OELWEIN COMMUNITY HEALTHCARE FOUNDATION: Form 990EZ, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- OELWEIN COMMUNITY HEALTHCARE FOUNDATION (EIN 45-3988044)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201723199349208587
- 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 | 2017-11-15T18:06:13-08:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bradley & Riley PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2007 First Avenue SE | AddressLine1Txt |
| City | Cedar Rapids | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 524062804 | 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 | 453988044 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OELWEIN COMMUNITY HEALTHCARE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OELW | BusinessNameControlTxt |
| Phone | 3192831211 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 83 | AddressLine1Txt |
| City | OELWEIN | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50662 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | W WAYNE SAUR | PersonNm |
| Person Title | President | PersonTitleTxt |
| Signature | 2017-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Maureen G Kenney | PreparerPersonNm |
| PTIN | P00618521 | PTIN |
| Phone | 3193630101 | PhoneNum |
| 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) |
|---|---|---|
| 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 | $146,953 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $146,953 | ContributionsGiftsGrantsEtcAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $0 | SpecialEventsDirectExpensesAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Total Revenue | $146,953 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $55,621 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $72,339 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $4,590 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $2,960 | OtherExpensesTotalAmt |
| Total Expenses | $135,510 | TotalExpensesAmt |
| Excess Or Deficit For Year | $11,443 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | -$53,073 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$41,630 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,066 | BOYAmt |
| EOY | $165,637 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,861 | BOYAmt |
| EOY | $92,733 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,927 | BOYAmt |
| EOY | $258,370 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,000 | BOYAmt |
| EOY | $300,000 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$53,073 | BOYAmt |
| EOY | -$41,630 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | ENHANCE THE HEALTHCARE SERVICES IN THE CITY OF OELWEIN, IA AND THE SURROUNDING COMMUNITY | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | CONSULTING TO DETERMINE FEASIBILITY AND NEED OF A HEALTHCARE FACILITY. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $137,484 | GrantsAndAllocationsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $137,484 | TotalProgramServiceExpensesAmt |
| Info In Schedule O Part IV | Yes (X) | InfoInScheduleOPartIVInd |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (21 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| W WAYNE SAUR | ||
| President | 10.00 | $0 |
| KEN MCDONOUGH | ||
| Director | 2.00 | $0 |
| MONICA STREICHER | ||
| Director | 5.00 | $0 |
| JEFF GEARHART | ||
| Director | 2.00 | $0 |
| JEAN BALDWIN | ||
| Director | 2.00 | $0 |
| ALANNA LEVIN | ||
| Director | 2.00 | $0 |
| CONNIE SANBORN | ||
| Director | 2.00 | $0 |
| JERRY AND NAOMI BIRD | ||
| Directors | 2.00 | $0 |
| KAYE FRAZER | ||
| Director | 2.00 | $0 |
| ELMER PEARSON | ||
| Director | 2.00 | $0 |
| MARILYN RUBNER | ||
| Director | 2.00 | $0 |
| CHARLES SERRA | ||
| Director | 2.00 | $0 |
| TJ STECKLEIN | ||
| Director | 2.00 | $0 |
| CJ LENSING | ||
| Director | 2.00 | $0 |
| ANNE STRAWN | ||
| Director | 2.00 | $0 |
| LYNN PEARSON | ||
| Director | 2.00 | $0 |
| SUSAN WOODS | ||
| Director | 2.00 | $0 |
| PAT TAYLOR | ||
| Director | 2.00 | $0 |
| KURT SCHUCHMANN | ||
| Director | 2.00 | $0 |
| ROGER WETLAUFER | ||
| Director | 2.00 | $0 |
| MATT STEWART | ||
| Director | 2.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Organization Filed990 T | false | OrganizationFiled990TInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Initiation Fees And Cap Contri | $0 | InitiationFeesAndCapContriAmt |
| Gross Receipts For Public Use | $0 | GrossReceiptsForPublicUseAmt |
| 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 | MONICA STREICHER | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 EAST CHARLES STREET | AddressLine1Txt |
| City | OELWEIN | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50662 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3192382303 | 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 |
| Form720 Filed | false | Form720FiledInd |
| 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 |
| Related Org Sect527 Org | false | RelatedOrgSect527OrgInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $22,800 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,745 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $146,953 | CurrentTaxYearAmt |
| Total | $201,138 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $22,800 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,745 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $146,953 | CurrentTaxYearAmt |
| Total | $201,138 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $201,138 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $201,138 | TotalSupportAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
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 (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other Expenses.1002 | Office Expenses $144 |
| Other Expenses.1003 | Information Technology $803 |
| Other Expenses.1009 | Depreciation $219 |
| Other Expenses.1012 | Insurance $1346 |
| Other Expenses.1 | Supplies $252 |
| Other Expenses.2 | Property Taxes $196 |
| Other Assets.1002 | Furniture and Fixtures - Beginning $0 Furniture and Fixtures - Ending $1973 |
| Other Assets.1 | FACILITY-CAPITAL COSTS - Beginning $2861 FACILITY-CAPITAL COSTS - Ending $90760 |
| Total Liabilities.1 | CONTINGENT LAND DONATION - Beginning $150000 CONTINGENT LAND DONATION - Ending $150000 |
| Total Liabilities.2 | Loan - Beginning $150000 Loan - Ending $150000 |
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