GOOD SAMARITAN FOUNDATION OF TEXAS INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GOOD SAMARITAN FOUNDATION OF TEXAS INC (EIN 74-1235398)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-29
IRS object ID
201723339349300632
Schema version
2016v3.0
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)
Return2017-11-29T13:10:41-08:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Blazek & VetterlingBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12900 Weslayan Suite 200AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP770275132ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN741235398EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Good Samaritan Foundation of Texas IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGOODBusinessNameControlTxt
Phone7135294646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 Kirby DriveAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77019ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJason L FertittaPersonNm
Person TitleChairmanPersonTitleTxt
Signature2017-11-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJody BlazekPreparerPersonNm
PTINP00072674PTIN
Phone7134395739PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJason L FertittaPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 Kirby Drive 1350AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77019ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$913,307GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.gsftx.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTo increase the number of nurses dedicated to clinical care and to improve the quality of nurse education and training.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$635,458PYContributionsGrantsAmt
CY Contributions Grants$747,002CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$19,631PYInvestmentIncomeAmt
CY Investment Income$14,592CYInvestmentIncomeAmt
PY Other Revenue$80,565PYOtherRevenueAmt
CY Other Revenue-$43,210CYOtherRevenueAmt
PY Total Revenue$735,654PYTotalRevenueAmt
CY Total Revenue$718,384CYTotalRevenueAmt
PY Grants And Similar Paid$491,050PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$489,250CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$95,076PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$107,852CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$42,138CYTotalFundraisingExpenseAmt
PY Other Expenses$175,717PYOtherExpensesAmt
CY Other Expenses$154,691CYOtherExpensesAmt
PY Total Expenses$761,843PYTotalExpensesAmt
CY Total Expenses$751,793CYTotalExpensesAmt
PY Revenues Less Expenses-$26,189PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$33,409CYRevenuesLessExpensesAmt
Total Assets BOY$893,061TotalAssetsBOYAmt
Total Assets EOY$980,087TotalAssetsEOYAmt
Total Liabilities BOY$56,428TotalLiabilitiesBOYAmt
Total Liabilities EOY$110,992TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$836,633NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$869,095NetAssetsOrFundBalancesEOYAmt
MissionGood Samaritan Foundation (GSF) is a fundraising and grant-making organization dedicated solely to Texas nursing. Its mission is to increase the number of nurses dedicated to clinical care and to improve the quality of nurse education and training.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$542,004ExpenseAmt
Grant$379,250GrantAmt
DescNursing scholarships: Good Samaritan Foundation (GSF) annually grants an average of 400 students nursing scholarships. GSF grants scholarships to students attending over 50 different schools of nursing in Texas and/or enrolled in online programs. The majority of scholarships granted are to Bachelor's of Science in Nursing (BSN) and Masters of Science in Nursing (MSN) students.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$110,000ExpenseAmt
Grant$110,000GrantAmt
DescGrants to Colleges of Nursing and other organizations: GSF Foundation Pledged $75,000 ($25,000 per year for 2015, 2016, 2017) to University of Texas Medical Branch for Continuing Nursing Education. GSF also granted The University of Houston $28,500 to assist in providing 10 full scholarships for nurses advancing their skills in the School of Nursing. Scholarships assisted students who were pursuing their masters of science degrees in nursing MSN with a focus as family nurse practitioners (FNP).Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescGood Samaritan Endowment, Inc. (the Endowment) was formed in 2004 and operates primarily for the benefit of the Foundation. The Endowment has a board of directors separate from and not controlled by the Foundation.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$652,004TotalProgramServiceExpensesAmt
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 EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
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
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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 ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
