH CARE FOUNDATION INC: Form 990EZ, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PLUMAS HEALTH CARE FOUNDATION INC (EIN 94-2820896)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2020-09-01
- IRS object ID
- 202042459349200119
- Schema version
- 2019v5.0
- 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 | 2020-09-01T11:22:31-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271599134 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BREAUX GROUP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 372 MAIN ST | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95971 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942820896 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLUMAS HEALTH CARE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PLUM | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 BUCKS LAKE RD | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95971 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BILL WICKMAN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5302832121 | PhoneNum |
| Signature | 2020-08-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTOPHER M SHEA EA | PreparerPersonNm |
| PTIN | P02050937 | PTIN |
| Phone | 5302833965 | PhoneNum |
| Preparation | 2020-08-31 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.127.112.37 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-09-01 | IPDt |
| IP Tm | 11:22:31 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | EDD5AA8B845D4BE18C6958493E7B4688CDDDE53A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8A4E9B7F05CF65F66A715AD75C37C8D2E4457573 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $115,538 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $102,078 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $17 | InvestmentIncomeAmt |
| Fundraising Gross Income | $13,443 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $6,529 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $6,914 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $109,009 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $65,500 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $963 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $2,903 | OtherExpensesTotalAmt |
| Total Expenses | $69,366 | TotalExpensesAmt |
| Excess Or Deficit For Year | $39,643 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $118,061 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $5,976 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $163,680 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,061 | BOYAmt |
| EOY | $163,680 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,061 | BOYAmt |
| EOY | $163,680 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,061 | BOYAmt |
| EOY | $163,680 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | THE PLUMAS HEALTH CARE FOUNDATION SHALL PROMOTE THE HOSPITAL IN THE COMMUNITY, AND ENHANCE THE FINANCIAL RESOURCES REQUIRED TO SUSTAIN QUALITY HEALTH CARE. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | SUPPORT PLUMAS DISTRICT HOSPITAL PER ORGINAZATION'S MISSION. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $67,411 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $67,411 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (8 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| BILL WICKMAN | ||
| PRESIDENT | 000.00 | $0 |
| SUE WICKMAN | ||
| SECRETARY/TR | 000.00 | $0 |
| DWIGHT PEIRSON | ||
| VICE PRESIDE | 000.00 | $0 |
| JENNIFER MCQUARRIE | ||
| BOARD MEMBER | 000.00 | $0 |
| RUSSELL REID | ||
| BOARD MEMBER | 000.00 | $0 |
| ROBERT EDWARDS | ||
| BOARD MEMBER | 000.00 | $0 |
| RICK FOSTER | ||
| BOARD MEMBER | 000.00 | $0 |
| KIM KRAUL | ||
| BOARD MEMBER | 000.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIFFANY LEONHARDT | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1065 BUCKS LAKE RD | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95971 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5302832121 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | 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 | $155,759 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $140,364 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $61,839 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $102,078 | CurrentTaxYearAmt |
| Total | $460,040 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $13,086 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,443 | CurrentTaxYearAmt |
| Total | $26,529 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $155,759 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $140,364 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $74,925 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $115,521 | CurrentTaxYearAmt |
| Total | $486,569 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $486,569 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $18 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17 | CurrentTaxYearAmt |
| Total | $53 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $18 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17 | CurrentTaxYearAmt |
| Total | $53 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $155,759 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $140,382 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $74,943 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $115,538 | CurrentTaxYearAmt |
| Total | $486,622 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES ADVERTISING 1,861 BANK FEES 85 ADMINISTRATIVE EXPENSE 20 SNMC 37 STIPENDS 900 TOTAL 2,903 |
| FORM 990-EZ, PART I, LINE 20 | INCREASE IN INVESTMENT ACCOUNT 5,976 |
| FORM 990-EZ, PART III | THE PLUMAS HEALTH CARE FOUNDATION SHALL PROMOTE THE HOSPITAL IN THE COMMUNITY, AND ENHANCE THE FINANCIAL RESOURCES REQUIRED TO SUSTAIN QUALITY HEALTH CARE. |
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