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803 FOUNDATION INC: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
803 FOUNDATION INC (EIN 46-2765829)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201743189349200549
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)
Return2017-11-14T06:57:39-08:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DENZEL & ASSOCIATES LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1790 W FRONTAGE RD STE 319AddressLine1Txt
CityNORTHFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP600931204ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN462765829EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE 803 FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name Control803FBusinessNameControlTxt
Phone7732969900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1803 WEST HUTCHINSON STREETAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60613ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR DAVID TEPLICAPersonNm
Person TitlePresidentPersonTitleTxt
Signature2017-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL L DENZELPreparerPersonNm
PTINP00173484PTIN
Phone8474414310PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressWWW.803FOUNDATION.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$128,240GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$128,238ContributionsGiftsGrantsEtcAmt
Investment Income$2InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$128,240TotalRevenueAmt
Salaries Other Comp Empl Bnft$32,360SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$24,247FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$45,000OccupancyRentUtltsAndMaintAmt
Other Expenses Total$24,721OtherExpensesTotalAmt
Total Expenses$126,328TotalExpensesAmt
Excess Or Deficit For Year$1,912ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$45,223NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$47,135NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$29,090BOYAmt
EOY$10,678EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$20,985BOYAmt
EOY$36,457EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$50,075BOYAmt
EOY$47,135EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,852BOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$45,223BOYAmt
EOY$47,135EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeMEDICAL AND SCIENTIFIC RESEARCHPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmt
MEDICAL RESEARCH REGARDING BASIC HUMAN ANATOMY AND EMBRYOLOGIC DEVELOPMENT, HIV BIOLOGY, AND IMPLICATIONS FOR PATIENT CARE. SCIENTIFIC PUBLICATION AND PRESENTATION AT SCIENTIFIC MEETINGS (ESITMATED 8,000 RECIPIENTS)$72,451
LECTURES AND EDUCATIONAL SEMINARS TO TEACH CONCEPTS DERIVED FROM OUR MEDICAL RESEARCH (1,500 RECIPIENTS)$25,875
HISTORICAL RESEARCH AND ARCHIVE CREATION (100 BENEFICIARIES)$5,175
FieldValueIRS element (for citing)
Total Program Service Expenses$103,501TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
DR DAVID TEPLICA
PRES./DIRECTOR16.00$0
EILEEN JEFFERS
SEC./DIRECTOR4.00$0
DONALD KEITH
Director3.00$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Organization Filed990 TfalseOrganizationFiled990TInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDR DAVID TEPLICAPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1803 WEST HUTCHINSON STREETAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60613ZIPCd
FieldValueIRS element (for citing)
Phone7732969900PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Form720 FiledfalseForm720FiledInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Related Org Sect527 OrgfalseRelatedOrgSect527OrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$68,939CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113,034CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$152,247CurrentTaxYearMinus1YearAmt
Current Tax Year$128,238CurrentTaxYearAmt
Total$462,458TotalAmt

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 Minus3 Years$68,939CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113,034CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$152,247CurrentTaxYearMinus1YearAmt
Current Tax Year$128,238CurrentTaxYearAmt
Total$462,458TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$462,458PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$2CurrentTaxYearAmt
Total$2TotalAmt

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$462,460TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1005Travel $1913
Other Expenses.1009Depreciation $5404
Other Expenses.1REFERENCE MATERIALS & SUPPLIES $16374
Other Expenses.2MEALS $757
Other Expenses.3ANNUAL LICENSE FEES $163
Other Expenses.4BANK SERVICE CHARGES $68
Other Expenses.5DUES & SUBSCRIPTIONS $42
Other Assets.1002Furniture and Fixtures - Beginning $14147 Furniture and Fixtures - Ending $16249
Other Assets.1003Machinery and Equipment - Beginning $6838 Machinery and Equipment - Ending $20208
Total Liabilities.1006Payable to Officers, Directors, Etc. - Beginning $4852 Payable to Officers, Directors, Etc. - Ending $0

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