DIAGNOSTIC IMAGING FOUNDATION: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- DIAGNOSTIC IMAGING FOUNDATION (EIN 20-4099897)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-03-18
- IRS object ID
- 201910779349100301
- Schema version
- 2018v3.1
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Expln Of Non Filing With AG Stmt
- Other Decreases Schedule
- Other Increases Schedule
- Substantial Contributors Sch
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-03-18T09:41:52-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 050409384 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAHN LITWIN RENZA & CO LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 951 NORTH MAIN STREET | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204099897 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIAGNOSTIC IMAGING FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DIAG | BusinessNameControlTxt |
| Phone | 4014322417 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 METRO CENTER BLVD SUITE 2000 | AddressLine1Txt |
| City | WARWICK | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02886 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULIE STEFFES | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4014322417 | PhoneNum |
| Signature | 2019-03-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBORAH A HOPKINS | PreparerPersonNm |
| PTIN | P00167843 | PTIN |
| Phone | 4012742001 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.117.160.66 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-03-11 | IPDt |
| IP Tm | 08:19:27 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $59,447 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $1,386,500 | ContriRcvdRevAndExpnssAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Incm Modifications Adj Net Incm | $22,258 | IncmModificationsAdjNetIncmAmt |
| Total Rev And Expnss | $1,386,500 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $0 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $22,258 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,900 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $1,900 | AccountingFeesChrtblPrpsAmt |
| Tot Opr Expenses Rev And Expnss | $1,900 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,900 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,402,753 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,402,753 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,404,653 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,404,653 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$18,153 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $22,258 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $55,345 | CashBOYAmt |
| Cash EOY | $59,447 | CashEOYAmt |
| Cash EOYFMV | $59,447 | CashEOYFMVAmt |
| Total Assets BOY | $55,345 | TotalAssetsBOYAmt |
| Total Assets EOY | $59,447 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $59,447 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $55,345 | RetainedEarningBOYAmt |
| Retained Earning EOY | $59,447 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $55,345 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $59,447 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $55,345 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $59,447 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $55,345 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$18,153 | ExcessRevenueOverExpensesAmt |
| Other Increases | $22,258 | OtherIncreasesAmt |
| Subtotal | $59,450 | SubtotalAmt |
| Other Decreases | $3 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $59,447 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $1,652,199 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $49,398 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 33.446678 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $1,935,144 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $63,299 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 30.571478 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $1,737,762 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $162,711 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 10.680052 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $1,741,775 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $140,277 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 12.416683 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $1,447,984 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $142,546 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 10.158012 | DistributionYr5Rt |
| Total Distribution | 97.272903 | TotalDistributionRt |
