CHILDRENS EMERGENCY MEDICAL FUND OF NEW JERSEY INC: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS EMERGENCY MEDICAL FUND OF NEW JERSEY INC (EIN 22-3618673)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-15
IRS object ID
201612289349203241
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)
Return2016-08-15T13:31:29-07:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Addeo Polacco & Penta LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 Industrial Way West Bldg EAddressLine1Txt
CityEatontownCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07724ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223618673EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDRENS EMERGENCY MEDICAL FUND OFBusinessNameLine1Txt
Business Name Line2NEW JERSEY INC CO FRANCINE REIBMANBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone9737636525PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1162AddressLine1Txt
CityMAPLEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07040ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFRANCINE REIBMANPersonNm
Person TitleVPPersonTitleTxt
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMatthew Polacco CPAPreparerPersonNm
PTINP00234958PTIN
Phone7325421999PhoneNum
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
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$4,157GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$4,157ContributionsGiftsGrantsEtcAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$4,157TotalRevenueAmt
Other Expenses Total$5,313OtherExpensesTotalAmt
Total Expenses$5,313TotalExpensesAmt
Excess Or Deficit For Year-$1,156ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$30,449NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,293NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$30,449BOYAmt
EOY$29,293EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,449BOYAmt
EOY$29,293EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$30,449BOYAmt
EOY$29,293EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTHE FUND HAS BEEN ESTABLISHED TO PROVIDE EDUCATION, TREATMENT AND ACT AS AN ADVOCATE ON BEHALF OF THOSE NEEDING ASSISTANCE.CASH AMOUNT GIVEN AND USED TO PURCHASE MEDICAL SUPPLIES, EQUIPMENT AND DRUGS: 4,702PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTO ESTABLISH AN EMERGENCY MEDICAL FUND FOR FAMILIES IN NEED WHOSE COVERAGE FALLS SHORT OF MEETING ALL MEDICAL EXPENSES INCURRED DURING THE TREATMENT OF AN ILL CHILD.DescriptionProgramSrvcAccomTxt
Grants And Allocations$4,702GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$4,702TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
BARRY PRYSTOWSKY
President & CEO0$0
FRANCINE REIBMAN
VP0$0
KC CHAMBERLAIN
Secretary0$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

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonFRANCINE REIBMANPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line174 BLANCHARD ROADAddressLine1Txt
CitySOUTH ORANGECityNm
State AbbreviationNJStateAbbreviationCd
ZIP07040ZIPCd
FieldValueIRS element (for citing)
Phone9737636525PhoneNum
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$9,411CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,089CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,705CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,513CurrentTaxYearMinus1YearAmt
Current Tax Year$4,158CurrentTaxYearAmt
Total$31,876TotalAmt

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$9,411CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,089CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,705CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,513CurrentTaxYearMinus1YearAmt
Current Tax Year$4,158CurrentTaxYearAmt
Total$31,876TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$31,876PublicSupportTotal170Amt

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$31,876TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1700.99990PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1005Travel $50
Other Expenses.1EMERGENCY ASSISTANCE $3469
Other Expenses.2GRANT TO FOOD PANTRY $400
Other Expenses.3INTERSHIP PROGRAM EXPENSE $381
Other Expenses.4MEDICAL EQUIPMENT ASSISTANCE $363
Other Expenses.5DRUGS SUPPLIED $290
Other Expenses.6DUES & SUBSCRIPTIONS $250
Other Expenses.7LICENSES AND FEES $110

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