CARDIOVASCULAR FOUNDATION OF SOUTHEAST TEXAS: Form 990EZ, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CARDIOVASCULAR FOUNDATION OF SOUTHEAST TEXAS (EIN 35-2561237)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-05-15
IRS object ID: 201811359349204051
Schema version: 2017v2.2
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-EZ
Schedule A
Schedule B
Schedule G
Schedule O
Transfer Prsnl Bnft Contracts Decl

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-15T12:52:23-05:00	ReturnTs
Tax Period End	2017-12-31	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	2017-01-01	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	2018-05-10	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	J DAVID COOK	PreparerPersonNm
PTIN	P01055352	PTIN
Phone	4098991040	PhoneNum

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$66,947	GrossReceiptsAmt
Info In Schedule O Part I	Yes (X)	InfoInScheduleOPartIInd
Contributions Gifts Grants Etc	$66,780	ContributionsGiftsGrantsEtcAmt
Investment Income	$167	InvestmentIncomeAmt
Total Revenue	$66,947	TotalRevenueAmt
Grants And Similar Amounts Paid	$22,500	GrantsAndSimilarAmountsPaidAmt
Salaries Other Comp Empl Bnft	$6,000	SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct	$2,880	FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total	$3,110	OtherExpensesTotalAmt
Total Expenses	$34,490	TotalExpensesAmt
Excess Or Deficit For Year	$32,457	ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY	$64,810	NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY	$97,267	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part II	Yes (X)	InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

Field	Value	IRS element (for citing)
BOY	$64,517	BOYAmt
EOY	$96,974	EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

Field	Value	IRS element (for citing)
BOY	$293	BOYAmt
EOY	$293	EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$64,810	BOYAmt
EOY	$97,267	EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

Field	Value	IRS element (for citing)
BOY	$64,810	BOYAmt
EOY	$97,267	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 (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxt	Grants And AllocationsGrantsAndAllocationsAmt	Program Service ExpensesProgramServiceExpensesAmt
THE CFST DESIGNS AND PERFORMS LOCAL CLINICAL TRIALS OF DIAGNOSTIC MODALITIES, DRUGS AND DEVICES. THE SETCRC SUPPORTS THE DESIGN AND PERFORMANCE OF CLINICAL TRIALS TO IMPROVE THE DIAGNOSIS AND TREATMENT OF CARDIOVASCULAR DISORDERS. THE CFST IS CURRENTLY FUNDING THE DESIGN AND DEVELOPMENT OF TWO MEDICAL RESEARCH AND SOFTWARE PROJECTS. ADDITIONALLY, THE FOUNDATION SUPPORTS SCHOLARSHIPS IN HEALTHCARE AND PROVIDES ASSISTANCE TO INDIGENT PATIENTS OF SOUTHEAST TEXAS.	$0	$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.	$9,500	$0
THE CFST PROVIDES FUNDING FOR HEALTH CARE FOR INDIGENT PATIENTS IN SOUTHEAST TEXAS. THESE FUNDS ASSIST WITH DIAGNOSTICS, TREATMENT PROCEDURES AND MEDICATIONS.	$12,000	$0

Field	Value	IRS element (for citing)
Total Program Service Expenses	$0	TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 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
WAYNE A REAUD
DIRECTOR	0.00	$0	$0	$0
JON M HUNTSMAN
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	$6,000	$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 Minus1 Year	$71,849	CurrentTaxYearMinus1YearAmt
Current Tax Year	$66,780	CurrentTaxYearAmt
Total	$138,629	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$7,350	CurrentTaxYearMinus1YearAmt
Total	$7,350	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$79,199	CurrentTaxYearMinus1YearAmt
Current Tax Year	$66,780	CurrentTaxYearAmt
Total	$145,979	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	$145,979	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$37	CurrentTaxYearMinus1YearAmt
Current Tax Year	$167	CurrentTaxYearAmt
Total	$204	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$37	CurrentTaxYearMinus1YearAmt
Current Tax Year	$167	CurrentTaxYearAmt
Total	$204	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$79,236	CurrentTaxYearMinus1YearAmt
Current Tax Year	$66,947	CurrentTaxYearAmt
Total	$146,183	TotalAmt

Field	Value	IRS element (for citing)
First5 Years509	Yes (X)	First5Years509Ind

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (29 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME	DESCRIPTION: INTEREST. AMOUNT: 167.
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: 09/27/17. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTION. GRANTEE NAME: HARVEY-FIRST RESPONDERS. GRANTEE ADDRESS: 2680 MCFADDIN STREET BEAUMONT, TX 77702. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 09/05/17. AMOUNT GIVEN: 500.
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: 01/20/17. AMOUNT GIVEN: 2,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: KAYLOR THIBODEAUX. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/30/17. AMOUNT GIVEN: 2,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: RICKY ORTEGA. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 01/30/17. AMOUNT GIVEN: 4,000.
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: 07/20/17. AMOUNT GIVEN: 1,500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: RACHEL SCOTT. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: ELIZABETH OLIVA. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: ELIZABETH BLACKSTOCK. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: CYNTHIA L. DAMMANN. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,000.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: WILLIE OPELOUSAS. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: GLORIA PICKENS. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: KARELYN YOUNG. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: ROBERT NORMAN. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: GEORGIA LEVISE. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: YVONNE TRENT. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: ELIZABETH WINN. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: OLIVIA WILLIAMS. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: MIRINDA JACKO. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: EDNA SAMUELS. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: ALICE MCPHERSON. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: JOHNATHAN KELLOG. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: CHANEL EMERSON. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: DEBBIE PATTERSON. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: TASHONDA JAMES. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID	ACTIVITY CLASSIFICATION: PATIENT ASSISTANCE. GRANTEE NAME: COLLIN SHELLENBERGER. GRANTEE RELATIONSHIP: N/A. PROPERTY DESCRIPTION: CASH. AMOUNT GIVEN: 1,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 22,500.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES	DESCRIPTION: BANK CHARGES. AMOUNT: 22. DESCRIPTION: SUPPLIES. AMOUNT: 130. DESCRIPTION: PAYROLL TAXES. AMOUNT: 459. DESCRIPTION: WEBSITE. AMOUNT: 600. DESCRIPTION: ADVERTISING. AMOUNT: 1,899. TOTAL TO FORM 990-EZ, LINE 16: 3,110.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS	DESCRIPTION: DUE FROM SETCA. BEG. OF YEAR AMOUNT: 293. END OF YEAR AMOUNT: 293.

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