CHILDRENS LIFELINE INTERNATIONAL INC: Form 990EZ, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS LIFELINE INTERNATIONAL INC (EIN 77-0620629)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2016-10-27
- IRS object ID
- 201633019349200648
- Schema version
- 2015v2.1
- 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 | 2016-10-27T16:43:06-07:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEE M FORRESTER - CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 TZENA WAY | AddressLine1Txt |
| City | ENCINITAS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92024 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770620629 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Childrens Lifeline International Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 8585099445 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 514 Via de la Valle | AddressLine1Txt |
| City | Solana Beach | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92075 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SALAH M HASSANEIN | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 8585099445 | PhoneNum |
| Signature | 2016-10-27 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LEE M FORRESTER | PreparerPersonNm |
| Phone | 7604191290 | PhoneNum |
| Preparation | 2016-10-27 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $190,748 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $123,003 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $0 | ProgramServiceRevenueAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Investment Income | $3,927 | InvestmentIncomeAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Gain Or Loss From Sale Of Assets | $0 | GainOrLossFromSaleOfAssetsAmt |
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Fundraising Gross Income | $63,818 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $34,576 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $29,242 | SpecialEventsNetIncomeLossAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $156,172 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $93,946 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $6,735 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $23,598 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $140,985 | OtherExpensesTotalAmt |
| Total Expenses | $265,264 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$109,092 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $213,500 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $104,408 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,330 | BOYAmt |
| EOY | $17,011 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,540 | BOYAmt |
| EOY | $88,017 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,870 | BOYAmt |
| EOY | $105,028 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,370 | BOYAmt |
| EOY | $620 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,500 | BOYAmt |
| EOY | $104,408 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | To provide medical and surgical assistance to underprivleged children in develping countries and disaster relief efforts | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | PROVIDED MEDICAL & SURGICAL ASSISTANCE TO UNDERPRIVLEGED CHILDREN IN DEVELOPING COUNTRIES & DISASTER RELIEF | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $110,465 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $110,465 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| SALAH M HASSANEIN | ||
| Chairman | 10.00 | $0 |
| FRED FRIEDMAN | ||
| CFO | 5.00 | $0 |
| ALAN SAWAYA | ||
| Director | 0.00 | $0 |
| NESA HASSANEIN | ||
| Director | 0.00 | $0 |
| LAUREN INA | ||
| Director | 0.00 | $0 |
| SUSAN SULLIVAN | ||
| Director | 0.00 | $0 |
| LUIS DASILVA | ||
| Director | 0.00 | $0 |
| JEFF MANN | ||
| Director | 0.00 | $0 |
| PETER FARRELL | ||
| Director | 0.00 | $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 |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ACCOUNTING | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 514 Via de la Valle 207 | AddressLine1Txt |
| City | Solana Beach | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92075 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8585099445 | 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 |
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 Minus4 Years | $109,284 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $158,318 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $216,393 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $137,168 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $123,003 | CurrentTaxYearAmt |
| Total | $744,166 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $109,284 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $158,318 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $216,393 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $137,168 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $123,003 | CurrentTaxYearAmt |
| Total | $744,166 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $744,166 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $36,004 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,655 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,582 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,233 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,927 | CurrentTaxYearAmt |
| Total | $117,401 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $861,567 | TotalSupportAmt |
| Public Support CY170 | 0.86370 | PublicSupportCY170Pct |
| Public Support PY170 | 0.82270 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Day at Races | Event1Nm |
| Gross Receipts Event1 | $63,818 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $63,818 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $23,992 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $10,584 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $63,818 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $63,818 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $23,992 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $10,584 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $34,576 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $29,242 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990EZ, Part I, Line 16 | Mission related expenses 110465. |
| Form 990EZ, Part I, Line 16 | Operations - Appreciation Gifts 111. |
| Form 990EZ, Part I, Line 16 | Operations - Bank & Merchant Fees 2554. |
| Form 990EZ, Part I, Line 16 | Operations - Supplies 5791. |
| Form 990EZ, Part I, Line 16 | Operations - Telephone 1061. |
| Form 990EZ, Part I, Line 16 | Operations - Travel 1007. |
| Form 990EZ, Part I, Line 16 | Operations - Internet 1674. |
| Form 990EZ, Part I, Line 16 | Operations - Equipment Rental 1431. |
| Form 990EZ, Part I, Line 16 | Depreciation 2414. |
| Form 990EZ, Part I, Line 16 | Operations - Insurance 1173. |
| Form 990EZ, Part I, Line 16 | Operations - All Other 13304. |
| Form 990EZ, Part II, Line 24 | Accounts Receivable - Net 54380. 57332. |
| Form 990EZ, Part II, Line 24 | Computer Equipment - Net 2317. 0. |
| Form 990EZ, Part II, Line 24 | Investments 96941. 30268. |
| Form 990EZ, Part II, Line 24 | Workers Compensation Deposit 554. 417. |
| Form 990EZ, Part II, Line 24 | Prepaid Expenses 3348. 0. |
| Form 990EZ, Part II, Line 26 | Accounts Payable 2370. 620. |
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