INTERMED INTERNATIONAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- INTERMED INTERNATIONAL INC (EIN 94-1518657)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-04-02
- IRS object ID
- 201830929349300953
- Schema version
- 2017v2.2
- Note
- A later return for the same period supersedes this one.
- 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 | 2018-04-02T13:25:22-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 231144520 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAIT WELLER & BAKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1818 MARKET STREET SUITE 2400 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19103 | 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 | 941518657 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTERMED INTERNATIONAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INTE | BusinessNameControlTxt |
| Phone | 6468207360 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 750918 | AddressLine1Txt |
| City | FOREST HILLS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11375 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT HAMILTON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 6468207360 | PhoneNum |
| Signature | 2018-04-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STACY CULLEN | PreparerPersonNm |
| PTIN | P00974308 | PTIN |
| Phone | 2159798800 | PhoneNum |
| Preparation | 2018-04-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOOLEY INTERMED INTERNATIONAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SCOTT HAMILTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 750918 | AddressLine1Txt |
| City | FOREST HILLS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11375 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $259,591 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DOOLEYINTERMED.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE MEDICAL AID TO UNDERDEVELOPED AND UNDERSERVED AREAS OF THE WORLD. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $173,844 | PYContributionsGrantsAmt |
| CY Contributions Grants | $222,344 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,683 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,247 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $184,527 | PYTotalRevenueAmt |
| CY Total Revenue | $235,591 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $61,610 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $124,157 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $101,657 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $101,707 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $3,531 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $52,663 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $96,035 | PYOtherExpensesAmt |
| CY Other Expenses | $112,157 | CYOtherExpensesAmt |
| PY Total Expenses | $262,833 | PYTotalExpensesAmt |
| CY Total Expenses | $338,021 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$78,306 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$102,430 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $667,277 | TotalAssetsBOYAmt |
| Total Assets EOY | $608,846 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,090 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,819 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $666,187 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $600,027 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION'S MISSION IS TO PROVIDE MEDICAL ASSISTANCE TO REFUGEES, CHILDREN, AND VILLAGERS IN THE LESS PRIVILEGED PARTS OF THE WORLD WITH EMPHASIS ON SELF-HELP PROJECTS IN THE AREAS OF PREVENTIVE MEDICINE, PUBLIC HEALTH, AND HEALTH WORKER TRAINING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $88,111 | ExpenseAmt |
| Grant | $74,098 | GrantAmt |
| Desc | NEPAL FUND-THIS FUND WAS ESTABLISHED IN 1963, WHEN THE ORGANIZATION INITIATED A MEDICAL ASSISTANCE PROGRAM IN NEPAL WHICH FOCUSED ON MEDICAL CARE, HEALTH WORKER TRAINING, MEDICAL SURVEYS AND MATERIAL SUPPORT TO HOSPITALS AND RURAL CLINICS. ONE OF THE ORGANIZATIONS MAJOR INITIATIVES HAS BEEN THE SUPPORT OF HOMELESS AND ABANDONED CHILDREN. THIS LED TO THE ORGANIZATION HELPING DEVELOP AND CONSTRUCT A NEW ORPHANAGE ECO-FARM IN THE SANKHU VALLEY WHICH THE ORGANIZATION HAS CONTINUED TO SUPPORT OF THESE "AT-RISK" CHILDREN THROUGHOUT 2017 PROVIDING ONGOING FUNDING FOR THE ORPHANAGE OPERATIONS AND SUPPLIES. CONTINUED ON SCHEDULE O. DURING 2017 THE ORGANIZATION PROVIDED SIGNIFICANT ADDITIONAL FUNDS FOR SEVERAL MAJOR IMPROVEMENTS AT THE ORPHANAGE ECO-HOME INCLUDING; CONSTRUCTION OF A GUEST COTTAGE FOR VOLUNTEERS AND VISITING MEDICAL PERSONNEL, PURCHASE OF THREE WATER BUFFALOES TO PROVIDE AN ONGOING SOURCE OF NUTRITIOUS, PROTEIN-RICH MILK FOR THE CHILDREN, AND EXPANSION OF THE EXISTING BUFFALO SHED. THE ORGANIZATION CONTINUED ITS "GIFT OF SIGHT" PROGRAM BRINGING NEEDED CARE TO REFUGEES AND VILLAGERS IN NEPAL'S MOST REMOTE AREAS. IN DECEMBER OF 2017 THE ORGANIZATION INITIATED A LARGE-SCALE OUTREACH EYE CAMP IN MACHHAKHOLA VILLAGE IN THE UPPER GORKHA REGION, NEAR THE EPICENTER OF THE DEVASTATING NEPAL EARTHQUAKE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,428 | ExpenseAmt |
