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ST GIANNA MOLLA CLINIC INC: Form 990EZ, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ST GIANNA MOLLA CLINIC INC (EIN 46-5384168)
Tax period
2014-04-14 to 2014-12-31
Filed
2015-08-10
IRS object ID
201512229349200991
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)
Return2015-08-10T15:18:09-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543072237ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2014-04-14TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN465384168EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST GIANNA MOLLA CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTGIBusinessNameControlTxt
Phone9208843590PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11727 SHAWANO AVENUEAddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54304ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCATE ZEUSKEPersonNm
Person TitleSEC/TREASPersonTitleTxt
Phone9208843590PhoneNum
Signature2015-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRI REXRODE CPA MSTPreparerPersonNm
PTINP00096513PTIN
Phone9206620016PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Initial ReturnYes (X)InitialReturnInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$52,503GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$52,500ContributionsGiftsGrantsEtcAmt
Investment Income$3InvestmentIncomeAmt
Total Revenue$52,503TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$31,534FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$1,148OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$975PrintingPublicationsPostageAmt
Other Expenses Total$3,659OtherExpensesTotalAmt
Total Expenses$37,316TotalExpensesAmt
Excess Or Deficit For Year$15,187ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$15,187NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$46,200EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$46,200EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$31,013EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$15,187EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeST. GIANNA MOLLA CLINIC, INC. WILL BE A TEACHING CATHOLIC CLINIC THAT SERVES ALL PATIENTS. THE CLINIC WILL HAVE DUAL PRIMARY MISSIONS OF PROVIDING TRULY CATHOLIC MEDICAL CARE WHILE EDUCATING PATIENTS AND THE COMMUNITY ABOUT THE CATHOLIC FAITH, ESPECIALLY AS IT PERTAINS TO MEDICINE.ST. GIANNA MOLLA CLINIC, INC. WILL TREAT THE BODY, MIND, AND SOUL OF EACH PATIENT IN A MANNER THAT HONORS THE DIGNITY OF LIFE FROM CONCEPTION TO NATURAL END OF LIFE. ST. GIANNA MOLLA CLINIC, INC. WILL BE COMPLETELY FAITHFUL TO ITS CATHOLIC IDENTITY AND WILL BE TRUE TO THE MAGISTERIUM. HEALTH CARE PROVIDERS WILL ALWAYS PRACTICE IN A MANNER CONSISTENT WITH THE MORAL TEACHINGS OF THECHURCH.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
ST. GIANNA MOLLA CLINIC, INC. EMPHASIZES PRIMARY CARE FOR FAMILIES, WITH OB-GYN CARE AND A VIBRANT FAMILY PRACTICE. THE CLINIC WILL OFFER DIAGNOSIS AND TREATMENT OF INFERTILITY, NATURAL FAMILY PLANNING TRAINING, AND END-OF-LIFE CARE. THE CLINIC'S GOAL IS TO TREAT THE BODY, MIND, AND SOUL OF EACH PATIENT, HONORING THE DIGNITY OF LIFE FROM CONCEPTION TO NATURAL DEATH WITH COMPLETE FIDELITY TO THE CATHOLIC CHURCH'S TEACHING AND MAGISTERIUM.$0$0
ST. GIANNA MOLLA CLINIC, INC. WILL FULFILL ITS SECOND MISSION BY PROVIDING EDUCATION TO PATIENTS AND THE COMMUNITY ABOUT MEDICINE CONSISTENT WITH THE CATHOLIC FAITH, EXPLAINING WHY WE BELIEVE WHAT WE BELIEVE. ST. GIANNA MOLLA CLINIC, INC. WILL REACH OUT TO THE COMMUNITY AND BEYOND TO PROVIDE THE VERY BEST MEDICAL CARE WHILE MAINTAINING AND EVANGELIZING ITS CATHOLIC IDENTITY.$0$0
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DR ROBIN GOLDSMITH
PRESIDENT15.00$0$0$0
ROBERT ATWELL
VICE PRESIDENT; DIRECTOR5.00$0$0$0
CATE ZEUSKE
SECRETARY; TREASURER; DIRECTOR5.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CATE ZEUSKEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11727 SHAWANO AVENUEAddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54304ZIPCd
FieldValueIRS element (for citing)
Phone9208843590PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$52,500CurrentTaxYearAmt
Total$52,500TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year$52,500CurrentTaxYearAmt
Total$52,500TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year$10,000CurrentTaxYearAmt
Total$10,000TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$10,000CurrentTaxYearAmt
Total$10,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$42,500PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year$52,500CurrentTaxYearAmt
Total$52,500TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind
Investment Income CY0.00000InvestmentIncomeCYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceINITIAL SHORT YEARFormAndLineReferenceDesc
ExplanationTHIS ORGANIZATION WAS INCORPORATED IN APRIL, 2014 AND THIS IS THE INITIAL SHORT YEAR RETURN.ExplanationTxt

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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: INTEREST. AMOUNT: 3.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: TRAVEL/MEETINGS. AMOUNT: 3,659.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 31,013.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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