AGAPE DENTAL MINISTRY: Form 990EZ, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- AGAPE DENTAL MINISTRY (EIN 90-0658765)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-04-12
- IRS object ID
- 201701029349200200
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-04-12T00:45:54-04:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brown Langston and Associates Inc | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1013 Potomac Road | AddressLine1Txt |
| City | Indian Trail | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28079 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900658765 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AGAPE DENTAL MINISTRY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AGAP | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7839 IDLEWILD ROAD | AddressLine1Txt |
| City | Charlotte | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28212 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELIZABETH E LOCKLARE | PersonNm |
| Person Title | EXECUTIVE DIREC | PersonTitleTxt |
| Phone | 7047337856 | PhoneNum |
| Signature | 2017-04-12 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rhonda B Walker | PreparerPersonNm |
| PTIN | P00866177 | PTIN |
| Phone | 7045017266 | PhoneNum |
| Preparation | 2017-04-12 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.132.140.83 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-04-12 | IPDt |
| IP Tm | 00:48:00 | IPTm |
| Federal Original Submission Id | 6909792017102m0ymrve | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-04-12 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 7294A4893F503951FA44110B3470F52A21866E05 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7294A4893F503951FA44110B3470F52A21866E05 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | AGAPEDENTALMINISTRY.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Gross Receipts | $48,909 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $45,366 | ContributionsGiftsGrantsEtcAmt |
| Other Revenue Total | $3,543 | OtherRevenueTotalAmt |
| Total Revenue | $48,909 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $9,935 | SalariesOtherCompEmplBnftAmt |
| Other Expenses Total | $30,517 | OtherExpensesTotalAmt |
| Total Expenses | $40,452 | TotalExpensesAmt |
| Excess Or Deficit For Year | $8,457 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $100,092 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $39,501 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $148,050 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,092 | BOYAmt |
| EOY | $108,549 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $39,501 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,092 | BOYAmt |
| EOY | $148,050 | 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 | $100,092 | BOYAmt |
| EOY | $148,050 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | TO PROVIDE FREE DENTAL CARE TO THE UNDER | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt |
|---|
| 599 PATIENTS SERVICED FOR FREE DENTAL EXAM AND XRAYS |
| 588 PATIENTS SERVICED FOR FREE DENTAL RESTORATIONS |
| 363 PATIENTS SERVICED FOR FREE DENTAL EXTRACTIONS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (8 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Jeff Smith | ||||
| Chairman of the Board | 0.00 | $0 | $0 | $0 |
| ELIZABETH E LOCKLARE | ||||
| EXECUTIVE DIRECTORS | 19.00 | $6,000 | $0 | $0 |
| GRACIE FRANK | ||||
| SECRETARY | 0.00 | $0 | $0 | $0 |
| NANCY MCNAMARA | ||||
| TREASURER | 1.25 | $0 | $0 | $0 |
| ALYSSA CURTIS | ||||
| ASST EXECUTIVE DIRECTOR OFFICE MGR | 2.82 | $3,935 | $0 | $0 |
| LAURA CUTHBERTSON | ||||
| HYGIENE REPRESENTATIVE | 0.00 | $0 | $0 | $0 |
| JERRY FLOWE | ||||
| VETERANS ADVOCATE | 0.00 | $0 | $0 | $0 |
| LEON THREATT | ||||
| CHAPLAIN | 5.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NANCY MCNAMARA | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1317 ROCK HILL CHURCH ROAD | AddressLine1Txt |
| City | Matthews | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7043645410 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Church | Yes (X) | ChurchInd |
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 |
|---|---|
| Description of other revenue Part I line 8 | Description AmountENDOWMENT AND MISC REVENUE 3,543 |
| Description of other expenses Part I line 16 | Description AmountInsurance 5,239Tax Prep and Legal fees 250Medical and Dental Supplies 17,265Office Expenses 7,763 |
| Other changes in net assets or fund balances Part I line 20 | Description AmountFURNITURE AND EQUIPMENT 39,501 |
| Description of other assets Part II line 24 | Category Beginning of Year End of YearFURNITURE AND EQUIPMENT 0 39,501 |
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