POSITIVE IMPACT INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- POSITIVE IMPACT INC (EIN 58-1996675)
- Tax period
- 2014-07-01 to 2015-02-28
- Filed
- 2016-05-24
- IRS object ID
- 201611459349300706
- Schema version
- 2014v6.0
- 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 | 2016-05-24T10:43:24-05:00 | ReturnTs |
| Tax Period End | 2015-02-28 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454084437 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WARREN AVERETT LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SIX CONCOURSE PARKWAY SUITE 600 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30328 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581996675 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POSITIVE IMPACT INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | POSI | BusinessNameControlTxt |
| Phone | 4045899040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1117 WEST PEACHTREE ST NW NO 100 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30309 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LARRY LEHMAN | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 4045899040 | PhoneNum |
| Signature | 2016-05-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RACHEL M SKYPEK | PreparerPersonNm |
| PTIN | P00966186 | PTIN |
| Phone | 7703961100 | PhoneNum |
| Preparation | 2016-05-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
| Principal Officer | LARRY M LEHMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1117 WEST PEACHTREE STREET NW | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,843,487 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.POSITIVEIMPACT-ATL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | POSITIVE IMPACT, INC. PROVIDES MENTAL HEALTH SERVICES TO INDIVIDUALS WITH HIV/AIDS | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 55 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,458,611 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,794,846 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $47,950 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $34,707 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $146,440 | PYOtherRevenueAmt |
| CY Other Revenue | $5,193 | CYOtherRevenueAmt |
| PY Total Revenue | $2,653,001 | PYTotalRevenueAmt |
| CY Total Revenue | $1,834,746 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,957,130 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,347,444 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $104,981 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $684,476 | PYOtherExpensesAmt |
| CY Other Expenses | $516,127 | CYOtherExpensesAmt |
| PY Total Expenses | $2,641,606 | PYTotalExpensesAmt |
| CY Total Expenses | $1,863,571 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,395 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$28,825 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $401,689 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $215,614 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $186,075 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | POSITIVE IMPACT, INC. PROVIDES MENTAL HEALTH SERVICES TO INDIVIDUALS WITH HIV/AIDS | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $568,233 | ExpenseAmt |
| Revenue | $12,167 | RevenueAmt |
| Desc | PSYCHOTHERAPEUTIC SERVICES AND COUNSELING - THE MENTAL HEALTH TEAM SERVED 291 CLIENTS AFFECTED BY HIV BY PROVIDING PROFESSIONAL PSYCHOTHERAPEUTIC SERVICES AND COUNSELING TO LOW INCOME INDIVIDUALS AND THEIR FAMILIES IN THE METROPOLITAN ATLANTA AREA. 291 CLIENTS PARTICIPATED IN 2,732 INDIVIDUAL SESSIONS AND 18 CLIENTS PARTICIPATED IN 117 GROUP SESSIONS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $546,774 | ExpenseAmt |
| Revenue | $11,708 | RevenueAmt |
| Desc | PREVENTION PROGRAM: THE PREVENTION TEAM ADMINISTERED 4,750 HIV TESTS, IDENTIFIED 152 NEW HIV CASES, CONDUCTED 2,316 STI SCREENINGS, LINKED 157 HIV-POSITIVE PERSONS TO MEDICAL CARE, AND PROVIDED RISK REDUCTION COUNSELING TO 4,763 CLIENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $505,877 | ExpenseAmt |
| Revenue | $10,832 | RevenueAmt |
| Desc | SUBSTANCE ABUSE TREATMENT PROGRAM: THE ADDICTION TREATMENT TEAM SERVED 43 CLIENTS WITH ADDICTION TREATMENT SERVICES BY AN INTENSIVE OUTPATIENT PROGRAM OR CONTINUING CARE PROGRAM. 9 CLIENTS PARTICIPATED IN 19 INDIVIDUAL INTENSIVE OUTPATIENT SESSIONS AND 43 CLIENTS PARTICIPATED IN 2,189 GROUP SESSIONS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,620,884 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | Yes (1) | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 55 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK LAMBERT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4045899040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1117 WEST PEACHTREE STREET | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30309 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JOSE MANUEL JIMENEZ | ||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ERIN M HIGHSMITH | ||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATHIE THODESON | ||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID OSBORN | ||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| THOMAS H RUSSELL | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DINO THOMPSON-SARMIENTO | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH B WILSON | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BARRY SERMONS | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JOAQUIN CASAJUANA | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PAUL PLATE | ||||||
| EXECUTIVE DIRECTOR | 45.00 | Yes (X) | $87,500 | $0 | $13,075 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $87,500 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $13,075 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $92,339 | FundraisingAmt |
| Government Grants | $1,587,383 | GovernmentGrantsAmt |
| All Other Contributions | $115,124 | AllOtherContributionsAmt |
