BETA

INTERMED INTERNATIONAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
INTERMED INTERNATIONAL INC (EIN 94-1518657)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-09
IRS object ID
201421299349302002
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)
Return2014-05-09T13:11:58-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN112965470PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PRESTI & NAEGELEBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 WEST 35TH STREET 16TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10001ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941518657EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INTERMED INTERNATIONAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlINTEBusinessNameControlTxt
Phone2123274940PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125-28 QUEENS BLVD NO 538AddressLine1
CityKEW GARDENSCity
StateNYState
ZIP Code11415ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT HAMILTONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2123274940PhoneNum
Signature2014-05-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANNEMARIE AGUANNO CPAPreparerPersonNm
PTINP00734346PTIN
Phone2127360055PhoneNum
Preparation2014-05-02PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMR SCOTT HAMILTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125-28 QUEENS BLVD SUITE 538AddressLine1
CityKEW GARDENSCity
StateNYState
ZIP Code11415ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$802,887GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressDOOLEYINTERMED.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1961FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionFOLLOWING THE DEATH OF THE LEGENDARY DR. TOM DOOLEY IN 1961, A FOUNDATION WAS ESTABLISHED IN THAT YEAR BY HIS COLLEAGUES IN HIS NAME TO CONTINUE HIS WORLD WIDE HUMANITARIAN MEDICAL PROGRAMS. THE FOUNDATION'S CHARTER ESTABLISHED IT AS A NON GOVERNMENT, NON PROFIT, NON SECTARIAN AGENCY PROVIDING MEDICAL AID TO UNDERDEVELOPED AND UNDERSERVED AREAS OF THE WORLD. ITS PROGRAM OBJECTIVES FOCUS ON IN-COUNTRY TRAINING OF THE INDIGENOUS HEALTH WORKERS, TO BETTER THE EDUCATION OF PATIENTS AND THE LOCAL POPULATION, IN GENERAL, IN THE PRINCIPLES AND PRACTICES OF PREVENTIVE MEDICINE AND PUBLIC HEALTH. THE NAME OF THE DOOLEY FOUNDATION WAS CHANGED IN 2002 TO INTERMED INTERNATIONAL, INC. THE CHARTERS OF BOTH ORGANIZATIONS ARE IDENTICAL IN STRUCTURE, OPERATION AND PURPOSE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$181,235PYContributionsGrantsAmt
CY Contributions Grants$464,575CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$15,345PYInvestmentIncomeAmt
CY Investment Income$10,675CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$196,580PYTotalRevenueAmt
CY Total Revenue$475,250CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$135,264PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$135,190CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$9,924CYTotalFundraisingExpenseAmt
PY Other Expenses$83,660PYOtherExpensesAmt
CY Other Expenses$105,359CYOtherExpensesAmt
PY Total Expenses$218,924PYTotalExpensesAmt
CY Total Expenses$240,549CYTotalExpensesAmt
PY Revenues Less Expenses-$22,344PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$234,701CYRevenuesLessExpensesAmt
Total Assets BOY$471,188TotalAssetsBOYAmt
Total Assets EOY$705,889TotalAssetsEOYAmt
Total Liabilities BOY$98TotalLiabilitiesBOYAmt
Total Liabilities EOY$98TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$471,090NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$705,791NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION'S MISSION IS TO PROVIDE MEDICAL ASSISTANCE TO REFUGEES, CHILDREN, AND VILLAGERS IN THE LESS PRIVILEDGED PARTS OF THE WORLD WITH EMPHASIS ON SELF-HELP PROJECTS IN THE AREAS OF PREVENTIVE MEDICINE, PUBLIC HEALTH, FAMILY PLANNING AND HEALTH WORKER TRAINING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$61,774ExpenseAmt
DescNEPAL FUND, ESTABLISHED IN 1963, THE ORGANIZATION INITIATED A MEDICAL ASSISTANCE PROGRAM IN NEPAL WHICH FOCUSED ON MEDICAL CARE, HEALTH WORKER TRAINING, MEDICAL SURVEYS AND MATERIAL SUPPORT TO HOSPITALS AND RURAL CLINICS. THE NEWLY CONSTRUCTED ORPHANAGE, ECO-FARM, LOCATED IN THE SANKU VALLEY, NEPAL, HAS BEEN A HUGE PROJECT, AND HAS TAKEN SEVERAL YEARS TO CONVERT FROM DREAM TO REALITY. THE ORGANIZATION IS CONTINUING ITS FINANCIAL SUPPORT FOR THESE HOMELESS CHILDREN. SO FAR THERE ARE 18 CHILDREN, BOYS AND GIRLS, NOW LIVING IN A NEW HOME. THE "URGENT NEED" FOR THESE CHILDREN, IS EVERY DAY ESSENTIAL ITEMS, SUCH AS FOOD, CLOTHES, SHOES, MEDICINES, ALONG WITH BLANKETS AND COATS TO KEEP THEM WARM DURING THE WINTER MONTHS. ADDITIONALLY, THE ORGANIZATION'S PROGRAM IN NEPAL, THE "GIFT OF SIGHT" PROGRAM, BENEFITS TIBETAN REFUGEES AND VILLAGERS IN RURAL AREAS FOCUSING ON CATARACT EYE SURGERY AND GENERAL MEDICAL CARE, ALONG WITH DONATIONS OF OPHTHALMIC MEDICAL EQUIPMENT AND DENTAL UNITS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$41,021ExpenseAmt
