MISSION FRANKFORT CLINIC INC: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MISSION FRANKFORT CLINIC INC (EIN 41-2199345)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-04-16
IRS object ID
201611079349200501
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)
Return2016-04-16T06:26:55-07:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Charles T Mitchell Co PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1229 W MAIN ST SUITE 103AddressLine1Txt
CityFRANKFORTCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40601ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN412199345EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION FRANKFORT CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMISSBusinessNameControlTxt
Phone5022274528PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 ST CLAIR STREETAddressLine1Txt
CityFRANKFORTCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonG ANTHONY BUSSENIPersonNm
Person TitleBOARD MEMBERPersonTitleTxt
Signature2016-04-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJames E Clouse CPAPreparerPersonNm
PTINP00946631PTIN
Phone5022277395PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$108,325GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$108,325ContributionsGiftsGrantsEtcAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$108,325TotalRevenueAmt
Salaries Other Comp Empl Bnft$57,774SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$1,750FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$32,075OtherExpensesTotalAmt
Total Expenses$91,599TotalExpensesAmt
Excess Or Deficit For Year$16,726ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$62,502NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$79,228NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$63,218BOYAmt
EOY$79,586EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$63,218BOYAmt
EOY$79,586EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$716BOYAmt
EOY$358EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$62,502BOYAmt
EOY$79,228EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeProvide medical,dental,pharmaceutical services to the uninsured and under-insured.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomASSISTING CITIZENS OF FRANKFORT, KY.DescriptionProgramSrvcAccomTxt
Grants And Allocations$91,598GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$91,598TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (8 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
LARRY HADLEY
BOARD MEMBER5.00$0
G ANTHONY BUSSENI
BOARD MEMBER1.00$0
MIKE HAWKINS
BOARD MEMBER1.00$0
EDDIE GORDON
BOARD MEMBER1.00$0
BOB TIPTON
BOARD MEMBER1.00$0
RUTH RITTER
BOARD MEMBER1.00$0
ROBERT BROWNING
BOARD MEMBER1.00$0
KAREN RHORER
BOARD MEMBER1.00$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 OfficersfalseMadeLoansToFromOfficersInd
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 FldKYStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJULIE CLOUSEPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12691 PEAKS MILL ROADAddressLine1Txt
CityFRANKFORTCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40601ZIPCd
FieldValueIRS element (for citing)
Phone5028757505PhoneNum
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 Minus4 Years$101,664CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$130,565CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,958CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$121,006CurrentTaxYearMinus1YearAmt
Current Tax Year$108,325CurrentTaxYearAmt
Total$589,518TotalAmt

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 Minus4 Years$101,664CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$130,565CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,958CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$121,006CurrentTaxYearMinus1YearAmt
Current Tax Year$108,325CurrentTaxYearAmt
Total$589,518TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$589,518PublicSupportTotal170Amt

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$589,518TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1002Office Expenses $1974
Other Expenses.1007Conferences, Conventions, and Meetings $35
Other Expenses.1012Insurance $7400
Other Expenses.1MEDICAL SUPPLIES $18552
Other Expenses.2REPAIRS AND MAINTENANCE $1339
Other Expenses.3VOLUNTEER RELATIONS $945
Other Expenses.4TAX AND LICENSE $930
Other Expenses.5Parking $800
Other Expenses.6BANK CHARGES $100
Total Liabilities.1001Accounts Payable and Accrued Expenses - Beginning $716 Accounts Payable and Accrued Expenses - Ending $358

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