| Total Contributions | $1,794,846 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| STI SERVICE REVENUE | 621500 | $22,080 | $22,080 |
| THERAPY SERVICE REVENU | 621500 | $7,368 | $7,368 |
| WORKSHOP REVENUE | 621500 | $5,259 | $5,259 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $34,707 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,754 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,826 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,928 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,928 | TotalRevenueColumnAmt |
| Exclusion | $7,928 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $92,339 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $5,915 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,915 | TotalRevenueColumnAmt |
| Exclusion | -$5,915 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 621500 | BusinessCd |
| Total Revenue Column | $3,180 | TotalRevenueColumnAmt |
| Exclusion | $3,180 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,180 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,834,746 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,707 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,193 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,444 | TotalAmt |
| Program Services | $66,111 | ProgramServicesAmt |
| Management And General | $4,722 | ManagementAndGeneralAmt |
| Fundraising | $23,611 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $941,313 | TotalAmt |
| Program Services | $829,424 | ProgramServicesAmt |
| Management And General | $75,226 | ManagementAndGeneralAmt |
| Fundraising | $36,663 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,661 | TotalAmt |
| Program Services | $198,286 | ProgramServicesAmt |
| Management And General | $17,760 | ManagementAndGeneralAmt |
| Fundraising | $10,615 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,026 | TotalAmt |
| Program Services | $73,710 | ProgramServicesAmt |
| Management And General | $6,555 | ManagementAndGeneralAmt |
| Fundraising | $4,761 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,240 | TotalAmt |
| Program Services | $12,344 | ProgramServicesAmt |
| Management And General | $1,829 | ManagementAndGeneralAmt |
| Fundraising | $1,067 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,528 | TotalAmt |
| Program Services | $88,564 | ProgramServicesAmt |
| Management And General | $609 | ManagementAndGeneralAmt |
| Fundraising | $355 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441 | TotalAmt |
| Program Services | $397 | ProgramServicesAmt |
| Management And General | $22 | ManagementAndGeneralAmt |
| Fundraising | $22 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,557 | TotalAmt |
| Program Services | $118,922 | ProgramServicesAmt |
| Management And General | $5,411 | ManagementAndGeneralAmt |
| Fundraising | $5,224 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,727 | TotalAmt |
| Program Services | $35,073 | ProgramServicesAmt |
| Management And General | $2,249 | ManagementAndGeneralAmt |
| Fundraising | $1,405 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,152 | TotalAmt |
| Program Services | $145,650 | ProgramServicesAmt |
| Management And General | $20,330 | ManagementAndGeneralAmt |
| Fundraising | $12,172 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,938 | TotalAmt |
| Program Services | $23,938 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214 | TotalAmt |
| Program Services | $173 | ProgramServicesAmt |
| Management And General | $26 | ManagementAndGeneralAmt |
| Fundraising | $15 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,054 | TotalAmt |
| Program Services | $14,609 | ProgramServicesAmt |
| Management And General | $2,176 | ManagementAndGeneralAmt |
| Fundraising | $1,269 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69 | TotalAmt |
| Program Services | $56 | ProgramServicesAmt |
| Management And General | $8 | ManagementAndGeneralAmt |
| Fundraising | $5 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| TRAINING AND DEVELOPMEN | $13,402 | $7,723 | $5,679 | |
| SUNSHINE FUND | $3,527 | $2,857 | $247 | $423 |
| MISCELLANEOUS | $2,124 | $394 | $1,672 | $58 |
| LICENSES AND PERMITS | $1,167 | $945 | $82 | $140 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,987 | TotalAmt |
| Program Services | $1,708 | ProgramServicesAmt |
| Management And General | $162 | ManagementAndGeneralAmt |
| Fundraising | $117 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,863,571 | TotalAmt |
| Program Services | $1,620,884 | ProgramServicesAmt |
| Management And General | $137,706 | ManagementAndGeneralAmt |
| Fundraising | $104,981 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,505 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,985 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,968 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,923 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,308 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $401,689 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,358 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,256 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,614 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,275 | BOYAmt |
| EOY | $0 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,800 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,075 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $401,689 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$28,825 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $140,737 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$297,987 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $2,327,745 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,560,016 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,727,224 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,582,810 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,794,846 | CurrentTaxYearAmt |
| Total | $11,992,641 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,327,745 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,560,016 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,727,224 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,582,810 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,794,846 | CurrentTaxYearAmt |
| Total | $11,992,641 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $11,992,641 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $106,281 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $104,073 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,023 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,245 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,754 | CurrentTaxYearAmt |
| Total | $256,376 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,125 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,501 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,737 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,481 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,180 | CurrentTaxYearAmt |
| Total | $51,024 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $12,300,041 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $34,707 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97500 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95760 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990 SCHEDULE A PART VI | FormAndLineReferenceDesc |
| Explanation | THE CURRENT YEAR DATA INCLUDED IN SCHEDULE A REFLECT A SHORT YEAR PERIOD FROM 7/1/2015-2/28/2015. THIS IS THE FINAL YEAR OF FILING | ExplanationTxt |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,842,149 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $8,741 | OtherRevenueAmt |
| Revenue Not Reported | $8,741 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,833,408 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,338 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,338 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,834,746 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,870,974 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $8,741 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $8,741 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,862,233 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,338 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,338 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,863,571 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | MANAGEMENT DOES NOT BELIEVE THERE ARE ANY UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2014 AS DEFINED BY FASB ASC 740, INCOME TAXES. THE AGENCY COULD BE SUBJECT TO INCOME TAX EXAMINATIONS FOR ITS US FEDERAL TAX FILINGS FOR THE CURRENT TAX YEAR AND PREVIOUS FILINGS FOR YEARS ENDED IN 2014, 2013, AND 2012 STILL OPEN UNDER THE STATUTE OF LIMITATIONS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NETTED WITH RENTAL REVENUE 2,826. SPECIAL EVENT DIRECT EXPENSES NETTED WITH SPECIAL EVENT REVENUE 5,915. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | COMMUNITY HEALTH CHARITIES REVENUE CLASSED AS AN EXPENSE PER AUDIT 1,338. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NETTED WITH RENTAL REVENUE 2,826. SPECIAL EVENT DIRECT EXPENSES NETTED WITH SPECIAL EVENT REVENUE 5,915. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | COMMUNITY HEALTH CHARITIES REVENUE CLASSED AS AN EXPENSE PER AUDIT 1,338. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | AIDS WALK ATLANTA | Event1Nm |
| Gross Receipts Event1 | $59,145 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $59,145 | CharitableContriEvent1Amt |
| Event2 | ANNUAL CAMPAIGN | Event2Nm |
| Gross Receipts Event2 | $10,056 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $10,056 | CharitableContriEvent2Amt |
| Gross Receipts Other Events | $19,448 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $19,448 | CharitableContriOtherEventsAmt |
| Gross Receipts Total | $88,649 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $88,649 | CharitableContributionsTotAmt |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail (4 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| POSITIVE IMPACT HEALTH CENTERS INC | |||||||||
| CASH | 2015-02-28 | $121,988 | COST | 581973224 | 3075 BRECKENRIDGE BLVD STE 415 | DULUTH | GA | 30096 | 501C3 |
| POSITIVE IMPACT HEALTH CENTERS INC | |||||||||
| ACCOUNTS RECEIVABLE | 2015-02-28 | $262,014 | COST | 581973324 | 3075 BRECKENRIDGE BLVD STE 415 | DULUTH | GA | 30096 | 501C3 |
| POSITIVE IMPACT HEALTH CENTERS INC | |||||||||
| PREPAIDS AND DEPOSITS | 2015-02-28 | $47,415 | COST | 581973324 | 3075 BRECKENRIDGE BLVD STE 415 | DULUTH | GA | 30096 | 501C3 |
| POSITIVE IMPACT HEALTH CENTERS INC | |||||||||
| BUILDING, FURNITURE, FIXTURES, EQUIPMENT | 2015-02-28 | $121,114 | NET BOOK VALUE | 581973324 | 3075 BRECKENRIDGE BLVD STE 415 | DULUTH | GA | 30096 | 501C3 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | Yes (1) | DirectorOfSuccessorInd |
| Employee Of Successor | 0 | EmployeeOfSuccessorInd |
| Owner Of Successor | 0 | OwnerOfSuccessorInd |
| Receive Compensation | 0 | ReceiveCompensationInd |
| Assets Distributed | Yes (1) | AssetsDistributedInd |
| Required To Notify AG | Yes (1) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (1) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (1) | LiabilitiesPaidInd |
| Bonds Outstanding | 0 | BondsOutstandingInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2E: | FormAndLineReferenceDesc |
| Explanation | EXPLANATION OF INVOLVEMENT: JOSE MANUAL JIMENEZ, DAVID OSBORN, KATHIE THODESON, BARRY SERMONS, JOAQUIN CASAJUANA- FIVE MEMBERS OF THE BOARD TRANSFERRED OVER TO BE MEMBERS OF THE BOARD OF THE SURVIVING ENTITY, POSITIVE IMPACT HEALTH CENTERS, INC. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | REVIEW OF RETURN BY KEY EMPLOYEES AND MANAGEMENT |
| FORM 990, PART VI, SECTION C, LINE 19 | VIA THE ORGANIZATION'S WEBSITE AND UPON REQUEST |
| FORM 990, PART XI, LINE 9: | TRANSFER OF ASSETS DUE TO MERGER -297,987. |
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