134 COLLABORATIVE: Form 990EZ, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- 134 COLLABORATIVE (EIN 05-0512660)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-06-29
- IRS object ID
- 201841809349200129
- 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 | 2018-06-29T15:10:47-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 050495839 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Aaronson Lavoie Streitfeld Diaz & Co PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1604 Broad Street | AddressLine1Txt |
| City | Cranston | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02905 | 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 | 050512660 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 134 Collaborative | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | 134C | BusinessNameControlTxt |
| Phone | 4013311069 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 134 Mathewson Street | AddressLine1Txt |
| City | Providence | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Karen Gager | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Phone | 4013311069 | PhoneNum |
| Signature | 2018-06-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Mary-Jo Younger | PreparerPersonNm |
| PTIN | P01258025 | PTIN |
| Phone | 4012230205 | 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 | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $103,304 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $62,523 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $23 | InvestmentIncomeAmt |
| Fundraising Gross Income | $3,708 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $184 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $3,524 | SpecialEventsNetIncomeLossAmt |
| Other Revenue Total | $37,050 | OtherRevenueTotalAmt |
| Total Revenue | $103,120 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $48,222 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $15,669 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $13,751 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $369 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $13,796 | OtherExpensesTotalAmt |
| Total Expenses | $91,807 | TotalExpensesAmt |
| Excess Or Deficit For Year | $11,313 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $103,863 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $115,176 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,378 | BOYAmt |
| EOY | $58,380 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,304 | BOYAmt |
| EOY | $56,796 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181 | BOYAmt |
| EOY | $0 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,863 | BOYAmt |
| EOY | $115,176 | 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 | $103,863 | BOYAmt |
| EOY | $115,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | Health, education and arts for children, young people and adults. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | To provide assistance and care for children, young people and adults who are at risk in the areas of health, education and the arts. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $70,058 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $70,058 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Lisa Carter MD MPH | ||||
| Member | 1.00 | $0 | $0 | $0 |
| Timothy Cummings MBA | ||||
| Member | 1.00 | $0 | $0 | $0 |
| Laura Faulkner MPA | ||||
| Member | 1.00 | $0 | $0 | $0 |
| Peter Hahn MBA | ||||
| Member | 1.00 | $0 | $0 | $0 |
| Keith Rafal MDMPH | ||||
| Member | 1.00 | $0 | $0 | $0 |
| Matt Kelly JD | ||||
| President | 2.00 | $0 | $0 | $0 |
| John Jones MDiv | ||||
| Vice President | 1.00 | $0 | $0 | $0 |
| Cyndy Brown | ||||
| Secretary | 1.00 | $0 | $0 | $0 |
| Anne Bastianelli | ||||
| Treasurer | 2.00 | $0 | $0 | $0 |
| Karen Gager | ||||
| Executive Director | 40.00 | $41,460 | $1,188 | $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 | Karen Gager | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 134 Mathewson Street | AddressLine1Txt |
| City | Providence | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4013311069 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $74,477 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45,233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $59,834 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $62,523 | CurrentTaxYearAmt |
| Total | $316,138 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $74,477 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45,233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $59,834 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $62,523 | CurrentTaxYearAmt |
| Total | $316,138 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $69,394 | SubstantialContributorsTotAmt |
| Public Support Total170 | $246,744 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,229 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,972 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,147 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,210 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,798 | CurrentTaxYearAmt |
| Total | $131,356 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $140 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $275 | CurrentTaxYearAmt |
| Total | $448 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $447,942 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $20,023 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.55080 | PublicSupportCY170Pct |
| Public Support PY170 | 0.53050 | 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990-EZ, Part I, Line 4 - Other Investment Income | Description: Interest income. Amount: 23. |
| Form 990-EZ, Part I, Line 8 - Other Revenue | Description: Rental Income. Amount: 36,775. Description: Other. Amount: 275. Total to Form 990-EZ, line 8: 37,050. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: Parking. Amount: 2,298. Description: Office expense. Amount: 2,499. Description: Client services. Amount: 2,080. Description: Website. Amount: 238. Description: Meetings. Amount: 163. Description: Depreciation. Amount: 6,518. Total to Form 990-EZ, line 16: 13,796. |
| Form 990-EZ, Part II, Line 24 - Other Assets | Description: Prepaid expenses. Beg. of Year Amount: 181. End of Year Amount: 0. |
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 |
Comments