HEALTH STORY COLLABORATIVE INC: Form 990EZ, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HEALTH STORY COLLABORATIVE INC (EIN 46-3707918)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201533179349202783
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)
Return2015-11-13T14:35:08-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410445819PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FIDUCIARY COUNSELLING INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line130 E 7TH STREET SUITE 2000AddressLine1Txt
CitySAINT PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP551014930ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463707918EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH STORY COLLABORATIVE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone6177143201PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O FCI 30 7TH STREET E SUITE 2000AddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFREDERICK J WEYERHAEUSERPersonNm
Person TitleTREASURER, DIRECTORPersonTitleTxt
Phone6177143201PhoneNum
Signature2015-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIM M MERTENSPreparerPersonNm
PTINP01059443PTIN
Phone6512280935PhoneNum
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.HEALTHSTORYCOLLABORATIVE.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$42,375GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$42,372ContributionsGiftsGrantsEtcAmt
Investment Income$3InvestmentIncomeAmt
Total Revenue$42,375TotalRevenueAmt
Grants And Similar Amounts Paid$2,000GrantsAndSimilarAmountsPaidAmt
Fees And Other Pymt To Ind Cntrct$9,663FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$1,114OtherExpensesTotalAmt
Total Expenses$12,777TotalExpensesAmt
Excess Or Deficit For Year$29,598ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$471NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$30,069NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$471BOYAmt
EOY$30,069EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$471BOYAmt
EOY$30,069EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

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

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$471BOYAmt
EOY$30,069EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTHE MISSION OF HEALTH STORY COLLABORATIVE IS TO KEEP THE PATIENT VOICE ALIVE IN HEALTHCARE AND TO HARNESS THE HEALING POWER OF STORIES.BY COLLECTING, HONORING, AND SHARING STORIES OF ILLNESS AND HEALING, WE STRIVE TO MAKE THE PROCESS OF NAVIGATING ILLNESS LESS ISOLATING AND TO EMPOWER INDIVIDUALS AND FAMILIES FACING HEALTH CHALLENGES.OUR BELIEF, SUPPORTED BY RESEARCH, IS THAT STORYTELLING IS HEALING FOR BOTH STORY SHARERS AND LISTENERS. STORIES HAVE THE POWER TO TRANSFORM INDIVIDUALS AS WELL AS THE HEALTHCARE SYSTEM.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
THE FOUNDATION HELD FOUR HEALING STORY SESSIONS IN 2014. THESE ARE LIVE STORYTELLING EVENTS FOUNDED ON THE BELIEF THAT STORY SHARING IS HEALING.$0$2,950
THE FOUNDATION DEVELOPED FIVE AUDIO STORIES DURING THE YEAR. THE GOAL OF THIS PROGRAM IS GROW A COLLECTION OF AUDIO STORIES FROM PATIENTS AND THEIR LOVED ONES THAT CAN BE SHARED FOR THE BENEFIT OF OTHERS GOING THROUGH SIMILIAR CIRCUMSTANCES.$0$1,003
PRELIMINARY WORK WAS DONE ON THE FOUNDATION'S SHARING CLINIC. THE SHARING CLINIC IS AN AUDIO KIOSK THAT WILL BECOME AN INTERACTIVE EXHIBIT AT THE MASSACHUSETTS GENERAL HOSPITAL PAUL S. RUSSELL MUSEUM. THE EXHIBIT'S GOAL IS TO EMPOWER AND CONNECT INDIVIDUALS FACING HEALTH CHALLENGES THROUGH STORYTELLING.$0$1,176
FieldValueIRS element (for citing)
Total Program Service Expenses$5,129TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ANNE C BREWSTER
PRESIDENT, EXECUTIVE DIRECTOR25.00$0$0$0
FREDERICK J WEYERHAEUSER
TREASURER, DIRECTOR1.00$0$0$0
KATIE RIMER
CLERK, DIRECTOR1.00$0$0$0
NINA COSLOV
DIRECTOR1.00$0$0$0
NED RIMER
DIRECTOR1.00$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 FldMAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANNE C BREWSTERPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1105 COOLIDGE HILLAddressLine1Txt
CityCAMBRIDGECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02138ZIPCd
FieldValueIRS element (for citing)
Phone6177143201PhoneNum
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year$42,372CurrentTaxYearAmt
Total$42,372TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year$42,372CurrentTaxYearAmt
Total$42,372TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$42,372PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$3CurrentTaxYearAmt
Total$3TotalAmt
FieldValueIRS element (for citing)
Total Support$42,375TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: BNAK OF AMERICA. AMOUNT: 3.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: . GRANTEE NAME: JON ADLER. GRANTEE RELATIONSHIP: APPLICANT. AMOUNT GIVEN: 1,500.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: . GRANTEE NAME: GILLIAN WANG. GRANTEE RELATIONSHIP: APPLICANT. AMOUNT GIVEN: 500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 2,000.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: STATE FILING FEES. AMOUNT: 135. DESCRIPTION: REIMBURSEMENT TO MEMBER FOR PRIOR YEAR EXPENSES INCURRED. AMOUNT: 979. TOTAL TO FORM 990-EZ, LINE 16: 1,114.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationTHIS IS ONLY THE SECOND YEAR OF EXISTENCE FOR THE ORGANIZATION AND THE FOUNDER OVERLOOKED THE DUE DATE OF THE TAX RETURN. THE FOUNDER HAS SINCE ENGAGED A TAX RETURN PREPARER TO PREPARE THE FORM 990-EZ TO ENSURE FUTURE TIMELY FILED TAX RETURNS AND REQUESTS ABATEMENT OF ANY LATE FILING PENALTY. A 990-N WOULD HAVE BEEN FILED FOR THE ORGANIZATION BY DECEMBER 31ST (WITHOUT PENALTY), BUT FOR THE FACT THAT MASSACHUSETTS DOES NOT ACCEPT A FORM 990-N AND REQUIRES THAT A 990 OR 990-EZ BE FILED.ExplanationTxt

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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