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 PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMelissa KingPersonNm
Phone7135294646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 Kirby Drive Ste 1350AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77019ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Jason L Fertitta
Chairman2.000.00Yes (X)Yes (X)$0$0$0
Donna Henderson
VC & Treasurer2.000.00Yes (X)Yes (X)$0$0$0
Steven P Mach
Secretary2.000.00Yes (X)Yes (X)$0$0$0
Abigail Berkman
Trustee1.000.00Yes (X)$0$0$0
Christopher W Dewhurst
Trustee1.000.00Yes (X)$0$0$0
Warren W Harris
Trustee1.000.00Yes (X)$0$0$0
Sandy McElligott
Trustee1.000.00Yes (X)$0$0$0
Ruthie J Miller
Trustee1.000.00Yes (X)$0$0$0
Tiffany Perbala
Trustee1.000.00Yes (X)$0$0$0
Eduardo A Sanchez
Trustee1.000.00Yes (X)$0$0$0
Susan P Stasney
Trustee1.000.00Yes (X)$0$0$0
Julie Young Sudduth
Trustee1.000.00Yes (X)$0$0$0
Kathryn Tart
Trustee1.000.00Yes (X)$0$0$0
L Proctor Thomas III
Trustee1.000.00Yes (X)$0$0$0
Jacqueline R Ward
Trustee1.000.00Yes (X)$0$0$0
Thurmon Andress
Life Trustee1.000.00Yes (X)$0$0$0
William V Conover II
Life Trustee1.000.00Yes (X)$0$0$0
Rosemary Pearson Creasey
Life Trustee1.000.00Yes (X)$0$0$0
Lee L D Tuttle
Life Trustee1.000.00Yes (X)$0$0$0
Melissa King
Executive Dir.40.000.00Yes (X)$78,750$0$8,055
FieldValueIRS element (for citing)
Total Reportable Comp From Org$78,750TotalReportableCompFromOrgAmt
Total Other Compensation$8,055TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$244,435FundraisingAmt
Related Organizations$53,560RelatedOrganizationsAmt
All Other Contributions$449,007AllOtherContributionsAmt
Total Contributions$747,002TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,172TotalRevenueColumnAmt
Exclusion$17,172ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,972TotalRevenueColumnAmt
Exclusion$27,972ExclusionAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$94,161SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$96,741SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$2,580SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,580TotalRevenueColumnAmt
Exclusion-$2,580ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$27,000FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$244,435ContriRptFundraisingEventAmt
Fundraising Direct Expenses$98,182FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$71,182TotalRevenueColumnAmt
Exclusion-$71,182ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$718,384TotalRevenueColumnAmt
Exclusion-$28,618ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$110,000TotalAmt
Program Services$110,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$379,250TotalAmt
Program Services$379,250ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$86,805TotalAmt
Program Services$51,689ProgramServicesAmt
Management And General$12,663ManagementAndGeneralAmt
Fundraising$22,453FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,450TotalAmt
Program Services$10,670ProgramServicesAmt
Management And General$780ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,869TotalAmt
Program Services$1,349ProgramServicesAmt
Management And General$714ManagementAndGeneralAmt
Fundraising$806FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,728TotalAmt
Program Services$4,239ProgramServicesAmt
Management And General$942ManagementAndGeneralAmt
Fundraising$1,547FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$16,170TotalAmt
Management And General$16,170ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$19,995TotalAmt
Program Services$9,975ProgramServicesAmt
Management And General$5,020ManagementAndGeneralAmt
Fundraising$5,000FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,786TotalAmt
Program Services$3,290ProgramServicesAmt
Management And General$12,788ManagementAndGeneralAmt
Fundraising$1,708FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$24,154TotalAmt
Program Services$14,226ProgramServicesAmt
Management And General$4,734ManagementAndGeneralAmt
Fundraising$5,194FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,198TotalAmt
Management And General$3,198ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33TotalAmt
Management And General$33ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,195TotalAmt
Program Services$2,013ProgramServicesAmt
Management And General$447ManagementAndGeneralAmt
Fundraising$735FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
Awards Luncheon Expenses$64,575$64,575
Event expenses$4,429$4,429
Royalty & Property Taxes$1,156$728$266$162

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$751,793TotalAmt
Program Services$652,004ProgramServicesAmt
Management And General$57,651ManagementAndGeneralAmt
Fundraising$42,138FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$283,689BOYAmt
EOY$309,196EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,421BOYAmt
EOY$38,500EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$20,086BOYAmt
EOY$16,948EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,909BOYAmt