| Grant | $12,000 | GrantAmt |
| Desc | NICARAGUA FUND, ESTABLISHED IN 1999 TO PROVIDE MEDICAL EQUIPMENT AND FULL-TIME PHYSICIAN AND NURSE TO A CLINIC IN WASPAM, WHICH IS LOCATED ON THE COCO RIVER. IT IS A COMMUNITY-BASED MATERNAL-CHILD HEALTH PROGRAM BENEFITING MOSTLY WOMEN AND CHILDREN OF THE MISKITO AND MAYAGNA PEOPLE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $38,059 | ExpenseAmt |
| Grant | $38,059 | GrantAmt |
| Desc | INDIA-THE NGOENGA SCHOOL-THE ORGANIZATION IS PROUD TO CONTINUE FUNDING PHYSICAL THERAPY EQUIPMENT FOR THE NGOENGA SCHOOL FOR CHILDREN WITH SPECIAL NEEDS, DEHRADUN INDIA. THE SCHOOL HAS 50 CHILDREN WITH A RANGE OF DISABILITIES INCLUDING AUTISM, DYSLEXIA, EPILEPSY, POLIO, DOWN SYNDROME AND CEREBRAL PALSY. THIS IS THE ONLY SCHOOL IN EXISTENCE FOR DISABLED TIBETAN AND HIMALAYAN CHILDREN. THIS PROGRAM WAS INITIATED IN 2015 WHEN THE ORGANIZATION FUNDED THE PURCHASE OF MUCH-NEEDED PHYSICAL THERAPY EQUIPMENT AND SPECIAL ORTHOPEDIC SHOES FOR THESE DISABLED CHILDREN. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $74,278 | ExpenseAmt |
| Desc | VARIOUS OTHER | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $74,278 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $220,876 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROLANDO MALLARI | PersonNm |
| Phone | 2123274940 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 750918 | AddressLine1Txt |
| City | FOREST HILLS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11375 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| VERNE CHANEY MD | ||||||
| FOUNDER | 30.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GEOFFREY A SMITH | ||||||
| CHAIRMAN & VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARIA COMPTE MD | ||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT HAMILTON | ||||||
| PRESIDENT & PROGRAM DIRECTOR | 20.00 | Yes (X) | Yes (X) | $35,000 | $0 | $0 |
| ROBERT ERICKSON | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BARBARA HENRY | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT RITCH MD | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH WATSON | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ROSEMARIE HAMMOND | ||||||
| CORPORATE SECRETARY | 40.00 | Yes (X) | $57,000 | $0 | $0 | |
| KATHRYN BURT | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $92,000 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $222,344 | AllOtherContributionsAmt |
| Total Contributions | $222,344 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,321 | TotalRevenueColumnAmt |
| Exclusion | $12,321 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,926 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,000 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $926 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $926 | TotalRevenueColumnAmt |
| Exclusion | $926 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $235,591 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,247 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,157 | TotalAmt |
| Program Services | $124,157 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,000 | TotalAmt |
| Program Services | $50,550 | ProgramServicesAmt |
| Management And General | $19,990 | ManagementAndGeneralAmt |
| Fundraising | $21,460 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,302 | TotalAmt |
| Program Services | $1,265 | ProgramServicesAmt |
| Management And General | $500 | ManagementAndGeneralAmt |
| Fundraising | $537 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,405 | TotalAmt |
| Program Services | $4,069 | ProgramServicesAmt |
| Management And General | $1,609 | ManagementAndGeneralAmt |
| Fundraising | $1,727 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,250 | TotalAmt |
| Management And General | $8,250 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,116 | TotalAmt |
| Program Services | $18,000 | ProgramServicesAmt |
| Management And General | $20,647 | ManagementAndGeneralAmt |
| Fundraising | $7,469 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,955 | TotalAmt |
| Program Services | $13,590 | ProgramServicesAmt |
| Management And General | $2,274 | ManagementAndGeneralAmt |
| Fundraising | $9,091 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,686 | TotalAmt |
| Program Services | $4,646 | ProgramServicesAmt |
| Management And General | $40 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $626 | TotalAmt |
| Management And General | $626 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,189 | TotalAmt |
| Management And General | $1,189 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DUES & SUBSCRIPTIONS | $13,638 | $1,121 | $1,121 | $11,396 |
| STORAGE FEES | $3,916 | $2,152 | $851 | $913 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,781 | TotalAmt |
| Program Services | $1,326 | ProgramServicesAmt |
| Management And General | $7,385 | ManagementAndGeneralAmt |
| Fundraising | $70 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,021 | TotalAmt |
| Program Services | $220,876 | ProgramServicesAmt |
| Management And General | $64,482 | ManagementAndGeneralAmt |
