CHILDREN AT HEART ADOPTION SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHILDREN AT HEART ADOPTION SERVICES (EIN 14-1783554)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-17
IRS object ID
201410489349300331
Schema version
2012v2.1
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)
Timestamp2014-02-17T12:18:26-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN141783554EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN AT HEART ADOPTION SVCS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1145 NORTH MAIN STREETAddressLine1
CityMECHANICVILLECity
StateNYState
ZIP Code12118ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANICE S BERGERONName
TitlePRESIDENTTitle
Phone5186645988Phone
Date Signed2014-02-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJANICE S BERGERONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1145 N MAIN STAddressLine1
CityMECHANICVILLECity
StateNYState
ZIP Code12118ZIPCode
FieldValueIRS element (for citing)
Gross Receipts242937GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE ADOPTION PLACEMENT FOR FOREIGN ORPHAN CHILDREN AND FACILITATE ADOPTION BETWEEN THEM AND ADULTS IN THE UNITED STATES.ActivityOrMissionDescription
Nbr Voting Members Governing Body2NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees2TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year31036ContributionsGrantsCurrentYear
Program Service Revenue CY211901ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Current Year242937TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year55287SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expenses Current Year134633OtherExpensesCurrentYear
Total Expenses Current Year189920TotalExpensesCurrentYear
Revenues Less Expenses CY53017RevenuesLessExpensesCY
Total Assets BOY85032TotalAssetsBOY
Total Assets EOY70518TotalAssetsEOY
Total Liabilities BOY3563TotalLiabilitiesBOY
Total Liabilities EOY3307TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY81469NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY67211NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE ADOPTION PLACEMENT FOR FOREIGN ORPHAN CHILDREN AND FACILITATE ADOPTION BETWEEN THEM AND ADULTS IN THE UNITED STATES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense149639Expense
Revenue211901Revenue
DescriptionTO PROVIDE ADOPTION PLACEMENT FOR FOREIGN ORPHAN CHILDREN AND FACILITATE ADOPTION BETWEEN THEM AND ADULTS IN THE UNITED STATES.Description
Total Program Service Expense149639TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees2NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members2NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARK J BERGERONNamePerson
Telephone Number5186645988TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1145 N MAIN STAddressLine1
CityMECHANICVILLECity
StateNYState
ZIP Code12118ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (2 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JANICE S BERGERON
PRESIDENT65.00X000
MARK J BERGERON
VICE PRES55.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events6370FundraisingEvents
All Other Contributions24666AllOtherContributions
Total Contributions31036TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionADOPTION FEESDescription
Business Code624110BusinessCode
Total Revenue Column211901TotalRevenueColumn
Related Or Exempt Function Income211901RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue211901TotalProgramServiceRevenue
Cntrbtns Rprtd Fundraising Events6370CntrbtnsRprtdFundraisingEvents

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column242937TotalRevenueColumn
Related Or Exempt Function Income211901RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total51165Total
Program Services51165ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4122Total
Program Services4122ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1500Total
Management And General1500ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3301Total
Program Services3301ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7893Total
Program Services7893ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total27038Total
Program Services27038ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total15647Total
Program Services15647ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total4451Total
Management And General4451ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11542Total
Management And General11542ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total22788Total
Management And General22788ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Adoption Fees3315933159
Advertising23592359
Dues and Fees49554955

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total189920Total
Program Services149639ProgramServices
Management And General40281ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6104BOY
EOY3132EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis199733LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec133147LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY78128BOY
EOY66586EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY800BOY
EOY800EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY85032BOY
EOY70518EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3563BOY
EOY3307EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3563BOY
EOY3307EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY81469BOY
EOY67211EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY81469BOY
EOY67211EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY85032BOY
EOY70518EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses53017ReconcilationRevenueExpenses
Reconcilation Prior Adjustment-67275ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1082CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15769CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8122CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year246709CurrentTaxYearMinus1Year
Current Tax Year24666CurrentTaxYear
Total296348Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years719979CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years877747CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years78181CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year129046CurrentTaxYearMinus1Year
Current Tax Year211901CurrentTaxYear
Total2016854Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years721061CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years893516CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years86303CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year375755CurrentTaxYearMinus1Year
Current Tax Year236567CurrentTaxYear
Total2313202Total
FieldValueIRS element (for citing)
Public Support Total5092313202PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years304CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years428CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years155CurrentTaxYearMinus2Years
Total887Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years304CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years428CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years155CurrentTaxYearMinus2Years
Total887Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years721365CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years893944CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years86458CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year375755CurrentTaxYearMinus1Year
Current Tax Year236567CurrentTaxYear
Total2314089Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99960PublicSupportPercentage509
Prior Year Support Percentage0.99900PriorYearSupportPercentage
Investment Income Percentage0.00040InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00100PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis43387OtherCostOrOtherBasis
Book Value43387BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis91109OtherCostOrOtherBasis
Depreciation76421Depreciation
Book Value14688BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis65237OtherCostOrOtherBasis
Depreciation56726Depreciation
Book Value8511BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings66586TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDEPOSITDescription
Book Value800BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets800TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PAYROLL TAX PAYABLE$1,245
ACCRUED EXPENSE$2,062
FieldValueIRS element (for citing)
Total Of Amounts3307TotalOfAmounts

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJANICE BERGERONNamePerson
FieldValueIRS element (for citing)
RelationshipOFFICERRelationship
Amount Of Transaction23600AmountOfTransaction
Description Of TransactionRENT FOR 2 LOCATIONSDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
O01Officer directors etc family relationship Part VI line 2THE ORGANIZATION LEASED A NEW YORK OFFICE FOR $14,400 FOR THE YEAR AND A NORTH CAROLINA OFFICE FOR $9,200 FOR THE YEAR FROM THE OFFICERS.
O02Form 990 governing body review Part VI line 11THE GOVERNING BODY REVIEWED THE TAX RETURN.
O03Governing documents etc available to public Part VI line 19ALL GOVERNING DOCUMENTS ARE AVAILABLE TO THE GENERAL PUBLIC.

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