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803 FOUNDATION INC: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
803 FOUNDATION INC (EIN 46-2765829)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201603199349200505
Schema version
2015v2.0
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)
Return2016-11-14T05:06:27-08:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL L DENZELPreparerPersonNm
PTINP00173484PTIN
Phone8474414310PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
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$152,247GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$152,247ContributionsGiftsGrantsEtcAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$152,247TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$48,981FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$23,000OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$160PrintingPublicationsPostageAmt
Other Expenses Total$24,365OtherExpensesTotalAmt
Total Expenses$96,506TotalExpensesAmt
Excess Or Deficit For Year$55,741ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY-$10,518NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$45,223NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$2,769BOYAmt
EOY$29,090EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$5,658BOYAmt
EOY$20,985EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,427BOYAmt
EOY$50,075EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,945BOYAmt
EOY$4,852EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY-$10,518BOYAmt
EOY$45,223EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeMEDICAL RESARCHPrimaryExemptPurposeTxt

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 (10,000 RECIPIENTS)$67,554
LECTURES AND EDUCATIONAL SEMINARS TO TEACH CONCEPTS DERIVED FROM OUR MEDICAL RESEARCH (1,500 RECIPIENTS)$24,127
HISTORICAL RESEARCH AND ARCHIVE CREATION (100 BENEFICIARIES)$4,825
FieldValueIRS element (for citing)
Total Program Service Expenses$96,506TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
DR DAVID TEPLICA
PRES./DIRECTOR10.00$0
EILEEN JEFFERS
SEC./DIRECTOR4.00$0
DONALD KEITH
Director1.00$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 OfficersYes (true)MadeLoansToFromOfficersInd
Loans To From Officers$4,852LoansToFromOfficersAmt
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 Minus2 Years$68,939CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$113,034CurrentTaxYearMinus1YearAmt
Current Tax Year$152,247CurrentTaxYearAmt
Total$334,220TotalAmt

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 Minus2 Years$68,939CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$113,034CurrentTaxYearMinus1YearAmt
Current Tax Year$152,247CurrentTaxYearAmt
Total$334,220TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$334,220PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$334,220TotalSupportAmt
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 L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonDR DAVID TEPLICAPersonNm
Relationship With OrgPRES.RelationshipWithOrgTxt
Loan PurposeADVANCELoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$18,945OriginalPrincipalAmt
Balance Due$4,852BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$4,852TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1005Travel $8312
Other Expenses.1009Depreciation $1988
Other Expenses.1SUPPLIES $8718
Other Expenses.2MEALS $4363
Other Expenses.3BANK SERVICE CHARGES $613
Other Expenses.4ANNUAL LICENSE FEES $371
Other Assets.1002Furniture and Fixtures - Beginning $0 Furniture and Fixtures - Ending $14147
Other Assets.1003Machinery and Equipment - Beginning $5658 Machinery and Equipment - Ending $6838
Total Liabilities.1006Payable to Officers, Directors, Etc. - Beginning $18945 Payable to Officers, Directors, Etc. - Ending $4852

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