CHARITYVISION INTERNATIONAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CHARITYVISION INTERNATIONAL INC (EIN 77-0222786)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-08-31
IRS object ID
201542459349300314
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)
Return2015-08-31T09:57:00-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN870343246PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SQUIRE & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11329 SOUTH 800 EASTAddressLine1Txt
CityOREMCityNm
State AbbreviationUTStateAbbreviationCd
ZIP840977737ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770222786EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHARITYVISION INTERNATIONAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDESEBusinessNameControlTxt
Phone8016879699PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11282 CAMBRIDGE COURTAddressLine1Txt
CityPROVOCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOUG JACKSONPersonNm
Person TitleEXEC. DIR./CFOPersonTitleTxt
Phone8016879699PhoneNum
Signature2015-08-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonM PAUL WINWARD CPAPreparerPersonNm
PTINP00290039PTIN
Phone8012256900PhoneNum
Preparation2015-08-31PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDOUG JACKSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11282 CAMBRIDGE COURTAddressLine1Txt
CityPROVOCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,971,405GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RESTORETHEIRVISION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionFACILITATING THE MEDICAL AND DENTAL CARE FOR INDIGENT PATIENTS THROUGHOUT THE WORLD.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,762,875PYContributionsGrantsAmt
CY Contributions Grants$3,912,254CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$29PYInvestmentIncomeAmt
CY Investment Income$29CYInvestmentIncomeAmt
PY Other Revenue$208,400PYOtherRevenueAmt
CY Other Revenue$880,019CYOtherRevenueAmt
PY Total Revenue$3,971,304PYTotalRevenueAmt
CY Total Revenue$4,792,302CYTotalRevenueAmt
PY Grants And Similar Paid$3,873,200PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,089,952CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$152,299PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$175,503CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$48,259CYTotalFundraisingExpenseAmt
PY Other Expenses$120,059PYOtherExpensesAmt
CY Other Expenses$223,870CYOtherExpensesAmt
PY Total Expenses$4,145,558PYTotalExpensesAmt
CY Total Expenses$4,489,325CYTotalExpensesAmt
PY Revenues Less Expenses-$174,254PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$302,977CYRevenuesLessExpensesAmt
Total Assets BOY$844,539TotalAssetsBOYAmt
Total Assets EOY$1,192,553TotalAssetsEOYAmt
Total Liabilities BOY$20,106TotalLiabilitiesBOYAmt
Total Liabilities EOY$96,696TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$824,433NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,095,857NetAssetsOrFundBalancesEOYAmt
MissionFACILITATING THE MEDICAL AND DENTAL CARE FOR INDIGENT PATIENTS THROUGHOUT THE WORLD.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,287,860ExpenseAmt
Grant$4,089,952GrantAmt
DescTHE DISTRIBUTION OF EQUIPMENT AND SUPPLIES TO DOCTORS THROUGHOUT THE WORLD TO PROVIDE TREATMENT TO INDIGENT PATIENTS. ALSO INCLUDES THE DISTRIBUTION OF CASH TO ORGANIZATIONS AROUND THE WORLD FOR THE PURCHASE OF NEEDED EQUIPMENT AND SUPPLIES.Desc
Total Program Service Expenses$4,287,860TotalProgramServiceExpensesAmt
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 StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
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 ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee11EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDOUG JACKSONPersonNm
Phone8016879699PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11282 CAMBRIDGE COURTAddressLine1Txt
CityPROVOCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
RICK NELSON
BOARD MEMEBE1.00Yes (X)$0$0$0
GARY B SABIN
BOARD MEMBER1.00Yes (X)$0$0$0
JACK R WHEATLEY
BOARD MEMBER1.00Yes (X)$0$0$0
DUANE MILLARD
BOARD MEMBER1.00Yes (X)$0$0$0
ANN ROMNEY
BOARD MEMBER1.00Yes (X)$0$0$0
BRUCE TABB
BOARD MEMBER1.00Yes (X)$0$0$0
E WILLIAM JACKSON
CHAIR1.00Yes (X)$0$0$0
CRAIG WESTON
BOARD MEMBER1.00Yes (X)$0$0$0
JENNY CRAIG
BOARD MEMBER1.00Yes (X)$0$0$0
RAY L GOODSON
BOARD MEMBER1.00Yes (X)$0$0$0
WALTER PLUMB III
VICE PRESIDE1.00Yes (X)$0$0$0
MIKE BENNETT
BOARD MEMBER1.00Yes (X)$0$0$0
KELLY BURT
BOARD MEMBER1.00Yes (X)$0$0$0
DOUG JACKSON
PRESIDENT40.00$90,972$0$0Yes (X)