| Fundraising | $52,663 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,160 | BOYAmt |
| EOY | $75,276 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,740 | BOYAmt |
| EOY | $2,675 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,530 | BOYAmt |
| EOY | $1,078 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,210 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,068 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $398 | BOYAmt |
| EOY | $1,142 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $506,449 | BOYAmt |
| EOY | $528,675 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $667,277 | BOYAmt |
| EOY | $608,846 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,090 | BOYAmt |
| EOY | $8,819 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,090 | BOYAmt |
| EOY | $8,819 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $628,377 | BOYAmt |
| EOY | $577,558 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,810 | BOYAmt |
| EOY | $22,469 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $666,187 | BOYAmt |
| EOY | $600,027 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $667,277 | BOYAmt |
| EOY | $608,846 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$102,430 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $36,270 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $464,575 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $223,602 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $345,226 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $173,844 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $222,344 | CurrentTaxYearAmt |
| Total | $1,429,591 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $464,575 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $223,602 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $345,226 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $173,844 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $222,344 | CurrentTaxYearAmt |
| Total | $1,429,591 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $369,883 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,059,708 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,675 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,308 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,880 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,683 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,321 | CurrentTaxYearAmt |
| Total | $55,867 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,485,458 | TotalSupportAmt |
| Public Support CY170 | 0.71340 | PublicSupportCY170Pct |
| Public Support PY170 | 0.66910 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,210 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,068 | DepreciationAmt |
| Book Value | $1,142 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,142 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| COMMON STOCK | $4,168 | F |
| MUTUAL FUNDS | $524,507 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $528,675 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $271,861 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $36,270 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $36,270 | RevenueNotReportedAmt |
| Revenue Subtotal | $235,591 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $235,591 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $338,021 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $338,021 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $338,021 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS REVIEWED THE TAX POSITIONS TAKEN FOR EACH OF THE OPEN TAX YEARS (2014-2016) OR EXPECTED TO BE TAKEN ON THE ORGANIZATION'S 2017 TAX RETURN AND HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| SOUTH ASIA | 0 | 0 | PROGRAM SERVICES | EARTHQUAKE RELIEF FUND, NEPAL ORPHANAGE, GIFT OF SIGHT EYE PROJECT, EYE HOSPITAL CONSTRUCTION. | $112,157 |
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | PROGRAM SERVICES | PHARMACEUTICALS, MEDICAL EQUIPMENT AND SUPPLIES. | $24,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $136,157 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $136,157 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)
| RegionRegionTxt | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt | Manner Of Cash DisbursementMannerOfCashDisbursementTxt |
|---|---|---|---|
| SOUTH ASIA | NEPAL ORPHANAGE, GIFT OF SIGHT, EARTHQUAKE RELIEF, EYE HOSPITAL CONSTRUCTION. | $112,157 | WIRE |
| CENTRAL AMERICA AND THE CARIBBEAN | PHARMACEUTICALS, MEDICAL EQUIPMENT AND SUPPLIES. | $24,000 | WIRE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION PROVIDES THE COPY OF THE 990 TO THE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE COMPENSATION IS EVALUATED ANNUALLY AND REVIEWED BY SCOTT HAMILTON, PRESIDENT AND DR. VERNE CHANEY, MD, FOUNDER OF THE ORGANIZATION. AT TIMES, IN ORDER TO SUPPORT THE MISSION IN SEVERE ECONOMIC TIMES, COMPENSATION HAS BEEN WAIVED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER: PROGRAM SERVICE EXPENSES 18,000. MANAGEMENT AND GENERAL EXPENSES 20,647. FUNDRAISING EXPENSES 7,469. TOTAL EXPENSES 46,116. |
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