HEALTH OUTREACH FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH OUTREACH FOUNDATION (EIN 20-0869346)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-08-15
- IRS object ID
- 201432279349304103
- Schema version
- 2013v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-08-15T14:02:37-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481142819 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIDGEBUILDER TAX LEGAL SERVICES PA | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9325 PFLUMM RD | AddressLine1 |
| City | LENEXA | City |
| State | KS | State |
| ZIP Code | 662153347 | 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 | 200869346 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WORLD OUTREACH FOUNDATION | BusinessNameLine1 |
| Business Name Line2 | KANSAS CITY | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WORL | BusinessNameControlTxt |
| Phone | 8163313057 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 481021 | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64148 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANTONIO S RACELA JR | PersonNm |
| Person Title | CHAIR | PersonTitleTxt |
| Phone | 8163313057 | PhoneNum |
| Signature | 2014-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KEVAN D ACORD | PreparerPersonNm |
| PTIN | P01074658 | PTIN |
| Phone | 9134926008 | PhoneNum |
| Preparation | 2014-08-05 | PreparationDt |
| 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 | JERRY SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 481021 | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64171 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $194,172 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WORLDOUTREACHFOUNDATION.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | PROVIDED NEEDED HEALTH CARE IN REMOTE AREAS OF DEVELOPING AND ECONOMICALLY DEPRESSED COUNTRIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Total Volunteers | 75 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $160,311 | PYContributionsGrantsAmt |
| CY Contributions Grants | $179,583 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,023 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,323 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$40,678 | PYOtherRevenueAmt |
| CY Other Revenue | -$29,563 | CYOtherRevenueAmt |
| PY Total Revenue | $123,656 | PYTotalRevenueAmt |
| CY Total Revenue | $155,343 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,230 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $100 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $37,856 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $56,937 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,500 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $78,461 | PYOtherExpensesAmt |
| CY Other Expenses | $87,928 | CYOtherExpensesAmt |
| PY Total Expenses | $122,547 | PYTotalExpensesAmt |
| CY Total Expenses | $144,965 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,109 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,378 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $235,300 | TotalAssetsBOYAmt |
| Total Assets EOY | $272,475 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $238 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $329 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $235,062 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $272,146 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDED NEEDED HEALTH CARE IN REMOTE AREAS OF DEVELOPING AND ECONOMICALLY DEPRESSED COUNTRIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $30,743 | ExpenseAmt |
| Grant | $100 | GrantAmt |
| Desc | FUNDING AND ORGANIZATION OF MEDICAL AND HEALTH EDUCATION MISSION TRIPS TO UNDERSERVED COUNTRIES AND OPENING A MEDICAL CLINIC TO TREAT OUR LOCAL HOMELESS POPULATION. ASSISTANCE THIS YEAR INCLUDED A MOBILE MEDICAL UNIT FOR MINOR MEDICAL CARE, DENTAL SURGERIES, CIRCUMCISIONS, PLANTING AND NUTRITIONAL INFORMATION EDUCATION OF MORINGA PLANTS, AND DISASTER RELIEF FOR POPULATIONS AFFECTED BY A TSUNAMI THAT DEVASTATED THE PHILLIPINES. AN IN-KIND DONATION WITH A MARKET VALUE OF 19,191 IN MEDICAL SUPPLIES WAS DONATED IN 2013 FROM CAREFUSION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $34,097 | ExpenseAmt |
| Desc | FUNDING AND ORGANIZATION OF MEDICAL AND HEALTH EDUCATION MISSION TRIPS TO UNDERSERVED COUNTRIES. THE CAMBODIA MISSION IS SCHEDULED FOR THE BEGINNING OF 2014. EXPENSES IN 2013 ARE FOR AIRFARE AND OTHER TRAVEL RELATED EXPENSES INCURRED PRIOR TO THE ACTUAL MISSION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,450 | ExpenseAmt |
| Desc | OPENING A MEDICAL CLINIC IN 2014 TO TREAT OUR LOCAL HOMELESS POPULATION. EXPENSES INCURRED WERE INSURANCE RELATED FOR MALPRACTICE AND GENERAL LIABILITY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,500 | ExpenseAmt |
| Desc | VARIOUS MISSION TRIP EXPENDITURES - DENTAL PROGRAM ASSISTANCE AND CIRCUMCISION MISSION (TULI). | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $4,500 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $76,790 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (true) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (true) | NondeductibleContriDisclInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JERRY SMITH | PersonNm |
| Phone | 8165609379 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 481021 | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64148 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| JERRY SMITH | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $50,000 | $0 | $0 | |
| LUZ SALONGA RACELA MD | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MAYIE VILKINS RN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KRISTIN HARRELL | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANTONIO RACELA JR MD | ||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KEVAN ACORD | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| HENRY BISHOP MD | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARGARET KOLM | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID CAUDILL | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JUSTIN FOWLER | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STEVE FULLER | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHRIS JAVILLONAR | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARGARET ESTRIN MD | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BRANDON CUSICK | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CORAZAN ZAMORA RN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT FRANCIS | ||||||
| ADVISER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LEILA BUSCH RN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANDREW BRUMMELL | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LISA HOPKINS | ||||||
| PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | |
| JOHN FRYE | ||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| PAULA WOLFF | ||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $50,000 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $84,828 | FundraisingAmt |
| All Other Contributions | $94,755 | AllOtherContributionsAmt |
| Total Contributions | $179,583 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,061 | TotalRevenueColumnAmt |
| Exclusion | $4,061 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,000 | SecuritiesAmt |
| Other | $528 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,266 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $734 | SecuritiesAmt |
| Other | $528 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,262 | TotalRevenueColumnAmt |