EOY$11,466EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$49,467LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$49,467LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$33BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$531,923BOYAmt
EOY$603,977EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$893,061BOYAmt
EOY$980,087EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,817BOYAmt
EOY$992EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$53,611BOYAmt
EOY$110,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,428BOYAmt
EOY$110,992EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$558,070BOYAmt
EOY$579,796EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$278,563BOYAmt
EOY$289,299EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$836,633BOYAmt
EOY$869,095EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$893,061BOYAmt
EOY$980,087EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$33,409ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$59,871NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$6,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$682,548CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,495,475CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$762,736CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$635,458CurrentTaxYearMinus1YearAmt
Current Tax Year$747,002CurrentTaxYearAmt
Total$4,323,219TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$682,548CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,495,475CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$762,736CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$635,458CurrentTaxYearMinus1YearAmt
Current Tax Year$747,002CurrentTaxYearAmt
Total$4,323,219TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$616,335SubstantialContributorsTotAmt
Public Support Total170$3,706,884PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$88,362CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$97,059CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117,999CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$153,189CurrentTaxYearMinus1YearAmt
Current Tax Year$45,144CurrentTaxYearAmt
Total$501,753TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$4,824,972TotalSupportAmt
Public Support CY1700.76830PublicSupportCY170Pct
Public Support PY1700.78050PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,509,992BeginningYearBalanceAmt
Investment Earnings Or Losses$136,503InvestmentEarningsOrLossesAmt
Grants Or Scholarships$53,560GrantsOrScholarshipsAmt
End Year Balance$1,592,935EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,581,656BeginningYearBalanceAmt
Investment Earnings Or Losses-$34,243InvestmentEarningsOrLossesAmt
Grants Or Scholarships$37,421GrantsOrScholarshipsAmt
End Year Balance$1,509,992EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$633,732BeginningYearBalanceAmt
Contributions$942,600ContributionsAmt
Investment Earnings Or Losses$35,524InvestmentEarningsOrLossesAmt
Grants Or Scholarships$30,200GrantsOrScholarshipsAmt
End Year Balance$1,581,656EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$591,169BeginningYearBalanceAmt
Investment Earnings Or Losses$73,300InvestmentEarningsOrLossesAmt
Grants Or Scholarships$30,737GrantsOrScholarshipsAmt
End Year Balance$633,732EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$566,307BeginningYearBalanceAmt
Investment Earnings Or Losses$55,612InvestmentEarningsOrLossesAmt
Grants Or Scholarships$28,750GrantsOrScholarshipsAmt
Administrative Expenses$2,000AdministrativeExpensesAmt
End Year Balance$591,169EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,563OtherCostOrOtherBasisAmt
Depreciation$46,563DepreciationAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,904OtherCostOrOtherBasisAmt
Depreciation$2,904DepreciationAmt
FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$867,198TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$59,871NetUnrealizedGainsInvstAmt
Recoveries Prior Year Grants$6,000RecoveriesPriorYearGrantsAmt
Other Revenue$82,943OtherRevenueAmt
Revenue Not Reported$148,814RevenueNotReportedAmt
Revenue Subtotal$718,384RevenueSubtotalAmt
Total Revenue Per Form990$718,384TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$751,793TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$751,793ExpensesSubtotalAmt
Total Expenses Per Form990$751,793TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.The endowment funds provide financial support to Good Samaritan Foundation of Texas, Inc.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Change in value of Endowment interest $82943

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Pearl BallEvent1Nm
Gross Receipts Event1$160,735GrossReceiptsEvent1Amt
Charitable Contri Event1$143,735CharitableContriEvent1Amt
Gross Revenue Event1$17,000GrossRevenueEvent1Amt
Rent Facility Costs Event1$3,375RentFacilityCostsEvent1Amt
Food And Beverage Event1$22,039FoodAndBeverageEvent1Amt
Entertainment Event1$5,447EntertainmentEvent1Amt
Other Direct Expenses Event1$5,143OtherDirectExpensesEvent1Amt
Event2Golf TournamentEvent2Nm
Gross Receipts Event2$110,700GrossReceiptsEvent2Amt