DescNICARAGUA FUND, ESTABLISHED IN 1999 TO PROVIDE MEDICAL EQUIPMENT AND FULL-TIME PHYSICIAN AND NURSE TO A CLINIC IN WASPAM, WHICH IS LOCATED ON THE COCO RIVER. IT IS A COMMUNITY-BASED MATERNAL-CHILD HEALTH PROGRAM BENEFITING MOSTLY WOMEN AND CHILDREN OF THE MISKITO AND MAYAGNA PEOPLE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$32,198ExpenseAmt
DescPUBLIC INFORMATION AND EDUCATIONTO DISSEMINATE INFORMATION TO THE GENERAL PUBLIC AND BUSINESS COMMUNITY IN THE U. S. ON THE URGENT NEED OF THE THIRD WORLD FOR HEALTH, EDUCATION AND SOCIAL DEVELOPMENT.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtDescDesc
$14,238THAILAND, INTERMED SUPPORTS AN INCOME-GENERATING PROGRAM FOR VILLAGE WOMEN WHO ARE TRAINED IN THE WEAVING AND SEWING OF HANDICRAFTS. THE MARKETING IS CARRIED OUT BY AN EXCEPTIONAL LAO-THAI WOMAN WHO HAS BEEN HELPING REFUGEES AND VILLAGERS IN SELF-HELP PROJECTS FOR 30 YEARS. THE HANDICRAFTS ARE MARKETED IN THAILAND AND TRADE FAIRS IN JAPAN PROVIDING FAMILY INCOME TO IMPROVE THEIR LIVING CONDITIONS, NUTRITION AND HEALTH.
$59,870VARIOUS OTHER PROGRAMS TO CARRY OUT MISSION.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$74,108TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$209,101TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MS DILCEIA BOGUNOVICBusinessNameLine1
FieldValueIRS element (for citing)
Phone2123274940PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125-28 QUEENS BLVD SUITE 538AddressLine1
CityKEW GARDENSCity
StateNYState
ZIP Code11415ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
VERNE CHANEY MD
FOUNDER, PRESIDENT THROUGH SEPT 201330.00Yes (X)$0$0$0
GEOFFREY A SMITH
VICE PRESIDENT2.00Yes (X)$0$0$0
ROSEMARIE HAMMOND
CORPORATE SECRETARY40.00Yes (X)$55,000$0$0
MARIA COMPTE MD
VP DIRECTOR OF CENTRAL AMERICAN PROGRAMS10.00Yes (X)$0$0$0
JAMES A KONSTANTY
TREASURER2.00Yes (X)$0$0$0
DILCEIA BOGUNOVIC
CONTROLLER AND FINANCIAL D40.00Yes (X)$70,000$0$0
BARBARA HENRY
BOARD OF DIRECTORS2.00Yes (X)$0$0$0
ROBERT ERICKSON
VICE PRESIDENT OF PUBLIC AFFAIRS2.00Yes (X)$0$0$0
SCOTT HAMILTON
VP DIRECTOR, PRESIDENT AS OF SEPT 201320.00Yes (X)$0$0$0
ROBERT RITCH MD
BOARD OF DIRECTORS2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$125,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$464,575AllOtherContributionsAmt
Total Contributions$464,575TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,450TotalRevenueColumnAmt
Related Or Exempt Func Income$6,450RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$331,862SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$327,637SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,225SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,225TotalRevenueColumnAmt
Exclusion$4,225ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$475,250TotalRevenueColumnAmt
Related Or Exempt Func Income$6,450RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,225ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$125,000TotalAmt
Program Services$118,222ProgramServicesAmt
Management And General$3,389ManagementAndGeneralAmt
Fundraising$3,389FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,190TotalAmt
Program Services$9,044ProgramServicesAmt
Management And General$887ManagementAndGeneralAmt
Fundraising$259FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,300TotalAmt
Management And General$8,300ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$749TotalAmt
Management And General$749ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,450TotalAmt
Management And General$2,450ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SPECIAL PROJECTS$37,621$37,621
SUPPLIES$16,795$14,913$1,455$427
PHARAMACEUTICALS$16,000$16,000
DUES AND SUBSCRIPTIONS$8,957$4,754$358$3,845

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14,487TotalAmt
Program Services$8,547ProgramServicesAmt
Management And General$3,936ManagementAndGeneralAmt
Fundraising$2,004FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$240,549TotalAmt
Program Services$209,101ProgramServicesAmt
Management And General$21,524ManagementAndGeneralAmt
Fundraising$9,924FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$155,221BOYAmt
EOY$622,721EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$200BOYAmt
EOY$200EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,357LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,958LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,039BOYAmt
EOY$2,399EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$312,728BOYAmt
EOY$80,569EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$471,188BOYAmt
EOY$705,889EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$98BOYAmt
EOY$98EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98BOYAmt
EOY$98EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$471,090BOYAmt
EOY$705,791EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$471,090BOYAmt
EOY$705,791EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$471,188BOYAmt
EOY$705,889EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$234,701ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$324,866CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$215,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$441,569CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$182,684CurrentTaxYearMinus1YearAmt
Current Tax Year$464,575CurrentTaxYearAmt
Total$1,628,968TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$324,866CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$215,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$441,569CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$182,684CurrentTaxYearMinus1YearAmt
Current Tax Year$464,575CurrentTaxYearAmt
Total$1,628,968TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,628,968PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,033CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$873CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$926CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,345CurrentTaxYearMinus1YearAmt
Current Tax Year$10,675CurrentTaxYearAmt
Total$28,852TotalAmt
FieldValueIRS element (for citing)
Total Support$1,657,820TotalSupportAmt
Public Support CY1700.98260PublicSupportCY170Pct
Public Support PY1700.98560PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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$5,357OtherCostOrOtherBasisAmt
Depreciation$2,958DepreciationAmt
Book Value$2,399BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,399TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN STOCKDesc
Book Value$80,569BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$80,569TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$475,250TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$475,250RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$475,250TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$240,549TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$240,549ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$240,549TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S FORM 990 FOR THE YEARS ENDING 2010, 2011, 2012 AND 2013 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE GENERALLY THREE YEARS AFTER THEY ARE FILED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BEFORE FILING FORM 990, THE ORGANIZATION REVIEWS FORM 990 WITH SCOTT HAMILTON, PRESISENT AND DR. VERNE CHANEY, MD, FOUNDER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION IS REVIEWED BY SCOTT HAMILTON, PRESIDENT AND DR. VERNE CHANEY, MD, FOUNDER OF THE ORGANIZATION. AT TIMES, IN ORDER TO SUPPORT THE MISSION IN SEVERE ECONOMIC TIMES, COMPENSATION HAS BEEN WAIVED. COMPENSATION IS EVALUATED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 18UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION AVAILABLE TO THE PUBLIC. THE ORGANIZATION DOES NOT HAVE A CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION AVAILABLE TO THE PUBLIC. THE ORGANIZATION DOES NOT HAVE A CONFLICT OF INTEREST POLICY.
FORM 990, PART VIIVERNE CHANEY, M.D. - 125-28 QUEENS BLVD, STE. 538, KEW GARDENS, NY 11415. GEOFFREY A. SMITH - PO BOX 129 HEMLOCK ROAD, ONEONTA, NY 13820. ROSEMARIE HAMMOND - 125-28 QUEENS BLVD, STE. 538, KEW GARDENS, NY 11415. MARIA COMPTE, M.D. - 110-20 71ST AVENUE, APT #326, FOREST HILLS, NY 11375. JAMES A. KONSTANTY - 252 MAIN STREET, ONEONTA, NY 13820. DILCEIA BOGUNOVIC - 125-28 QUEENS BLVD, SUITE 538, KEW GARDENS, NY 11415. BARBARA HENRY - 149-30 88TH STREET, HOWARD BEACH, NY 11414. ROBERT ERICKSON - 2 NEWMARCH STREET, IPSWICH, MA 01938. SCOTT HAMILTON - 125-28 QUEENS BLVD, SUITE 538, KEW GARDENS, NY 11415. ROBERT RITCH, MD - 310 EAST 14TH STREET, NEW YORK, NY 10003.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION REVIEWS FINANCIAL INFORMATION WITH DR. VERNE CHANEY, MD, PRESIDENT AND FOUNDER ALONG WITH THE OTHER MEMBERS OF THE GOVERNING BODY.

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