803 FOUNDATION INC: Form 990EZ, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
803 FOUNDATION INC (EIN 46-2765829)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201533179349202028
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)
Return2015-11-13T12:16:02-08:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DENZEL & ASSOCIATES LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1790 W FRONTAGE RD STE 403AddressLine1Txt
CityNORTHFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP600931204ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN462765829EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE 803 FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name Control803FBusinessNameControlTxt
Phone7732969900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1803 WEST HUTCHINSON STREETAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60613ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR DAVID TEPLICAPersonNm
Person TitlePresidentPersonTitleTxt
Signature2015-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL L DENZELPreparerPersonNm
PTINP00173484PTIN
Phone8474414310PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressWWW.803FOUNDATION.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$113,034GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$113,034ContributionsGiftsGrantsEtcAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$113,034TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$78,433FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$22,750OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$305PrintingPublicationsPostageAmt
Other Expenses Total$20,026OtherExpensesTotalAmt
Total Expenses$121,514TotalExpensesAmt
Excess Or Deficit For Year-$8,480ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY-$2,038NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$10,518NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$2,962BOYAmt
EOY$2,769EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
EOY$5,658EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,962BOYAmt
EOY$8,427EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt
EOY$18,945EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY-$2,038BOYAmt
EOY-$10,518EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeMEDICAL RESARCHPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmt
MEDICAL RESEARCH REGARDING BASIC ANATOMY AND EMBRYOLOGIC DEVELOPMENT, HIV CARE, AND WOUND HEALING PUBLISHED IN SCIENTFIC JOURNALS, PRESENTED AT MEETINGS (20,000 RECIPIENTS)$91,136
EDUCATIONAL SEMINARS HELD TO TEACH THE CONCEPTS DERIVED FROM THE MEDICAL RESEARCH TO APPROXIMATELY 1,500 PARTICIPANTS IN 2014$27,948
HISTORICAL RESEARCH AND ARCHIVE CREATION$2,430
FieldValueIRS element (for citing)
Total Program Service Expenses$121,514TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
DR DAVID TEPLICA
PRES./DIRECTOR10.00$0
EILEEN JEFFERS
SEC./DIRECTOR4.00$0
LOUIS KEITH-DECEASED 7614
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 OfficersYes (true)MadeLoansToFromOfficersInd
Loans To From Officers$18,945LoansToFromOfficersAmt
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 FldILStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDR DAVID TEPLICAPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1803 WEST HUTCHINSON STREETAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60613ZIPCd
FieldValueIRS element (for citing)
Phone7732969900PhoneNum
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 Minus1 Year$68,939CurrentTaxYearMinus1YearAmt
Current Tax Year$113,034CurrentTaxYearAmt
Total$181,973TotalAmt

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 Minus1 Year$68,939CurrentTaxYearMinus1YearAmt
Current Tax Year$113,034CurrentTaxYearAmt
Total$181,973TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$181,973PublicSupportTotal170Amt

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$181,973TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct

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 L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan To OrganizationLoanToOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
DR DAVID TEPLICA
PRES.ADVANCEYes (X)$18,945$18,945falseYes (true)Yes (true)
EILEEN JEFFERS
OFFICERADVANCEYes (X)$1,000falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$18,945TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1001Advertising and Promotion $77
Other Expenses.1005Travel $4358
Other Expenses.1009Depreciation $628
Other Expenses.1SUPPLIES $6413
Other Expenses.2MEALS $5666
Other Expenses.3ADP I/C PROCESSING FEES $1832
Other Expenses.4DUES & SUBSCRIPTIONS $529
Other Expenses.5ANNUAL LICENSE FEES $313
Other Expenses.7BANK SERVICE CHARGES $210
Other Assets.1003Machinery and Equipment - Beginning $0 Machinery and Equipment - Ending $5658
Total Liabilities.1006Payable to Officers, Directors, Etc. - Beginning $5000 Payable to Officers, Directors, Etc. - Ending $18945

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