Charitable Contri Event2$100,700CharitableContriEvent2Amt
Gross Revenue Event2$10,000GrossRevenueEvent2Amt
Rent Facility Costs Event2$59,092RentFacilityCostsEvent2Amt
Food And Beverage Event2$2,827FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$259OtherDirectExpensesEvent2Amt
Gross Receipts Total$271,435GrossReceiptsTotalAmt
Charitable Contributions Tot$244,435CharitableContributionsTotAmt
Gross Revenue Total Events$27,000GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$62,467RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$24,866FoodAndBeverageTotalEventsAmt
Entertainment Total Events$5,447EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$5,402OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$98,182DirectExpenseSummaryEventsAmt
Net Income Summary-$71,182NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
UT College-Arlington
PO Box 19407ArlingtonTX76019766000121115(1)$60,000$0MSN Gerontology Scholarships
UT Heatlh School of Nursing
7000 Fannin St 1200HoustonTX77030741761309115(1)$50,000$0Support of SON Academic Success Ct
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeNursing ScholarshipsGrantTypeTxt
Cash Grant$379,250CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationGSF accepts scholarship applications three times a year in the spring, summer and fall. Each student is required to complete an application, provide proof or registration, class and fee schedules and once the semester is over each student is required to provide grades to ensure they are in good standing with the university and they have passed their courses.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessAfter preparation and review by the Executive Director, a copy of the Form 990 is sent to the Chairman of the Board, the Board Treasurer and the balance of the Executive Committee for final review and approval. After careful review and consideration comments are compiled by the Executive Director. All comments and questions are addressed, discussed and compared to the annual audit before final submission.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsA copy of the conflict of interest policy is furnished to each trustee, officer and staff member who serves the Good Samaritan organization or who may become associated with it (volunteers). The policy and its application is reviewed annually for the information and guidance of trustees, officers and staff members, each of whom has a continuing responsibility to scrutinize their transactions and outside business interests and relationships for potential conflicts of interest, and make full disclosures as described in the policy. Annually, the Board Chair meets with each trustee at the annual board meeting, usually in early November, and asks for completed certification of agreement with the policy and disclosure of any known conflicts of interest upon his or her election or re-election to the board. In addition the Executive Director and each staff member is asked to complete a certification annually, this occurs by the end of each calendar year.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe Executive Committee of the Board of Trustees reviews various independent sources of nonprofit industry data regarding the levels and types of compensation being paid to persons in the nonprofit sector by job function. Recommendations of the Executive Committee for individual compensation and benefits packages are presented to and approved by the full board of trustees at the annual meeting held every November.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe Executive Committee of the Board of Trustees reviews various independent sources of nonprofit industry data regarding the levels and types of compensation being paid to persons in the nonprofit sector by job function. Recommendations of the Executive Committee for individual compensation and benefits packages are presented to and approved by the full board of trustees at the annual meeting held every November.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAll corporate records are available to the general public for review at the Foundation's main office during normal business hours upon written request with reasonable notice.
Other Changes In Net Assets Or Fund Balances - Other IncreasesGrant reversions = $6000

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Good Samaritan Endowment IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 Kirby Drive Ste 1350AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77019ZIPCd
FieldValueIRS element (for citing)
EIN201930300EIN
Primary ActivitiesSupport Good Samaritan FoundationPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status509(a)(3)III NFIPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
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 OrgYes (true)GiftGrntCapContriFromOthOrgInd
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 FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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