| Average Distribution | 19.454581 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $85,178 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $1,657,102 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $0 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $1,657,102 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $1,404,653 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $0 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $0 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $0 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $0 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | RI | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | 0 | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | Yes (1) | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | JULIE STEFFES | IndividualWithBooksNm |
| Phone | 4014322457 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 METRO CENTER BLVD SUITE 2000 | AddressLine1Txt |
| City | WARWICK | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02886 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JACK A ELIAS MD | ||||||||
| 125 METRO CENTER BLVD SUITE 2000 | WARWICK | RI | 02886 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| TIMOTHY J BABINEAU MD | ||||||||
| 125 METRO CENTER BLVD SUITE 2000 | WARWICK | RI | 02886 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| JOHN J CRONAN MD | ||||||||
| 125 METRO CENTER BLVD SUITE 2000 | WARWICK | RI | 02886 | PRESIDENT & DIRECTOR | 1.00 | $0 | $0 | $0 |
| JOHN A PEZZULLO III MD | ||||||||
| 125 METRO CENTER BLVD SUITE 2000 | WARWICK | RI | 02886 | SECRETARY & TREASURER | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $86,475 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $86,475 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $86,475 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,297 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $85,178 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $4,259 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $4,259 | MinimumInvestmentReturnAmt |
| Total Tax | $0 | TotalTaxAmt |
| Distributable Before Adj | $4,259 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $4,259 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $4,259 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,404,653 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $1,404,653 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $1,404,653 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $4,259 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $1,440,857 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $1,734,761 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $1,729,626 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $1,931,979 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $1,649,729 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $8,486,952 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,404,653 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $4,259 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $1,400,394 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $9,887,346 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $1,440,857 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $8,446,489 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $1,734,761 | ExcessFromYear4Amt |
| Excess From Year3 | $1,729,626 | ExcessFromYear3Amt |
| Excess From Year2 | $1,931,979 | ExcessFromYear2Amt |
| Excess From Year1 | $1,649,729 | ExcessFromYear1Amt |
| Excess From Current Year | $1,400,394 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHODE ISLAND HOSPITAL | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 593 EDDY ST | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Relationship | NONE | RecipientRelationshipTxt |
| Recipient Foundation Status | PUBLIC CHARITY | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | MEDICAL | GrantOrContributionPurposeTxt |
| Amt | $1,402,753 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,402,753 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $0 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (47 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| ARTHUR W NOEL | ||||||
| 1 | 18 COW HILL ROAD | SHARON | MA | 02067 | $29,500 | Yes (X) |
| BRIAN MURPHY | ||||||
| 2 | 81 MATTHEWSON ROAD | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| BRYAN SCOTT JAY | ||||||
| 3 | NINE HARBOUR ROAD | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| DAVID GRAND | ||||||
| 4 | 17 NYATT ROAD | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| DAVID P NEUMANN | ||||||
| 5 | 20 PARDONS WOOD LANE | EAST GREENWICH | RI | 02818 | $29,500 | Yes (X) |
| DON CHAN YOO | ||||||
| 6 | 10 WOOD DUCK COURT | EAST GREENWICH | RI | 02818 | $29,500 | Yes (X) |
| ELIZABETH LAZARUS | ||||||
| 7 | NINE HALF MILE ROAD | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| GLENN TUNG | ||||||
| 8 | 12 KNIFE SHOP LANE | SHARON | MA | 02067 | $29,500 | Yes (X) |
