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LIFEQUEST USA INC: Form 990EZ, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
LIFEQUEST USA INC (EIN 26-4584308)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-03
IRS object ID
201403079349200935
Schema version
2013v3.0
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)
Return2014-11-03T18:29:22-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263779008PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ETHAN GOODMAN CPA LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13533 THAXTON AVE SEAddressLine1
CityALBUQUERQUECity
StateNMState
ZIP Code87106ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264584308EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LIFEQUEST USA INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlLIFEBusinessNameControlTxt
Phone5053419383PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14020 EDITH BLVD NEAddressLine1
CityALBUQUERQUECity
StateNMState
ZIP Code87107ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN BIAVAPersonNm
Person TitleCHAIRMAN & CEOPersonTitleTxt
Phone5053419383PhoneNum
Signature2014-10-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonETHAN F GOODMAN CPAPreparerPersonNm
PTINP00235908PTIN
Phone5052560997PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressWWW.LIFEQUESTUSA.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$150,335GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$113,552ContributionsGiftsGrantsEtcAmt
Program Service Revenue$21,525ProgramServiceRevenueAmt
Investment Income$33InvestmentIncomeAmt
Fundraising Gross Income$15,225FundraisingGrossIncomeAmt
Special Events Direct Expenses$12,123SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$3,102SpecialEventsNetIncomeLossAmt
Total Revenue$138,212TotalRevenueAmt
Salaries Other Comp Empl Bnft$91,508SalariesOtherCompEmplBnftAmt
Occupancy Rent Utlts And Maint$7,457OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$1,822PrintingPublicationsPostageAmt
Other Expenses Total$49,829OtherExpensesTotalAmt
Total Expenses$150,616TotalExpensesAmt
Excess Or Deficit For Year-$12,404ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$19,043NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$6,639NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$20,866BOYAmt
EOY$10,744EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,866BOYAmt
EOY$10,744EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,823BOYAmt
EOY$4,105EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$19,043BOYAmt
EOY$6,639EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeAT-RISK YOUTH MENTORING & DEVELOPMENTPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
THE ORGANIZATION PROVIDES CHARACTER DEVELOPEMENT AND EDUCATION FOR AT-RISK YOUTHS. APPROXIMATELY 1,400 YOUTHS WERE ASSISTED IN 2013.$0$142,152
THE ORGANIZATION PROVIDES CHRISTMAS CARE KITS TO INCARCERATED YOUTHS THROUGHOUT NEW MEXICO. APPROXIMATELY 900 CARE KITS WERE DISTRIBUTED IN 2013.$0$8,464
FieldValueIRS element (for citing)
Total Program Service Expenses$150,616TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOHN BIAVA
CHAIRMAN & CEO10.00$0$0$0
JUSTIN MARBURY
PRESIDENT & DIRECTOR2.00$1,613$0$0
JOHN JONES
EXECUTIVE DIRECTOR40.00$43,249$0$0
RICHARD ZEMKE
SECRETARY & VICE CHAIRMAN3.00$0$0$0
LARRY JEHLE
DIRECTOR1.00$0$0$0
DAVID GREBE
TREASURER & DIRECTOR2.00$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 FldNMStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line14020 EDITH BLVD NEAddressLine1
CityALBUQUERQUECity
StateNMState
ZIP Code87107ZIPCode
FieldValueIRS element (for citing)
Phone5053419383PhoneNum
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 Minus4 Years$33,418CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$65,965CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$69,077CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59,678CurrentTaxYearMinus1YearAmt
Current Tax Year$113,552CurrentTaxYearAmt
Total$341,690TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$15,225CurrentTaxYearAmt
Total$15,225TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$25,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,550CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,750CurrentTaxYearMinus1YearAmt
Current Tax Year$21,525CurrentTaxYearAmt
Total$94,825TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,418CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$90,965CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$94,627CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$82,428CurrentTaxYearMinus1YearAmt
Current Tax Year$150,302CurrentTaxYearAmt
Total$451,740TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$3,250CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,145CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,000CurrentTaxYearMinus1YearAmt
Current Tax Year$4,225CurrentTaxYearAmt
Total$14,620TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$3,250CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,145CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,000CurrentTaxYearMinus1YearAmt
Current Tax Year$4,225CurrentTaxYearAmt
Total$14,620TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$437,120PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22CurrentTaxYearMinus1YearAmt
Current Tax Year$33CurrentTaxYearAmt
Total$56TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22CurrentTaxYearMinus1YearAmt
Current Tax Year$33CurrentTaxYearAmt
Total$56TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,418CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$90,965CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$94,628CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$82,450CurrentTaxYearMinus1YearAmt
Current Tax Year$150,335CurrentTaxYearAmt
Total$451,796TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96750PublicSupportCY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty0AgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1FUNDRAISING BANQUETNameOfEvent1Amt
Gross Receipts Event1$35,225GrossReceiptsEvent1Amt
Charitable Contri Event1$20,000CharitableContriEvent1Amt
Gross Revenue Event1$15,225GrossRevenueEvent1Amt
Food And Beverage Event1$11,373FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$750OtherDirectExpensesEvent1Amt
Gross Receipts Total$35,225GrossReceiptsTotalAmt
Charitable Contributions Tot$20,000CharitableContributionsTotAmt
Gross Revenue Total Events$15,225GrossRevenueTotalEventsAmt
Food And Beverage Total Events$11,373FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$750OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$12,123DirectExpenseSummaryEventsAmt
Net Income Summary$3,102NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: INTEREST INCOME. AMOUNT: 33.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: CONFERENCES & MEETINGS. AMOUNT: 5,499. DESCRIPTION: OFFICE EXPENSE. AMOUNT: 5,567. DESCRIPTION: PAYROLL TAXES. AMOUNT: 7,156. DESCRIPTION: PROGRAM EXPENSES. AMOUNT: 7,627. DESCRIPTION: TELEPHONE & COMMUNICATIONS. AMOUNT: 1,578. DESCRIPTION: TRAVEL EXPENSES. AMOUNT: 10,910. DESCRIPTION: SPECIFIC ASSISTANCE TO AT-RISK YOUTH. AMOUNT: 1,265. DESCRIPTION: ADVERTISEMENTS FOR DONATIONS. AMOUNT: 1,157. DESCRIPTION: INSURANCE. AMOUNT: 1,523. DESCRIPTION: BUSINESS EXPENSE. AMOUNT: 248. DESCRIPTION: MEALS. AMOUNT: 1,678. DESCRIPTION: CONTRIBUTIONS. AMOUNT: 1,000. DESCRIPTION: STAFF DEVELOPMENT. AMOUNT: 3,024. DESCRIPTION: VEHICLE LICENSE & INSURANCE. AMOUNT: 1,597. TOTAL TO FORM 990-EZ, LINE 16: 49,829.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: PAYROLL TAX LIABILITIES. BEG. OF YEAR AMOUNT: 1,823. END OF YEAR AMOUNT: 4,105.

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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