PLUMAS HEALTH CARE FOUNDATION INC: Form 990EZ, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PLUMAS HEALTH CARE FOUNDATION INC (EIN 94-2820896)
Tax period
2017-07-01 to 2018-06-30
Filed
2018-11-13
IRS object ID
201843179349203754
Schema version
2017v2.3
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)
Return2018-11-13T13:58:54-08:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271599134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BARNARD & ASSOCIATESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1372 MAIN STAddressLine1Txt
CityQUINCYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95971ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942820896EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PLUMAS HEALTH CARE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPLUMBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 BUCKS LAKE RDAddressLine1Txt
CityQUINCYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95971ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBILL WICKMANPersonNm
Person TitlePRESIDENTPersonTitleTxt
Signature2018-11-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN H BREAUX EAPreparerPersonNm
PTINP00974175PTIN
Phone5302833965PhoneNum
Preparation2018-11-06PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address74.127.124.33IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm15:58:54IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id7E3AC0E1370E508835221407076DF2C481FF74C5AtSubmissionCreationDeviceId
At Submission Filing Device Id8A4E9B7F05CF65F66A715AD75C37C8D2E4457573AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$140,382GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$140,364ContributionsGiftsGrantsEtcAmt
Investment Income$18InvestmentIncomeAmt
Total Revenue$140,382TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$124,554FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$300OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$987PrintingPublicationsPostageAmt
Other Expenses Total$5,745OtherExpensesTotalAmt
Total Expenses$131,586TotalExpensesAmt
Excess Or Deficit For Year$8,796ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$148,962NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$157,758NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$148,962BOYAmt
EOY$157,758EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$148,962BOYAmt
EOY$157,758EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$148,962BOYAmt
EOY$157,758EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTHE 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

FieldValueIRS element (for citing)
Description Program Srvc AccomSUPPORT PLUMAS DISTRICT HOSPITAL PER ORGINAZATION'S MISSION.DescriptionProgramSrvcAccomTxt
Program Service Expenses$131,337ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$131,337TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
BILL WICKMAN
PRESIDENT000.00$0
SUE WICKMAN
SECRETARY/TR000.00$0
WILLIAM KEITH NICOLES
VICE PRESIDE000.00$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
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTIFFANY LEONHARDTPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11065 BUCKS LAKE RDAddressLine1Txt
CityQUINCYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95971ZIPCd
FieldValueIRS element (for citing)
Phone5302832121PhoneNum
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$155,759CurrentTaxYearMinus1YearAmt
Current Tax Year$140,364CurrentTaxYearAmt
Total$296,123TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$155,759CurrentTaxYearMinus1YearAmt
Current Tax Year$140,364CurrentTaxYearAmt
Total$296,123TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$296,123PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$18CurrentTaxYearAmt
Total$18TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$18CurrentTaxYearAmt
Total$18TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$155,759CurrentTaxYearMinus1YearAmt
Current Tax Year$140,382CurrentTaxYearAmt
Total$296,141TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16EXPENSES 434 BANK FEES 137 PROFESSIONAL SERVICE FEES 185 2,489 STIPENDS 2,500 TOTAL 5,745
FORM 990-EZ, PART IIITHE 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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