FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC (EIN 20-2384178)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-08-21
- IRS object ID
- 201812339349300506
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-21T09:28:41-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271915329 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FMA CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2641 MCCORMICK DR STE 103 | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33759 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202384178 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE FLORIDA MEDICAL CLINIC | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION OF CARING INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FLOR | BusinessNameControlTxt |
| Phone | 8137808774 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1527 DALE MABRY HWY SUITE 105 | AddressLine1Txt |
| City | LUTZ | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33548 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRIS ALVAREZ | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 8134064499 | PhoneNum |
| Signature | 2018-08-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARK MARTUKOVICH CPA | PreparerPersonNm |
| PTIN | P01229330 | PTIN |
| Phone | 7275300036 | PhoneNum |
| Preparation | 2018-08-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANGELA POTTINGER | PrincipalOfficerNm |
| Gross Receipts | $484,187 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | FMCFOUNDATIONOFCARING.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THROUGH VOLUNTEERISM AND FUNDING THE FLORIDA MEDICAL CLINIC FOUNDATION OF CARING STRIVES TO ENRICH LIVES AND CREATE MEASURABLE, IMMEDIATE AND ONGOING POSITIVE CHANGES WITHIN THE COMMUNITY. SUPPORT IS PROVIDED THROUGH MENTORSHIP, SCHOLARSHIPS, SPONSORSHIPS, AWARDS AND SERVICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 64 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $342,589 | PYContributionsGrantsAmt |
| CY Contributions Grants | $404,692 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$7,039 | PYOtherRevenueAmt |
| CY Other Revenue | -$12,131 | CYOtherRevenueAmt |
| PY Total Revenue | $335,550 | PYTotalRevenueAmt |
| CY Total Revenue | $392,561 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $157,093 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $262,270 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $82,558 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $102,118 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $76,490 | PYOtherExpensesAmt |
| CY Other Expenses | $88,974 | CYOtherExpensesAmt |
| PY Total Expenses | $316,141 | PYTotalExpensesAmt |
| CY Total Expenses | $453,362 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,409 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$60,801 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $129,777 | TotalAssetsBOYAmt |
| Total Assets EOY | $68,976 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $129,777 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $68,976 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THROUGH VOLUNTEERISM AND FUNDING THE FLORIDA MEDICAL CLINIC FOUNDATION OF CARING STRIVES TO ENRICH LIVES AND CREATE MEASURABLE, IMMEDIATE AND ONGOING POSITIVE CHANGES WITHIN THE COMMUNITY. SUPPORT IS PROVIDED THROUGH MENTORSHIP, SCHOLARSHIPS, SPONSORSHIPS, AWARDS AND SERVICE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $353,660 | ExpenseAmt |
| Grant | $262,270 | GrantAmt |
| Desc | DIRECTED GRANTS TO CHARITABLE ORGANIZATIONS THAT SUPPORT CHILDREN, FAMILIES, THE ELDERLY, EDUCATION AND VULNERABLE INDIVIDUALS IN ORDER TO MAKE A POSITIVE IMPACT IN THE TAMPA BAY AREA. IN ADDITION TO PROVIDING FINANCIAL SUPPORT TO LOCAL NON-PROFITS, VOLUNTEERS PROVIDED MORE THAN 3,400 HOURS OF SERVICE TO SUPPORT LOCAL CHARITABLE ORGANIZATIONS. | Desc |
| Total Program Service Expenses | $353,660 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (true) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (true) | NondeductibleContriDisclInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FMA CPA | BusinessNameLine1Txt |
| Business Name Line2 | FMA CPA | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7275300036 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2631 MCCORMICK DR SUITE 103 | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33759 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|
| MARK FITZPATRICK | |||||
| PRESIDENT | Yes (X) | $0 | $0 | $0 | |
| CHRIS ELAM | |||||
| VICE PRESIDE | Yes (X) | $0 | $0 | $0 | |
| CHRIS ALVAREZ | |||||
| TREASURER | Yes (X) | $0 | $0 | $0 | |
| WENDY CROSIER | |||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | |
| AMY CHAILDIN | |||||
| SECRETARY | $0 | $0 | $0 | Yes (X) | |
| SILVANA CAPALDI | |||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | |
| HUNTER EUBANKS MD | |||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | |
| DARRYL BENGE | |||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | |
| SHERI SCHWAB | |||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | |
| JOE DELATORRE | |||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | |
| DINA HUBAYKAH | |||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | |
| CHERYL SOTROP | |||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $131,496 | FundraisingAmt |
| All Other Contributions | $273,196 | AllOtherContributionsAmt |
| Noncash Contributions | $33,525 | NoncashContributionsAmt |
| Total Contributions | $404,692 | TotalContributionsAmt |
| Fundraising Gross Income | $79,495 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $131,496 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $91,626 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,131 | TotalRevenueColumnAmt |
| Exclusion | -$12,131 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $392,561 | TotalRevenueColumnAmt |
| Exclusion | -$12,131 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,503 | TotalAmt |
| Program Services | $253,503 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,767 | TotalAmt |
| Program Services | $8,767 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,986 | TotalAmt |
| Program Services | $22,996 | ProgramServicesAmt |
| Management And General | $68,990 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,908 | TotalAmt |
| Management And General | $2,908 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51 | TotalAmt |
| Management And General | $51 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,173 | TotalAmt |
| Management And General | $7,173 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $940 | TotalAmt |
| Management And General | $940 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,132 | TotalAmt |
| Program Services | $16,132 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,193 | TotalAmt |
| Program Services | $2,193 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,242 | TotalAmt |
| Program Services | $868 | ProgramServicesAmt |
| Management And General | $1,374 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,453 | TotalAmt |
| Management And General | $1,453 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,954 | TotalAmt |
| Program Services | $8,476 | ProgramServicesAmt |
| Management And General | $8,478 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,536 | TotalAmt |
| Management And General | $3,536 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,200 | TotalAmt |
| Program Services | $7,200 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NON CASH DISBURSEMENTS | $33,525 | $33,525 | |
| TELEPHONE/INTERNET | $1,810 | $1,810 | |
| WEB SERVICES | $1,627 | $1,627 | |
| DUES & SUBSCRIPTIONS | $1,080 | $1,080 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282 | TotalAmt |
| Management And General | $282 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,362 | TotalAmt |
| Program Services | $353,660 | ProgramServicesAmt |
| Management And General | $99,702 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,043 | BOYAmt |
| EOY | $60,601 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,354 | BOYAmt |
| EOY | $7,995 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380 | BOYAmt |
| EOY | $380 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,777 | BOYAmt |
| EOY | $68,976 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,777 | BOYAmt |
| EOY | $68,976 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,777 | BOYAmt |
| EOY | $68,976 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,777 | BOYAmt |
| EOY | $68,976 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$60,801 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $137,098 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $153,814 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $284,994 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $342,589 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $404,692 | CurrentTaxYearAmt |
| Total | $1,323,187 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $137,098 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $153,814 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $284,994 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $342,589 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $404,692 | CurrentTaxYearAmt |
| Total | $1,323,187 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,323,187 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $245,722 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $118,122 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $84,040 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,495 | CurrentTaxYearAmt |
| Total | $527,379 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,850,566 | TotalSupportAmt |
| Public Support CY170 | 0.71500 | PublicSupportCY170Pct |
| Public Support PY170 | 0.69890 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | REFER TO SCHEDULE G, PART II 447,884 | ExplanationTxt |
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
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CELEBRATION OF | Event1Nm |
| Gross Receipts Event1 | $171,496 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $131,496 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $40,000 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $72,653 | OtherDirectExpensesEvent1Amt |
| Event2 | POKER TOURNAMEN | Event2Nm |
| Gross Receipts Event2 | $34,465 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $34,465 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $18,922 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $205,961 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $131,496 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $74,465 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $91,575 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $91,575 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$17,110 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Cash GrantCashGrantAmt | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc |
|---|---|---|---|---|---|---|
| BRAIN EXPANSIONS SCHOLASTIC TRAININ | ||||||
| 10006 CROSS CREEK BLVD | TAMPA | FL | 33647 | $10,000 | ||
| CHAMPIONS FOR CHILDREN | ||||||
| 3108 W AZEELE ST | TAMPA | FL | 33609 | $14,800 | 591807551 | 501(C) |
| CHILDREN'S HOME NETWORK | ||||||
| 10909 MEMORIAL HWY | TAMPA | FL | 33615 | $10,000 | ||
| CRISIS CENTER OF TAMPA BAY INC | ||||||
| 1 CRISIS CENTER PLAZA | TAMPA | FL | 33613 | $10,000 | ||
| DISABILITY ACHIEVEMENT CENTERS | ||||||
| 12552 BELCHER RD S | LARGO | FL | 33773 | $7,500 | ||
| EARLY CHILDHOOD COUNCIL OF HILLSBOR | ||||||
| 4210 WEST BAY VILLA AVE | TAMPA | FL | 33611 | $7,000 | ||
| HABITAT FOR HUMANITY | ||||||
| 36739 STATE ROAD 52 | DADE CITY | FL | 33525 | $15,000 | ||
| HEART TO HEART INTERNATIONAL | ||||||
| 13250 WEST 98TH ST | LENEXA | KS | 66215 | $11,513 | ||
| PASCO KIDS FIRST | ||||||
| 7344 LITTLE ROAD | NEW PORT RICHEY | FL | 34654 | $15,000 | 593010809 | 501C3 |
| QUANTUM LEAP FARM INC | ||||||
| 10401 WOODSTOCK RD | ODESSA | FL | 33556 | $10,000 | ||
| SERTOMA SPEECH & HEARING FOUNDATION | ||||||
| 6333 RIVER RD | NEW PORT RICHEY | FL | 34652 | $7,600 | ||
| TAMPA THEATRE INC | ||||||
| 711 N FRANKLIN ST | TAMPA | FL | 33602 | $7,000 | ||
| THOMAS PROMISE FOUNDATION INC | ||||||
| 31053 LAKESIDE LN | DADE CITY | FL | 33523 | $10,000 | ||
| TRINITY CAFE | ||||||
| PO BOX 320146 | TAMPA | FL | 33679 | $7,540 | 593733387 | |
| TRINITY OUTREACH OF TAMPA BAY INC | ||||||
| 5254 6TH ST | ZEPHYRHILLS | FL | 33542 | $5,050 | ||
| UNIVERSITY AREA COMM DEVELOP CORP | ||||||
| 14013 N 22ND ST | TAMPA | FL | 33613 | $48,200 | ||
| WHEELCHAIRS 4 KIDS INC | ||||||
| 1976 S PINELLAS AVE | TARPON SPRINGS | FL | 34689 | $10,000 | ||
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | COMMUNITY CONTRIBUTIONS | GrantTypeTxt |
| Cash Grant | $8,767 | CashGrantAmt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $33,525 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THROUGH VOLUNTEERISM AND FUNDING THE FLORIDA MEDICAL CLINIC FOUNDATION OF CARING STRIVES TO ENRICH LIVES AND CREATE MEASURABLE, IMMEDIATE AND ONGOING POSITIVE CHANGES WITHIN THE COMMUNITY. SUPPORT IS PROVIDED THROUGH MENTORSHIP, SCHOLARSHIPS, SPONSORSHIPS, AWARDS AND SERVICE. |
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS SUPPORT A VARIETY OF PROGRAMS AND PROVIDED MORE THAN 3400 HOURS OF SERVICE FOR THE CELEBRATION OF CARING, TEAM FMC, BOOK DRIVE, AND GOLF FUNDRAISING EVENTS |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE BOARD OF DIRECTORS HOLDS ITS MEETINGS ON A QUARTERLY BASIS. PRIOR TO FILING THE ANNUAL FORM 990, THE FORM 990 IS DISTRIBUTED ELECTRONICALLY TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 12C | DISCLOSURE REPORTS ARE SUBJECT TO REVIEW |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLORIDA MEDICAL CLINIC PA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38135 MARKET SQUARE | AddressLine1Txt |
| City | ZEPHYRHILLS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33543 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593156212 | EIN |
| Primary Activities | MEDICAL AC | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | S CORP | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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