FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC (EIN 20-2384178)
Tax period
2016-01-01 to 2016-12-31
Filed
2018-01-31
IRS object ID
201820319349300712
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-01-31T09:23:20-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271915329PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FMA CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12641 MCCORMICK DR STE 103AddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP337591066ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN202384178EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE FLORIDA MEDICAL CLINICBusinessNameLine1Txt
Business Name Line2FOUNDATION OF CARING INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlFLORBusinessNameControlTxt
Phone8137808774PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11527 DALE MABRY HWY SUITE 105AddressLine1Txt
CityLUTZCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33548ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRIS ALVAREZPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8134064499PhoneNum
Signature2017-09-19SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK MARTUKOVICH CPAPreparerPersonNm
PTINP01229330PTIN
Phone7275300036PhoneNum
Preparation2018-01-31PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id6E9F428E2D34B9033604C478D6A5B33DEF313AE3AtSubmissionCreationDeviceId
At Submission Filing Device IdE8853820BC97883E6A715588E1E70A1C8EBEA6EEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRIS ALVAREZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11527 N DALE MABRY HWYAddressLine1Txt
CityLUTZCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33548ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$426,629GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressFMCFOUNDATIONOFCARING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTHROUGH 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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers95TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$284,994PYContributionsGrantsAmt
CY Contributions Grants$342,589CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$31,531PYOtherRevenueAmt
CY Other Revenue-$7,039CYOtherRevenueAmt
PY Total Revenue$316,525PYTotalRevenueAmt
CY Total Revenue$335,550CYTotalRevenueAmt
PY Grants And Similar Paid$203,625PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$157,093CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,953PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$82,558CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$80,995PYOtherExpensesAmt
CY Other Expenses$76,490CYOtherExpensesAmt
PY Total Expenses$288,573PYTotalExpensesAmt
CY Total Expenses$316,141CYTotalExpensesAmt
PY Revenues Less Expenses$27,952PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,409CYRevenuesLessExpensesAmt
Total Assets BOY$120,368TotalAssetsBOYAmt
Total Assets EOY$129,777TotalAssetsEOYAmt
Total Liabilities BOY$10,000TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$110,368NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$129,777NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHROUGH 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$228,572ExpenseAmt
Grant$157,093GrantAmt
DescDIRECTED 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 5,300 HOURS OF SERVICE TO SUPPORT LOCAL CHARITABLE ORGANIZATIONS.Desc
Total Program Service Expenses$228,572TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclYes (true)NondeductibleContriDisclInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FMA CPABusinessNameLine1Txt
Business Name Line2FMA CPABusinessNameLine2Txt
FieldValueIRS element (for citing)
Phone8139483904PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11527 DALE MABRY HWYAddressLine1Txt
Address Line2SUITE 100AddressLine2Txt
CityLUTZCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33548ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JOHN HARPER
PRESIDENTYes (X)$0$0$0
DREW WEATHERFORD
VICE PRESIDEYes (X)$0$0$0
CHRIS ALVAREZ
TREASURERYes (X)$0$0$0
WENDY CROSIER
DIRECTOR$0$0$0Yes (X)
AMY CHAILDIN
SECRETARY$0$0$0Yes (X)
SILVANA CAPALDI
DIRECTOR$0$0$0Yes (X)
RAY FRAZIER
DIRECTOR$0$0$0Yes (X)
CHRIS ELAM
DIRECTOR$0$0$0Yes (X)
HUNTER EUBANKS
DIRECTOR$0$0$0Yes (X)
DARRYL BENGE
DIRECTOR$0$0$0Yes (X)
JOHN BYCZEK
DIRECTOR$0$0$0Yes (X)
SHERI SCHWAB
DIRECTOR$0$0$0Yes (X)
MARK FITZPATRICK
DIRECTOR$0$0$0Yes (X)
JOE DELATORRE
DIRECTOR$0$0$0Yes (X)
ROBERT PERSUITTE
DIRECTOR$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$141,305FundraisingAmt
All Other Contributions$201,284AllOtherContributionsAmt
Noncash Contributions$31,633NoncashContributionsAmt
Total Contributions$342,589TotalContributionsAmt
Fundraising Gross Income$84,040FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$141,305ContriRptFundraisingEventAmt
Fundraising Direct Expenses$91,079FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,039TotalRevenueColumnAmt
Exclusion-$7,039ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$335,550TotalRevenueColumnAmt
Exclusion-$7,039ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$148,929TotalAmt
Program Services$148,929ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$8,164TotalAmt
Program Services$8,164ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$27,346TotalAmt
Program Services$4,102ProgramServicesAmt
Management And General$23,244ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$44,523TotalAmt
Program Services$11,131ProgramServicesAmt
Management And General$33,392ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,295TotalAmt
Management And General$3,295ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,640TotalAmt
