HEAL FOUNDATION INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HEAL FOUNDATION INC (EIN 20-1944817)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-08-04
IRS object ID
201502169349301115
Schema version
2014v5.0
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)
Return2015-08-04T11:30:33-07:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PATTERSON CPA GROUPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12 S ROSCOE BLVDAddressLine1Txt
CityPONTE VEDRA BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP320823812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201944817EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The HEAL Foundation IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone9047164198PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 140AddressLine1Txt
CityPonte Vedra BeachCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32004ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANA CURRENTPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9047164198PhoneNum
Signature2015-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCOURTNEY BALLPreparerPersonNm
Phone9042854489PhoneNum
Preparation2015-08-04PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDANA CURRENTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1970 Ponte Vedra BlvdAddressLine1Txt
CityPonte VedraCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32082ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$358,803GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.healautismnow.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTo assist families affected by Autism in Northeast Florida.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$395,773PYContributionsGrantsAmt
CY Contributions Grants$358,768CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$108PYInvestmentIncomeAmt
CY Investment Income$35CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$395,881PYTotalRevenueAmt
CY Total Revenue$358,803CYTotalRevenueAmt
PY Grants And Similar Paid$65,205PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$129,006CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$49,957PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$58,977CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$158,864CYTotalFundraisingExpenseAmt
PY Other Expenses$128,885PYOtherExpensesAmt
CY Other Expenses$173,110CYOtherExpensesAmt
PY Total Expenses$244,047PYTotalExpensesAmt
CY Total Expenses$361,093CYTotalExpensesAmt
PY Revenues Less Expenses$151,834PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,290CYRevenuesLessExpensesAmt
Total Assets BOY$343,830TotalAssetsBOYAmt
Total Assets EOY$341,878TotalAssetsEOYAmt
Total Liabilities BOY$358TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,498TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$343,472NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$340,380NetAssetsOrFundBalancesEOYAmt
MissionTo assist families affected by Autism in Northeast Florida.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$151,368ExpenseAmt
Grant$129,006GrantAmt
DescTHE HEAL FOUNDATION MAKES GRANTS AND HOSTS PROGRAMS. HEAL ALSO ASSISTS CLASSROOMS AND TEACHERS IN ESE PROGRAMS BY BUYING IPADS, SPECIALIZED THERAPY EQUIPMENT, OR TEACHING TOOLS THAT ARE NOT PROVIDED TO THEM BY THE SCHOOL SYSTEM. HEAL ALSO PARTNERS WITH THE COMMUNITY TO OFFER SPORT ACTIVITIES TO CHILDREN WHO AREN'T ABLE TO PARTICIPATE IN COMPETITIVE SPORTS, AND SUPPORT GROUPS FOR PARENTS WHO NEED A SAFE OUTLET TO DISCUSS THEIR PROBLEMS. HEAL HELPS FUND CAMPS AND EDUCATIONAL PROGRAMS THAT ALLOW HUNDREDS OF CHILDREN AND ADULTS WITH AUTISM PARTICIPATE AT LITTLE OR NO COST.Desc
Total Program Service Expenses$151,368TotalProgramServiceExpensesAmt
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 EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSCOTTIE MAYPersonNm
Phone9042854489PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 S Roscoe BlvdAddressLine1Txt
CityPonte Vedra BeachCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32082ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
PATTY CROSBY
President5.00Yes (X)Yes (X)
JIM MEYER
Vice President5.00Yes (X)Yes (X)
DANA CURRENT
Treasurer5.00Yes (X)Yes (X)
WILLIAM HUGHES
Board5.00Yes (X)
VANCE MEYER
Board5.00Yes (X)
BILLIE NIMNICHT III
Board5.00Yes (X)
STEVE SPARKS
Board5.00Yes (X)
BOBBY WEED
Co-founder/Board5.00Yes (X)
LESLIE WEED
Co-founder/Board5.00Yes (X)
ERIC WEISS
Board5.00Yes (X)
CHRIS WEISS
Board5.00Yes (X)
MELISSA ROSS
Board5.00Yes (X)
CHRISS SPIRES
Board5.00Yes (X)
ZIGGY HOOD
Board5.00Yes (X)
SARA HOOD
Board5Yes (X)
JT THOMAS III
Board5Yes (X)
FieldValueIRS element (for citing)
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$293,378FundraisingAmt
All Other Contributions$65,390AllOtherContributionsAmt
Total Contributions$358,768TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$35TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$293,378ContriRptFundraisingEventAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$358,803TotalRevenueColumnAmt
Related Or Exempt Func Income$35RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$129,006TotalAmt
Program Services$129,006ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$54,802TotalAmt
Program Services$18,268ProgramServicesAmt
Management And General$18,267ManagementAndGeneralAmt
Fundraising$18,267FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,175TotalAmt
Program Services$1,392ProgramServicesAmt
Management And General$1,392ManagementAndGeneralAmt
Fundraising$1,391FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,345TotalAmt
Program Services$0ProgramServicesAmt
Management And General$6,345ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,076TotalAmt
Program Services$656ProgramServicesAmt
Management And General$4,765ManagementAndGeneralAmt
Fundraising$655FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$822TotalAmt
Program Services$0ProgramServicesAmt
Management And General$822ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,850TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,850ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,049TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,049ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,049TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,049ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$120TotalAmt
Program Services$0ProgramServicesAmt
Management And General$120ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$53TotalAmt
Program Services$0ProgramServicesAmt
Management And General$53ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,384TotalAmt
Program Services$0ProgramServicesAmt
Management And General$5,384ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Business Registration Fees$286$0$286$0
Contributions Processing Fees$4,092$2,046$0$2,046
Dues and Subscriptions$678$0$678$0
Fund Raising Events$136,505$0$0$136,505

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,801TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,801ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$361,093TotalAmt
Program Services$151,368ProgramServicesAmt
Management And General$50,861ManagementAndGeneralAmt
Fundraising$158,864FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$322,898BOYAmt
EOY$274,820EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,932BOYAmt
EOY$62,611EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,143LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,696LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$4,447EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$343,830BOYAmt
EOY$341,878EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$358BOYAmt
EOY$1,498EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$358BOYAmt
EOY$1,498EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$343,472BOYAmt
EOY$340,380EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$343,472BOYAmt
EOY$340,380EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$343,830BOYAmt
EOY$341,878EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,290ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$231,198CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$204,815CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$214,979CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$395,773CurrentTaxYearMinus1YearAmt
Current Tax Year$358,768CurrentTaxYearAmt
Total$1,405,533TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$60CurrentTaxYearMinus3YearsAmt
Total$60TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$231,198CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$204,875CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$214,979CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$395,773CurrentTaxYearMinus1YearAmt
Current Tax Year$358,768CurrentTaxYearAmt
Total$1,405,593TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,405,593PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,603CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,156CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$499CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$108CurrentTaxYearMinus1YearAmt
Current Tax Year$35CurrentTaxYearAmt
Total$3,401TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,603CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,156CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$499CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$108CurrentTaxYearMinus1YearAmt
Current Tax Year$35CurrentTaxYearAmt
Total$3,401TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$1,408,994TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99760PublicSupportCY509Pct
Public Support PY5090.99660PublicSupportPY509Pct
Investment Income CY0.00240InvestmentIncomeCYPct
Investment Income PY0.00340InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,143OtherCostOrOtherBasisAmt
Depreciation$1,696DepreciationAmt
Book Value$4,447BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,447TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Gala & Golf TournamentEvent1Nm
Gross Receipts Event1$188,731GrossReceiptsEvent1Amt
Gross Revenue Event1$188,731GrossRevenueEvent1Amt
Cash Prizes Event1$8,250CashPrizesEvent1Amt
Non Cash Prizes Event1$5,486NonCashPrizesEvent1Amt
Rent Facility Costs Event1$42,774RentFacilityCostsEvent1Amt
Food And Beverage Event1$250FoodAndBeverageEvent1Amt
Entertainment Event1$13,518EntertainmentEvent1Amt
Other Direct Expenses Event1$11,366OtherDirectExpensesEvent1Amt
Event2Zoo WalkEvent2Nm
Gross Receipts Event2$63,448GrossReceiptsEvent2Amt
Gross Revenue Event2$63,448GrossRevenueEvent2Amt
Non Cash Prizes Event2$750NonCashPrizesEvent2Amt
Rent Facility Costs Event2$12,976RentFacilityCostsEvent2Amt
Food And Beverage Event2$126FoodAndBeverageEvent2Amt
Entertainment Event2$2,150EntertainmentEvent2Amt
Other Direct Expenses Event2$8,640OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$39,399GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$39,399GrossRevenueOtherEventsAmt
Cash Prizes Other Events$1,200CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$4,909NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$850RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$712FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$4,183OthDirectExpnssOtherEventsAmt
Gross Receipts Total$291,578GrossReceiptsTotalAmt
Gross Revenue Total Events$291,578GrossRevenueTotalEventsAmt
Cash Prizes Total Events$9,450CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$11,145NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$56,600RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,088FoodAndBeverageTotalEventsAmt
Entertainment Total Events$15,668EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$24,189OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$118,140DirectExpenseSummaryEventsAmt
Net Income Summary$173,438NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Cummer Museum Foundation
829 Riverside AveJacksonvilleFL32204592191587501(c)(3)$7,000Art festivals and camp
Henderson Haven Inc
772 Foxridge Center Dr Ste 140Orange ParkFL32065571181811$7,000Camp, school programs
Jacksonville School for Autism
9000 Cypress Green DrJacksonvilleFL32256202632111$5,500Summer camp, enrichment program
Project Chance Inc
95512 Arbor LnFernandina BeachFL32034562403830$55,500Service dogs
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 2Leslie & Bobby Weed, married. Dr. Eric & Chris Weiss, married. Ziggy & Sara Hood, married.
Pt VI, Line 11bForm 990 is reviewed by organization before filing.
Pt VI, Line 19Documents available upon request.
Form 990, Part IX, Line 24fPOSTAGE, MAILING SERVICE 553. 0. 553. 0. TELEPHONE/TELECOMMUNICATIONS 3248. 0. 3248. 0.

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