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COLUMBIA COUNTY VOLUNTEERS INMEDICINE INC: Form 990EZ, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
COLUMBIA COUNTY VOLUNTEERS INMEDICINE INC (EIN 20-5695518)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-10-08
IRS object ID
201502819349200115
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)
Return2015-10-08T11:01:31-07:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BREWER & COMPANY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1420 W 5TH STAddressLine1Txt
CityBLOOMSBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP178151563ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205695518EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COLUMBIA COUNTY VOLUNTEERSBusinessNameLine1Txt
Business Name Line2IN MEDICINE CLINIC INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOLUBusinessNameControlTxt
Phone5707521780PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 E THIRD ST PO BOX 416AddressLine1Txt
CityMIFFLINVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP18631ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEAN GRECOPersonNm
Person TitlePresidentPersonTitleTxt
Signature2015-10-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANIEL K BREWER CPAPreparerPersonNm
PTINP00238299PTIN
Phone5707841111PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website Addresswww.ccvim.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$160,235GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$154,788ContributionsGiftsGrantsEtcAmt
Investment Income$317InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$5,130FundraisingGrossIncomeAmt
Special Events Direct Expenses$160SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$4,970SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$160,075TotalRevenueAmt
Salaries Other Comp Empl Bnft$155,474SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$3,273FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$5,328OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$584PrintingPublicationsPostageAmt
Other Expenses Total$49,804OtherExpensesTotalAmt
Total Expenses$214,463TotalExpensesAmt
Excess Or Deficit For Year-$54,388ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$200,731NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$1,181OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$147,524NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$81,349BOYAmt
EOY$31,338EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$117,903BOYAmt
EOY$113,815EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$5,612BOYAmt
EOY$6,353EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$204,864BOYAmt
EOY$151,506EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,133BOYAmt
EOY$3,982EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$200,731BOYAmt
EOY$147,524EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTO PROVIDE MEDICAL CARE TO THE WORKING UNINSURED OF THE ORGANIZATION'S SERVICE AREA BY OPERATING A VOLUNTEER MEDICAL CLINIC.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomBY OPERATING A FREE MEDCIAL CLINIC, THE CLINIC PROVIDED FREE MEDICAL SERVICES TO WORKING UNINSURED INDIVIDUALS DURING 2014 THERE WERE 2,498 RECORDED PATIENT VISITS. PROVIDED MEDICAL REFERRAL SERVICE TO A MULTITUDE OF INDIVIDUALS WHOSE DIRECT MEDICAL NEEDS COULD NOT BE MET BY A FREE MEDICAL CLINIC.DescriptionProgramSrvcAccomTxt
Grants And Allocations$160,282GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$160,282TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
MARK DIEHL
CLINIC DIRECTOR35.00$14,526
JEAN GRECO
President2.00$0
BECKY AARDWEG
Secretary1.00$0
CINDY LUMBARD
Director1.00$0
KATHY CHUPKA
Vice President1.00$0
MARY KLEINER
Treasurer1.00$0
JAMES GALLAGHER
Director1.00$0
ANDREW BURD - HARRIS
Director1.00$0
BETTE GREY
CLINIC DIRECTOR35.00$37,919
DENICE SITLER
Director1.00$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 FldPAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARK DIEHLPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 E THIRD ST PO BOX 416AddressLine1Txt
CityMIFFLINVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP18631ZIPCd
FieldValueIRS element (for citing)
Phone5707521780PhoneNum
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$158,114CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$316,034CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$183,374CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$288,099CurrentTaxYearMinus1YearAmt
Current Tax Year$154,788CurrentTaxYearAmt
Total$1,100,409TotalAmt

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$158,114CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$316,034CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$183,374CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$288,099CurrentTaxYearMinus1YearAmt
Current Tax Year$154,788CurrentTaxYearAmt
Total$1,100,409TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$1,100,409PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$394CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$147CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33CurrentTaxYearMinus1YearAmt
Current Tax Year$12CurrentTaxYearAmt
Total$1,174TotalAmt

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$1,101,583TotalSupportAmt
Public Support CY1700.99890PublicSupportCY170Pct
Public Support PY1700.99840PublicSupportPY170Pct
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 (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1002Office Expenses $5534
Other Expenses.1009Depreciation $6400
Other Expenses.1012Insurance $14742
Other Expenses.1MEDICAL PROGRAM EXPENSES $18018
Other Expenses.2TELEPHONE $2081
Other Expenses.3FUNDRAISING & VOLUNTEER COSTS $1003
Other Expenses.4REPAIRS & MAINTENANCE $823
Other Expenses.6DUES AND SUBSCRIPTIONS $444
Other Expenses.7CONTRACT LABOR $423
Other Expenses.8MINOR EQUIPMENT $295
Other Expenses.9MISCELLANEOUS EXPENSES $41
Other Assets.1003Machinery and Equipment - Beginning $5612 Machinery and Equipment - Ending $6353
Total Liabilities.1PAYROLL TAX LIABILITIES - Beginning $4133 PAYROLL TAX LIABILITIES - Ending $3982

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