JOSH ROMNEY
OFFICER20.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$90,972TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$99,343FundraisingAmt
All Other Contributions$3,812,911AllOtherContributionsAmt
Noncash Contributions$2,489,426NoncashContributionsAmt
Total Contributions$3,912,254TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$29TotalRevenueColumnAmt
Exclusion$29ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$1,059,122FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$99,343ContriRptFundraisingEventAmt
Fundraising Direct Expenses$179,103FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$880,019TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,792,302TotalRevenueColumnAmt
Exclusion$29ExclusionAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$4,089,952TotalAmt
Program Services$4,089,952ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$90,972TotalAmt
Program Services$45,486ProgramServicesAmt
Management And General$36,389ManagementAndGeneralAmt
Fundraising$9,097FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$72,465TotalAmt
Program Services$32,609ProgramServicesAmt
Management And General$23,189ManagementAndGeneralAmt
Fundraising$16,667FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,066TotalAmt
Program Services$5,430ProgramServicesAmt
Management And General$3,861ManagementAndGeneralAmt
Fundraising$2,775FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,265TotalAmt
Management And General$2,265ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,025TotalAmt
Management And General$5,025ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,337TotalAmt
Management And General$33,337ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,827TotalAmt
Fundraising$5,827FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$131,279TotalAmt
Program Services$84,947ProgramServicesAmt
Management And General$33,298ManagementAndGeneralAmt
Fundraising$13,034FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,700TotalAmt
Management And General$8,700ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,144TotalAmt
Program Services$19,144ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,468TotalAmt
Management And General$6,626ManagementAndGeneralAmt
Fundraising$842FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$533TotalAmt
Management And General$516ManagementAndGeneralAmt
Fundraising$17FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,296TotalAmt
Program Services$9,296ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$996TotalAmt
Program Services$996ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,489,325TotalAmt
Program Services$4,287,860ProgramServicesAmt
Management And General$153,206ManagementAndGeneralAmt
Fundraising$48,259FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$101,518BOYAmt
EOY$621,177EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$144,443BOYAmt
EOY$143,473EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$88,166BOYAmt
EOY$5,716EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$2,014EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$477,405BOYAmt
EOY$391,192EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$30,000BOYAmt
EOY$10,800EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$53,882LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$40,795LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$13,087EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,007BOYAmt
EOY$5,094EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$844,539BOYAmt
EOY$1,192,553EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,709BOYAmt
EOY$96,696EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$7,397BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,106BOYAmt
EOY$96,696EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$820,573BOYAmt
EOY$1,045,857EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,860BOYAmt
EOY$50,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$824,433BOYAmt
EOY$1,095,857EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$844,539BOYAmt
EOY$1,192,553EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$302,977ReconcilationRevenueExpnssAmt
Investment Expense-$53InvestmentExpenseAmt
Prior Period Adjustments-$31,500PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$3,885,712CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,916,017CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,712,694CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,762,875CurrentTaxYearMinus1YearAmt
Current Tax Year$3,912,254CurrentTaxYearAmt
Total$17,189,552TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,885,712CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,916,017CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,712,694CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,762,875CurrentTaxYearMinus1YearAmt
Current Tax Year$3,912,254CurrentTaxYearAmt
Total$17,189,552TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$17,189,552PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$103CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$162CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$110CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29CurrentTaxYearMinus1YearAmt
Current Tax Year$29CurrentTaxYearAmt
Total$433TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$2,013CurrentTaxYearMinus2YearsAmt
Total$2,013TotalAmt
FieldValueIRS element (for citing)
Total Support$17,191,998TotalSupportAmt
Gross Receipts Rltd Activities$1,059,122GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99990PublicSupportCY170Pct
Public Support PY1700.99990PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationOTHER INCOME 2,013ExplanationTxt

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

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,882OtherCostOrOtherBasisAmt
Depreciation$40,795DepreciationAmt
Book Value$13,087BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,087TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$4,792,302TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$4,792,302RevenueSubtotalAmt
Total Revenue Per Form990$4,792,302TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,489,378TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$4,489,378ExpensesSubtotalAmt
Investment Expenses Not Incld2-$53InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt-$53ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,489,325TotalExpensesPerForm990Amt

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (7 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
SOUTH AMERICAPROGRAM SERVICESMEDICAL CARE$125,936
EAST ASIA AND THE PACIFICPROGRAM SERVICESMEDICAL CARE$2,836,023
MIDDLE EAST AND NORTH AFRICAPROGRAM SERVICESMEDICAL CARE$59,442
CENTRAL AMERICA AND THE CARIBBEANPROGRAM SERVICESMEDICAL CARE$397,688
SOUTH ASIAPROGRAM SERVICESMEDICAL CARE$283,524
SUB-SAHARAN AFRICAPROGRAM SERVICESMEDICAL CARE$376,694
EUROPEPROGRAM SERVICESMEDICAL CARE$8,000
FieldValueIRS element (for citing)
Subtotal Spent$4,087,307SubtotalSpentAmt
Total Spent$4,087,307TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (20 entries)

RegionRegionTxtPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxtDescription Of Non Cash AsstDescriptionOfNonCashAsstTxtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceAmt
SOUTH AMERICAMEDICAL CARE$12,000WIREEQPT/MED. SUPPLOTHER
SOUTH AMERICAMEDICAL CARE$1,889WIREEQPT/MED. SUPPLOTHER$15,000
EAST ASIA AND THE PACIFICMEDICAL CARE$5,335EQPT/MED. SUPPLOTHER$36,300
CENTRAL AMERICA AND THE CARIBBEANMEDICAL CARE$16,312EQPT/MED. SUPPLOTHER$75,000
MIDDLE EAST AND NORTH AFRICAMEDICAL CARE$31,242WIREEQPT/MED. SUPPLOTHER$28,200
GUATEMALAMEDICAL CARE$5,749WIRE
CENTRAL AMERICA AND THE CARIBBEANMEDICAL CARE$12,876WIREEQPT/MED. SUPPLOTHER$287,750
SOUTH ASIAMEDICAL CARE$82,579WIREOTHER$78,000
EAST ASIA AND THE PACIFICMEDICAL CARE$45,317WIREEQPT/MED. SUPPLOTHER$75,000
SUB-SAHARAN AFRICAMEDICAL CAREWIREEQPT/MED. SUPPLOTHER$12,000
SOUTH ASIAMEDICAL CARE$107,945WIREOTHER$15,000
SOUTH AMERICAMEDICAL CARE$53,767WIREEQPT/MED. SUPPLOTHER$30,000
EAST ASIA AND THE PACIFICMEDICAL CARE$2,390,449WIREEQPT/MED. SUPPLOTHER$235,723
EUROPEMEDICAL CARE$8,000WIRE
EAST ASIA AND THE PACIFICMEDICAL CARE$5,806EQPT/MED. SUPPLOTHER
SUB-SAHARAN AFRICAMEDICAL CARE$5,520WIREEQPT/MED. SUPPLOTHER$15,000
SUB-SAHARAN AFRICAMEDICAL CARE$307,986WIREEQPT/MED. SUPPLOTHER
SUB-SAHARAN AFRICAMEDICAL CARE$18,188EQPT/MED. SUPPLOTHER$18,000
SOUTH AMERICAMEDICAL CARE$8,441MEDICAL EQUIPOTHER
EAST ASIA AND THE PACIFICMEDICAL CARE$12,094MEDICAL EQUIP$30,000
FieldValueIRS element (for citing)
Total Other Org20TotalOtherOrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE F, PAGE 1, PART I, LINE 2DESERET INTERNATIONAL ESTABLISHES PARTNERSHIPS WITH MEDICAL PRACTITIONERS THROUGHOUT THE WORLD. DESERET INTERNATIONAL PROVIDES THESE MEDICAL PRACTITIONERS WITH MEDICAL SUPPLIES AND EQUIPMENT AND CASH GRANTS IN EXCHANGE FOR FREE MEDICAL CARE BEING PERFORMED BY THE MEDICAL PRACTITIONER. DESERET INTERNATIONAL REGULARLY REVIEWS THE AMOUNT OF FREE MEDICAL CARE BEING PROVIDED BY A MEDICAL PRACTITIONER TO ENSURE THEIR CONTINUED ACCESS TO MEDICAL SUPPLIES AND EQUIPMENT IS MERITED.
SCHEDULE F, PAGE 1, PART I, LINE 3SOUTH AMERICA 125,936 0 EAST ASIA AND THE PACIFIC 2,836,023 0 MIDDLE EAST AND NORTH AFRICA 59,442 0 CENTRAL AMERICA AND THE CARIBBEAN 397,688 0 SOUTH ASIA 283,524 0 SUB-SAHARAN AFRICA 376,694 0 EUROPE 8,000 0
SCHEDULE F, PAGE 5, PART VTHE VALUE OF DONATED MEDICAL SUPPLIES AND EQUIPMENT IS DISCOUNTED FROM ITS FAIR MARKET VALUE SINCE DESERET INTERNATIONAL HAS NO INTENTION OF SELLING THE DONATED ITEMS AND THE MEDICAL PRACTITIONERS HAVE NO MEANS TO PURCHASE THE GOODS AT ITS FAIR MARKET VALUE. WHILE SOME GRANTS ARE MADE TO MEDICAL PRACTITIONERS WITHIN THE UNITED STATES, THESE PRACTITIONERS PERFORM FREE MEDICAL SERVICES OUTSIDE OF THE UNITED STATES WITH THE FUNDS, SUPPLIES, AND EQUIPMENT PROVIDED BY DESERET INTERNATIONAL. AS A RESULT, WE HAVE REPORTED THE TOTAL EXPENDITURES IN COLUMN F AS WELL AS ON LINE 3 OF PART IX OF FORM 990 AS REPRESENTING BOTH AMOUNTS SENT TO ORGANIZATIONS WITHIN AND OUTSIDE OF THE UNITED STATES.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1INDIA TRIPEvent1Nm
Gross Receipts Event1$919,448GrossReceiptsEvent1Amt
Charitable Contri Event1$99,343CharitableContriEvent1Amt
Gross Revenue Event1$820,105GrossRevenueEvent1Amt
Other Direct Expenses Event1$124,105OtherDirectExpensesEvent1Amt
Event2RACE FOR SIGHTEvent2Nm
Gross Receipts Event2$171,627GrossReceiptsEvent2Amt
Gross Revenue Event2$171,627GrossRevenueEvent2Amt
Other Direct Expenses Event2$9,449OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$67,390GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$67,390GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$45,549OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,158,465GrossReceiptsTotalAmt
Charitable Contributions Tot$99,343CharitableContributionsTotAmt
Gross Revenue Total Events$1,059,122GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$179,103OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$179,103DirectExpenseSummaryEventsAmt
Net Income Summary$880,019NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$2,489,426NoncashContributionsRptF990Amt
Method Of Determining RevenuesESTIMATED FAIR VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 2E. WILLIAM JACKSON DOUG JACKSON BOARD MEMBER PRESIDENT FATHER/SON ANN ROMNEY JOSH ROMNEY BOARD MEMBER OFFICER MOTHER/SON
FORM 990, PAGE 6, PART VI, LINE 11BPRESIDENT REVIEWS AND APPROVES FORM 990 PRIOR TO ITS FILING. FORM 990 IS PROVIDED TO BOARD SUBSEQUENTLY.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST, JUST AS FORMS 990.

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