| Exclusion | $1,262 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $84,828 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $29,563 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$29,563 | TotalRevenueColumnAmt |
| Exclusion | -$29,563 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $155,343 | TotalRevenueColumnAmt |
| Exclusion | -$24,240 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100 | TotalAmt |
| Program Services | $100 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,000 | TotalAmt |
| Management And General | $50,000 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,937 | TotalAmt |
| Management And General | $6,937 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,402 | TotalAmt |
| Management And General | $1,402 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,647 | TotalAmt |
| Management And General | $1,647 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500 | TotalAmt |
| Fundraising | $500 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Fundraising | $1,000 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,296 | TotalAmt |
| Program Services | $34,097 | ProgramServicesAmt |
| Management And General | $1,199 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,466 | TotalAmt |
| Management And General | $1,466 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,300 | TotalAmt |
| Program Services | $7,450 | ProgramServicesAmt |
| Management And General | $850 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DISASTER RELIEF | $15,060 | $15,060 | |
| MOBILE UNIT | $10,000 | $10,000 | |
| MEDICAL SUPPLIES | $3,000 | $3,000 | |
| BANK FEES AND FINANCE CHA | $2,595 | $2,595 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,662 | TotalAmt |
| Program Services | $7,083 | ProgramServicesAmt |
| Management And General | $579 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,965 | TotalAmt |
| Program Services | $76,790 | ProgramServicesAmt |
| Management And General | $66,675 | ManagementAndGeneralAmt |
| Fundraising | $1,500 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,044 | BOYAmt |
| EOY | $42,292 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,923 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,905 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,905 | LandBldgEquipAccumDeprecAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,413 | BOYAmt |
| EOY | $218,417 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,843 | BOYAmt |
| EOY | $8,843 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,300 | BOYAmt |
| EOY | $272,475 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238 | BOYAmt |
| EOY | $329 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238 | BOYAmt |
| EOY | $329 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,621 | BOYAmt |
| EOY | $125,621 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,441 | BOYAmt |
| EOY | $146,525 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,062 | BOYAmt |
| EOY | $272,146 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,300 | BOYAmt |
| EOY | $272,475 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $10,378 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $26,706 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $180,496 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $132,887 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $245,108 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $152,276 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $179,583 | CurrentTaxYearAmt |
| Total | $890,350 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,469 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $10 | CurrentTaxYearMinus2YearsAmt |
| Total | $13,479 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $193,965 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $132,887 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $245,118 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $152,276 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $179,583 | CurrentTaxYearAmt |
| Total | $903,829 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,833 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,805 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,723 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,900 | CurrentTaxYearAmt |
| Total | $160,773 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,833 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,805 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,723 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,900 | CurrentTaxYearAmt |
| Total | $160,773 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $743,056 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $889 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,944 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,125 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,023 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,061 | CurrentTaxYearAmt |
| Total | $16,042 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $889 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,944 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,125 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,023 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,061 | CurrentTaxYearAmt |
| Total | $16,042 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $194,854 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $135,831 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $249,243 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $156,299 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $183,644 | CurrentTaxYearAmt |
| Total | $919,871 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.80780 | PublicSupportCY509Pct |
| Public Support PY509 | 0.76480 | PublicSupportPY509Pct |
| Investment Income CY | 0.02000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,905 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,905 | DepreciationAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| AMERICAN FUNDS - GENERAL ENDOWMENT F | $143,003 | F |
| AMERICAN FUNDS - UNREALIZED GAIN/LOS | $43,985 | F |
| AMERICAN FUNDS - HOPKINS ENDOWMENT | $27,069 | F |
| AMERICAN FUNDS - UNREALIZED GAIN/LOS | $4,360 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $218,417 | TotalBookValueSecuritiesAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF CLASSIC FU | NameOfEvent1Amt |
| Gross Receipts Event1 | $84,828 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $84,828 | CharitableContriEvent1Amt |
| Cash Prizes Event1 | $1,100 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $23,086 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,553 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $3,824 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $84,828 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $84,828 | CharitableContributionsTotAmt |
| Cash Prizes Total Events | $1,100 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $23,086 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,553 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,824 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $29,563 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$29,563 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | VARIOUS MISSION TRIP EXPENDITURES - DENTAL PROGRAM ASSISTANCE AND CIRCUMCISION MISSION (TULI). |
| FORM 990, PAGE 6, PART VI, LINE 2 | DR. TONY RACELA DR. LUZ RACELA CHAIR MEMBER SPOUSE |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS REVIEWED AND APPROVED BY THE BOARD PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |