FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC (EIN 20-2384178)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-07
- IRS object ID
- 201413119349301591
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-07T15:12:07-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593040705 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERO GORDIMER & COMPANY PA | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 172359 | AddressLine1 |
| City | TAMPA | City |
| State | FL | State |
| ZIP Code | 33672 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202384178 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE FLORIDA MEDICAL CLINIC | BusinessNameLine1 |
| Business Name Line2 | FOUNDATION OF CARING INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FLOR | BusinessNameControlTxt |
| Phone | 8137808774 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O 38135 MARKET SQUARE | AddressLine1 |
| City | ZEPHYRHILLS | City |
| State | FL | State |
| ZIP Code | 33542 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRIS ALVAREZ | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 8137808774 | PhoneNum |
| Signature | 2014-11-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAM A LAZZARA | PreparerPersonNm |
| PTIN | P01342929 | PTIN |
| Phone | 8138757774 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN HARPER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O 38135 MARKET SQUARE | AddressLine1 |
| City | ZEPHYRHILLS | City |
| State | FL | State |
| ZIP Code | 33542 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $424,293 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FMCFOUNDATIONOFCARING.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE QUALITY OF LIFE THROUGH MENTORSHIP, SCHOLARSHIPS, SPONSORSHIPS, AWARDS AND SERVICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $132,528 | PYContributionsGrantsAmt |
| CY Contributions Grants | $137,098 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $132,528 | PYOtherRevenueAmt |
| CY Other Revenue | $155,371 | CYOtherRevenueAmt |
| PY Total Revenue | $265,056 | PYTotalRevenueAmt |
| CY Total Revenue | $292,469 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $151,632 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $228,948 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $54,439 | PYOtherExpensesAmt |
| CY Other Expenses | $53,447 | CYOtherExpensesAmt |
| PY Total Expenses | $206,071 | PYTotalExpensesAmt |
| CY Total Expenses | $282,395 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $58,985 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,074 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $109,711 | TotalAssetsBOYAmt |
| Total Assets EOY | $119,785 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $109,711 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $119,785 | NetAssetsOrFundBalancesEOYAmt |
| Mission | FLORIDA MEDICAL CLINIC FOUNDATION OF CARING STRIVES TO SUPPORT LOCAL NON-PROFITS THROUGH VOLUNTEERISM AND FUNDING. WE LEVERAGE RESOURCES TO ENRICH LIVES THROUGH MEASUREABLE, IMMEDIATE AND LASTING POSITIVE CHANGE IN OUR COMMUNITITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $228,948 | ExpenseAmt |
| Grant | $228,948 | GrantAmt |
| Desc | DIRECTLY GRANTS TO CHARITABLE ORGANIZATIONS THAT SUPPORT CHILDREN, THE ELDERLY, EDUCATION AND ADVOCACY IN ORDER TO MAKE A VAST IMPACT IN THE COMMUNITIES FLORIDA MEDICAL CLINICS SERVES. IN ADDITION TO FINANCIAL SUPPORT, THE ORGANIZATION ALSO PROVIDED 2,400 VOLUNTEER HOURS VALUED AT OVER $52,000 TO SUPPORT LOCAL CHARITABLE ORGANIZATIONS THAT ARE NOT REFLECTED ON THE FORM 990. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $14,822 | ExpenseAmt |
| Desc | THE HEALING ARTS STUDIO PROVIDES 3 WEEKLY ART THERAPY PROGRAMS THAT PROVIDE INSTRUCTION, SUPPLIES, AND SUPPORT TO CANCER SURVIVORS AND THEIR FAMILIES. THE HEALING ARTS STUDIO CURRENTLY OFFERS STUDENTS A PLACE TO LEARN ART, PAINT, AND MOST IMPORTANTLY HEAL EMOTIONALLY IN A SUPPORTIVE GROUP SETTING. THE ORGANIZATION ALSO PROVIDED OVER 200 VOLUNTEER HOURS VALUED AT OVER $4,000 RELATED TO THE HEALING ARTS STUDIO THAT ARE NOT REFLECTED ON THE FORM 990. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,692 | ExpenseAmt |
| Revenue | $727 | RevenueAmt |
| Desc | THE GATHERING PLACE - A MONTHLY MEETING FOR CANCER PATIENTS AND THEIR FAMILIES. THE MEETINGS ARE OPEN TO THOSE IN THE COMMUNITY WHO ARE OR HAVE UNDERGONE CANCER TREATMENTS. THE MEETINGS ARE DESIGNED TO PROVIDE AN OPEN FORUM IN WHICH CANCER PATIENTS AND THEIR FAMILIES CAN SHARE THEIR EXPERIENCES, ASK QUESTIONS, OR LEARN MORE ABOUT CANCER AND THE ISSUES THAT SURRROUND IT. WE OFFER EDUCATION, INFORMATION, SOCIAL CONNECTIONS OR JUST A PLACE TO GATHER AND SHARE. THE ORGANIZATION ALSO PROVIDED OVER 300 VOLUNTEER HOURS VALUED AT OVER $6,000 RELATED TO THE GATHERING PLACE THAT ARE NOT REFLECTED ON THE FORM 990. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $246,462 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN BENEDETTI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8137808774 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38135 MARKET SQUARE | AddressLine1 |
| City | ZEPHYRHILLS | City |
| State | FL | State |
| ZIP Code | 33452 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JOHN HARPER | ||||||
| PRESIDENT | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RAY FRAZIER | ||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHRISTIAN ALVAREZ | ||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| WENDY CROSIER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| IRA GUTTENTAG MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| REYNALDO MULINGTAPANG MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MELANIE TATUM | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SHERI SCHWAB | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARK FITZPATRICK | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DREW WEATHERFORD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LOU LACAVA | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STEPHANIE AMBERG | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMIE SPENCER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TIM JARRETT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH K THIELEN | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $0 | $64,596 | $7,561 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $64,596 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $7,561 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $137,098 | AllOtherContributionsAmt |
| Noncash Contributions | $2,300 | NoncashContributionsAmt |
| Total Contributions | $137,098 | TotalContributionsAmt |
| Fundraising Gross Income | $278,396 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $131,824 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $146,572 | TotalRevenueColumnAmt |
| Exclusion | $146,572 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $8,799 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,799 | TotalRevenueColumnAmt |
| Exclusion | $8,799 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $292,469 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $155,371 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,948 | TotalAmt |
| Program Services | $228,948 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Management And General | $1,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,649 | TotalAmt |
| Management And General | $8,649 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,277 | TotalAmt |
| Program Services | $292 | ProgramServicesAmt |
| Management And General | $8,985 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94 | TotalAmt |
| Management And General | $94 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,217 | TotalAmt |
| Program Services | $11,260 | ProgramServicesAmt |
| Management And General | $957 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149 | TotalAmt |
| Management And General | $149 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,026 | TotalAmt |
| Management And General | $2,026 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| CONTRACT LABOR | $9,726 | $9,726 | |
| SUPPLIES | $4,490 | $828 | $3,662 |
| FOOD, CLOTHING DONATION | $2,300 | $2,300 | |
| EVENT EXPENSES | $1,760 | $1,760 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,759 | TotalAmt |
| Management And General | $1,759 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,395 | TotalAmt |
| Program Services | $246,462 | ProgramServicesAmt |
| Management And General | $35,933 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,711 | BOYAmt |
| EOY | $119,785 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,711 | BOYAmt |
| EOY | $119,785 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,711 | BOYAmt |
| EOY | $119,785 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,711 | BOYAmt |
| EOY | $119,785 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,711 | BOYAmt |
| EOY | $119,785 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $10,074 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $159,105 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $159,321 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $167,608 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $121,353 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $137,098 | CurrentTaxYearAmt |
| Total | $744,485 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $159,105 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $159,321 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $167,608 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $121,353 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $137,098 | CurrentTaxYearAmt |
| Total | $744,485 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $182,253 | SubstantialContributorsTotAmt |
| Public Support Total170 | $562,232 | PublicSupportTotal170Amt |
| Total Support | $744,485 | TotalSupportAmt |
| Public Support CY170 | 0.75520 | PublicSupportCY170Pct |
| Public Support PY170 | 0.68730 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CELEBRATION OF CARING/CASINO NIGHT | NameOfEvent1Amt |
| Gross Receipts Event1 | $233,089 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $233,089 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $16,400 | NonCashPrizesEvent1Amt |
| Other Direct Expenses Event1 | $101,853 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | GOLF CLASSIC | NameOfEvent2Amt |
| Gross Receipts Event2 | $35,205 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $35,205 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $2,350 | NonCashPrizesEvent2Amt |
| Other Direct Expenses Event2 | $8,790 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $10,102 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $10,102 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $2,431 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $278,396 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $278,396 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $18,750 | NonCashPrizesTotalEventsAmt |
| Oth Direct Expnss Total Events | $113,074 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $131,824 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $146,572 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (12 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| RED APPLE SCHOOL | |||||||
| 6640 KENTUCKY AVE | NEW PORT RICHEY | FL | 34653 | 593343880 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| BOYS & GIRLS CLUB | |||||||
| 1307 N MACDILL AVE | TAMPA | FL | 33605 | 590624368 | 501(C)(3) | $50,000 | GENERAL SUPPORT |
| CHAMPION FOR CHILDREN | |||||||
| 1106 N FRANKLIN ST | TAMPA | FL | 33602 | 591807551 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| HOPE YOUTH RANCH | |||||||
| 17933 EAST RD | HUDSON | FL | 34667 | 201019180 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| CENTRE FOR WOMEN | |||||||
| 305 S HYDE PARK AVE | TAMPA | FL | 33606 | 591787902 | 501(C)(3) | $5,000 | GENERAL SUPPORT |
| ONBIKES | |||||||
| PO BOX 2985 | TAMPA | FL | 33601 | 453533001 | 501(C)(3) | $5,000 | GENERAL SUPPORT |
| LIONS EYE INSTITUTE | |||||||
| 1410 N 21ST ST | TAMPA | FL | 33605 | 010843838 | 501(C)(3) | $32,000 | GENERAL SUPPORT |
| ACADEMY PREP | |||||||
| 1407 E COLUMBUS DR | TAMPA | FL | 33605 | 593622978 | 501(C)(3) | $20,040 | GENERAL SUPPORT |
| QUANTUM LEAP FARM | |||||||
| 10401 WOODSTOCK RD | ODESSA | FL | 33556 | 593469464 | 501(C)(3) | $11,000 | GENERAL SUPPORT |
| TAMPA CROSSROADS | |||||||
| 5109 N NEBRASKA AVE | TAMPA | FL | 33603 | 591743719 | 501(C)(3) | $15,400 | GENERAL SUPPORT |
| ROTARY CLUB OF ZEPHRYHILLS | |||||||
| PO BOX 1234 | ZEPHYRHILLS | FL | 33539 | 204779604 | 501(C)(3) | $5,000 | GENERAL SUPPORT |
| WUSF PUBLIC MEDIA | |||||||
| 4202 E FOWLER AVE TVB 100 | TAMPA | FL | 33620 | 590879015 | 501(C)(3) | $25,208 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 12 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE PROCESS USED BY OUR BOARD IS TO RESEARCH EACH AND EVERY GRANT TO GUARANTEE THAT IT MEETS THE MISSION OF THE FOUNDATION. GRANTS WILL BE REVIEWED TWICE A YEAR, JUNE AND DECEMBER. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS HOLDS ITS MEETINGS ON A QUARTERLY BASIS. IN ORDER TO ACCOMMODATE ITS FILING REQUIREMENTS, FORM 990 IS DISTRIBUTED ELECTRONICALLY TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | DISCLOSURE REPORTS ARE SUBJECT TO REVIEW. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAINTAINS A PUBLIC INSPECTION COPY OF FORMS 990 AND 1023, WHICH ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLORIDA MEDICAL CLINIC PA | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38135 MARKET SQUARE | AddressLine1 |
| City | ZEPHYRHILLS | City |
| State | FL | State |
| ZIP Code | 33542 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593156212 | EIN |
| Primary Activities | MEDICAL FACILITY | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | S | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments