PRIMED FOR LIFE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
PRIMED FOR LIFE INC (EIN 20-5844837)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-09
IRS object ID
201643149349301004
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

FieldValueIRS element (for citing)
Return2016-11-09T08:45:44-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN370265152PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ESTES BRIDGEWATER & OGDENBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1901 S SECOND STAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP62704ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205844837EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRIMED FOR LIFE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPRIMBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1816 S COLLEGEAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP62704ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLESHONDA ROGERSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2177892980PhoneNum
Signature2016-11-09SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLORI K MILOSEVICHPreparerPersonNm
PTINP00626782PTIN
Phone2175288473PhoneNum
Preparation2016-11-09PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLESHONDA ROGERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1816 S COLLEGEAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP62704ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$312,463GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionPROVIDE SERVICES TO FAMILIES INVOLVED IN THE CHILD WELFARE SYSTEM AND ASSIST THEM IN NAVAGATING THROUGH THE PROCESS SUCCESSFULLY. TO PROVIDE SERVICES TO YOUTH WITH LEADERSHIP DEVELOPMENT, CHARACTER BUILDING, LIFE SKILLS AND EMPLOYMENT IN THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$50PYContributionsGrantsAmt
CY Contributions Grants$312,463CYContributionsGrantsAmt
PY Program Service Revenue$288,414PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$288,465PYTotalRevenueAmt
CY Total Revenue$312,463CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$178,673PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$202,158CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$111,797PYOtherExpensesAmt
CY Other Expenses$111,397CYOtherExpensesAmt
PY Total Expenses$290,470PYTotalExpensesAmt
CY Total Expenses$313,555CYTotalExpensesAmt
PY Revenues Less Expenses-$2,005PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,092CYRevenuesLessExpensesAmt
Total Assets BOY$39,272TotalAssetsBOYAmt
Total Assets EOY$101,248TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$39,272NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$101,248NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE SERVICES TO FAMILIES INVOLVED IN THE CHILD WELFARE SYSTEM THAT ASSIST THEM IN NAVIGATING THROUGH THE PROCESS SUCCESSFULLY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$133,231ExpenseAmt
DescPROVIDE SERVICES TO FAMILIES INVOLVED IN THE CHILD WELFARE SYSTEM THAT ASSISTS THEM IN NAVAGATING THROUGH THE PROCESS SUCCESSFULLY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$123,109ExpenseAmt
DescPROVIDE A PROGRAM THAT SERVICES YOUTH WITH LEADERSHIP DEVELOPMENT, CHARACTER BUILDING, LIFE SKILLS AND EMPLOYMENT IN THE COMMUNITY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$41,192ExpenseAmt
DescTO ASSIST FAMILIES IN CRISIS WITH CHILDREN WITH MENTAL HEALTH AND BEHAVIORIAL ISSUES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$297,532TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLESHONDA ROGERSPersonNm
Phone2177892980PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1816 S COLLEGEAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP62704ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TIMOTHY ROWLES
PRESIDENT5.00Yes (X)Yes (X)$0$0$0
SHIRLEY JOHNSON
VICE PRESIDE5.00Yes (X)Yes (X)$0$0$0
CHERRIE BENTON
TREASURER5.00Yes (X)Yes (X)$0$0$0
PAULA STADEKER
BOARD MEMBER5.00Yes (X)$0$0$0
TIMOTHY NESBITT
BOARD MEMBER5.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$133,231GovernmentGrantsAmt
All Other Contributions$179,232AllOtherContributionsAmt
Total Contributions$312,463TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$312,463TotalRevenueColumnAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$176,906TotalAmt
Program Services$176,906ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,548TotalAmt
Program Services$8,048ProgramServicesAmt
Management And General$3,500ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,704TotalAmt
Program Services$13,704ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,509TotalAmt
Program Services$6,509ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,912TotalAmt
Program Services$5,449ProgramServicesAmt
Management And General$3,463ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$18,000TotalAmt
Program Services$9,000ProgramServicesAmt
Management And General$9,000ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$927TotalAmt
Program Services$927ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,251TotalAmt
Program Services$10,251ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
TRANSPORTER$23,544$23,544
EQUIPMENT RENTALS$19,035$19,035
FOOD$11,287$11,287
CLIENT TRANSPORTATION$5,091$5,091

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,841TotalAmt
Program Services$7,781ProgramServicesAmt
Management And General$60ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$313,555TotalAmt
Program Services$297,532ProgramServicesAmt
Management And General$16,023ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$39,272BOYAmt
EOY$28,546EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$72,702EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$39,272BOYAmt
EOY$101,248EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,272BOYAmt
EOY$101,248EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,272BOYAmt
EOY$101,248EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,272BOYAmt
EOY$101,248EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,092ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$63,068OtherChangesInNetAssetsAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$350,361CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$360,988CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$343,872CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$288,465CurrentTaxYearMinus1YearAmt
Current Tax Year$312,463CurrentTaxYearAmt
Total$1,656,149TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$350,361CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$360,988CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$343,872CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$288,465CurrentTaxYearMinus1YearAmt
Current Tax Year$312,463CurrentTaxYearAmt
Total$1,656,149TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,656,149PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1CurrentTaxYearMinus1YearAmt
Total$5TotalAmt
FieldValueIRS element (for citing)
Total Support$1,656,154TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$312,463TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$312,463RevenueSubtotalAmt
Total Revenue Per Form990$312,463TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$313,555TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$313,555ExpensesSubtotalAmt
Total Expenses Per Form990$313,555TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE RETURN WAS PREPARED BY A CPA AND REIVEWED BY THE EXECUTIVE DIRECTOR BEFORE BEING FILED AND MADE AVAILABLE TO THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9PRIOR YEAR GRANTS RECEIVABLE 63,068 TOTAL 63,068

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