| GREGORY J DUBEL | ||||||
| 9 | 91 MATHEWSON ROAD | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| GREGORY M SOARES | ||||||
| 10 | 11 ROBBINS DRIVE | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| HANAN KHALIL | ||||||
| 11 | 10 ELIZABETH DRIVE | LINCOLN | RI | 02865 | $29,500 | Yes (X) |
| HOLLY CRESHO GIL | ||||||
| 12 | 17 ADAMS POINT ROAD | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| JEFFREY M BRODY | ||||||
| 13 | SEVEN RONALD ROAD | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| JEFFREY ROGG | ||||||
| 14 | 60 PHEASANT DRIVE | EAST GREENWICH | RI | 02818 | $29,500 | Yes (X) |
| JERROLD BOXERMAN | ||||||
| 15 | 24 EISENHOWER DRIVE | SHARON | MA | 02067 | $29,500 | Yes (X) |
| JOHN A PEZZULLO III | ||||||
| 16 | 175 DOWNING DRIVE | JOHNSTON | RI | 02919 | $29,500 | Yes (X) |
| JOHN CASSESE | ||||||
| 17 | 200 BOULDER WAY | EAST GREENWICH | RI | 02818 | $29,500 | Yes (X) |
| JOHN CRONAN | ||||||
| 18 | SIX ATLANTIC CROSSING | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| JONATHAN S MOVSON | ||||||
| 19 | 381 WAYLAND AVENUE | PROVIDENCE | RI | 02906 | $29,500 | Yes (X) |
| JULIE SONG | ||||||
| 20 | NINE LU STUBBS LANE | SHARON | MA | 02067 | $29,500 | Yes (X) |
| LAWRENCE M DAVIS | ||||||
| 21 | 5 VERITAS WAY | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| LINDA LIVINGSTON DONEGAN | ||||||
| 22 | 125 JUNIPER DRIVE | EAST GREENWICH | RI | 02818 | $29,500 | Yes (X) |
| MAHESH JAYARAMAN | ||||||
| 23 | FOUR KINGSLEY LANE | FOXBORO | MA | 020353206 | $29,500 | Yes (X) |
| MARK RIDLEN | ||||||
| 24 | 50 PARK ROW WEST 818 | PROVIDENCE | RI | 02903 | $29,500 | Yes (X) |
| MARTHA B MAINIERO | ||||||
| 25 | 11 WALCOTT AVENUE | JAMESTOWN | RI | 02835 | $29,500 | Yes (X) |
| MARY M HILLSTROM | ||||||
| 26 | FIVE WHITNEY DRIVE | LINCOLN | RI | 02865 | $29,500 | Yes (X) |
| MICHAEL ATALAY | ||||||
| 27 | 70 BAILEY BOULEVARD | EAST GREENWICH | RI | 02818 | $29,500 | Yes (X) |
| MICHAEL D BELAND | ||||||
| 28 | TEN KEYES COURT | EAST GREENWICH | RI | 02818 | $29,500 | Yes (X) |
| MICHAEL WALLACH | ||||||
| 29 | 19 LORRAINE AVENUE | PROVIDENCE | RI | 02906 | $29,500 | Yes (X) |
| PETER THOMAS EVANGELISTA | ||||||
| 30 | 24 KAYLA RICCI WAY | SAUNDERSTOWN | RI | 02874 | $29,500 | Yes (X) |
| RICHARD HAAS | ||||||
| 31 | 405 SEASIDE DRIVE | JAMESTOWN | RI | 02835 | $29,500 | Yes (X) |
| RICHARD L GOLD | ||||||
| 32 | 200 EXCHANGE STREET APT 1216 | PROVIDENCE | RI | 02903 | $29,500 | Yes (X) |
| RICHARD NOTO | ||||||
| 33 | ONE FERNCLIFF ROAD | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| SCOTT M LEVINE | ||||||
| 34 | 22 EAST MANNING STREET | PROVIDENCE | RI | 02906 | $29,500 | Yes (X) |
| SUN HO AHN | ||||||
| 35 | 27 BRIDGHAM FARM ROAD | RUMFORD | RI | 02916 | $29,500 | Yes (X) |
| SUSAN L KOELLIKER | ||||||
| 36 | FIVE LIGHTHOUSE LANE | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| THOMAS EGGLIN | ||||||
| 37 | 69 BAY ROAD | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| THADDEUS HERLICZEK | ||||||
| 38 | 14 WINTERBERRY LANE | WESTPORT | MA | 027902638 | $29,500 | Yes (X) |
| ANA LOURENCO | ||||||
| 39 | SEVEN WESTON AVENUE | FOXBORO | MA | 020351863 | $29,500 | Yes (X) |
| TERRANCE T HEALEY | ||||||
| 40 | 300 BUNGY RD | NORTH SCITUATE | RI | 02857 | $29,500 | Yes (X) |
| ETHAN A PRINCE | ||||||
| 41 | 172 WHEELER AVENUE | CRANSTON | RI | 02905 | $29,500 | Yes (X) |
| JASON IANNUCCILLI | ||||||
| 42 | 5 COLE CIR | EAST GREENWICH | RI | 02818 | $29,500 | Yes (X) |
| RYAN MCTAGGERT | ||||||
| 43 | 21 MEADOWBROOK DRIVE | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| VAN NGUYEN | ||||||
| 44 | 4 TALLWOOD DRIVE | BARRINGTON | RI | 02806 | $29,500 | Yes (X) |
| ALBERT A SCAPPATICCI | ||||||
| 45 | 14 AZTEC WAY | SHARON | MA | 02067 | $29,500 | Yes (X) |
| DAVID W SWENSON | ||||||
| 46 | 349 POMFRET STREET PO BOX 245 | POMFRET CENTER | CT | 06259 | $29,500 | Yes (X) |
| SAURABH AGARWAL | ||||||
| 47 | 70 WESTFIELD DRIVE | EAST GREENWICH | RI | 02818 | $29,500 | Yes (X) |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING EXPENSE | CategoryTxt |
| Amt | $1,900 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $1,900 | DisbursementsCharitablePrpsAmt |
Expln Of Non Filing With AG Stmt ExplnOfNonFilingWithAGStmt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | SINCE THE FOUNDATION IS "HOLDING FUNDS IN TRUST EXCLUSIVELY FOR THEIR OWN CHARTER OR CORPORATE PURPOSES", THEY ARE EXEMPT FROM FILING WITH THE RI ATTORNEY GENERAL AND HAVE RECEIVED A LETTER FROM THE ATTORNEY GENERAL'S OFFICE TO THAT EFFECT. | ExplanationTxt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PRIOR PERIOD ADJUSTMENT | Desc |
| Amt | $3 | Amt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GRANT REFUND | Desc |
| Amt | $22,258 | Amt |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SEE SCHEDULE B | PersonNm |
Comments