Management And General$1,640ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,754TotalAmt
Management And General$5,754ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,050TotalAmt
Management And General$1,050ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,823TotalAmt
Program Services$10,823ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,789TotalAmt
Program Services$2,789ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,874TotalAmt
Program Services$1,022ProgramServicesAmt
Management And General$1,852ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$806TotalAmt
Management And General$806ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,419TotalAmt
Program Services$7,709ProgramServicesAmt
Management And General$7,710ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,472TotalAmt
Management And General$3,472ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,270TotalAmt
Program Services$2,270ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
NON CASH DISBURSEMENTS$31,633$31,633
TELEPHONE/INTERNET$2,046$2,046
LICENSES$2,029$2,029
WEB SERVICES$1,129$1,129

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$150TotalAmt
Management And General$150ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$316,141TotalAmt
Program Services$228,572ProgramServicesAmt
Management And General$87,569ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$108,293BOYAmt
EOY$125,043EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,695BOYAmt
EOY$4,354EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$380BOYAmt
EOY$380EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$120,368BOYAmt
EOY$129,777EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$110,368BOYAmt
EOY$129,777EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$110,368BOYAmt
EOY$129,777EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,368BOYAmt
EOY$129,777EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$19,409ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$121,353CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$137,098CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$153,814CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$284,994CurrentTaxYearMinus1YearAmt
Current Tax Year$342,589CurrentTaxYearAmt
Total$1,039,848TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$121,353CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$137,098CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$153,814CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$284,994CurrentTaxYearMinus1YearAmt
Current Tax Year$342,589CurrentTaxYearAmt
Total$1,039,848TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,039,848PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$245,722CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$118,122CurrentTaxYearMinus1YearAmt
Current Tax Year$84,040CurrentTaxYearAmt
Total$447,884TotalAmt
FieldValueIRS element (for citing)
Total Support$1,487,732TotalSupportAmt
Public Support CY1700.69890PublicSupportCY170Pct
Public Support PY1700.70390PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationREFER TO SCHEDULE G, PART II 363,844ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CELEBRATION OFEvent1Nm
Gross Receipts Event1$221,305GrossReceiptsEvent1Amt
Charitable Contri Event1$141,305CharitableContriEvent1Amt
Gross Revenue Event1$80,000GrossRevenueEvent1Amt
Other Direct Expenses Event1$91,079OtherDirectExpensesEvent1Amt
Gross Receipts Total$221,305GrossReceiptsTotalAmt
Charitable Contributions Tot$141,305CharitableContributionsTotAmt
Gross Revenue Total Events$80,000GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$91,079OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$91,079DirectExpenseSummaryEventsAmt
Net Income Summary-$11,079NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdCash GrantCashGrantAmtRecipient EINRecipientEINIRC SectionIRCSectionDesc
A KID'S PLACE OF TAMPA BAY INC
1715 LITHIA PINECREST ROADBRANDONFL33511$20,000
ALPHA HOUSE OF TAMPA
201 S TAMPANIA AVETAMPAFL33629$16,206
CHAMPIONS FOR CHILDREN
3108 W AZEELE STTAMPAFL33609$12,500591807551501(C)
GULF COAST JEWISH FAMILY AND COMMUN
14041 ICOT BLVDCLEARWATERFL33760$10,000
HOPE STREET OF TAMPA INC
PO BOX 340501TAMPAFL33694$7,500
POSITIVE SPIN INC
5118 NORTH 56TH STREET SUITE 224TAMPAFL33610$10,000
STARTING RIGHT NOW
5328 PRIMROSE LAKE CIRCLE STE ATAMPAFL33647$10,000
THE CHILDREN'S HOME INC
10909 MEMORIAL HWYTAMPAFL33615$18,000
WHEELS OF SUCCESS INC
5420 W CYPRESS STTAMPAFL33607$6,000
WHERE LOVE GROWS INC
PO BOX 172311TAMPAFL33672$7,500

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCOMMUNITY CONTRIBUTIONSGrantTypeTxt
Cash Grant$8,164CashGrantAmt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$31,633NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTHROUGH 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 6VOLUNTEERS SUPPORT A VARIETY OF PROGRAMS AND PROVIDED MORE THAN 4900 HOURS OF SERVICE FOR THE CELEBRATION OF CARING, TEAM FMC, BOOK DRIVE, AND GOLF FUNDRAISING EVENTS
FORM 990, PAGE 6, PART VI, LINE 11BTHE 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 12CDISCLOSURE REPORTS ARE SUBJECT TO REVIEW
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FLORIDA MEDICAL CLINIC PABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line138135 MARKET SQUAREAddressLine1Txt
CityZEPHYRHILLSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33543ZIPCd
FieldValueIRS element (for citing)
EIN593156212EIN
Primary ActivitiesMEDICAL ACPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeS CORPEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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