MOUNT MERU TUMAINI HEALTH CLINIC INC: Form 990EZ, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT MERU TUMAINI HEALTH CLINIC INC (EIN 20-0380113)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2014-10-13
- IRS object ID
- 201432869349200003
- 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 | 2014-10-13T15:25:36-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 MAIN ST SUITE 104 | AddressLine1 |
| City | RACINE | City |
| State | WI | State |
| ZIP Code | 53403 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200380113 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT MERU TUMAINI HEALTH CLINIC INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 2629308267 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3500 WASHINGTON AVENUE | AddressLine1 |
| City | RACINE | City |
| State | WI | State |
| ZIP Code | 534052934 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENISE MBISE | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2629308267 | PhoneNum |
| Signature | 2014-10-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KARI JENSEN CPA | PreparerPersonNm |
| PTIN | P01230655 | PTIN |
| Phone | 2626379351 | PhoneNum |
| Preparation | 2014-09-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | MMTHC.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $41,968 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $37,485 | ContributionsGiftsGrantsEtcAmt |
| Fundraising Gross Income | $4,483 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $174 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $4,309 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $41,794 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $216 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $593 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $31,018 | OtherExpensesTotalAmt |
| Total Expenses | $31,827 | TotalExpensesAmt |
| Excess Or Deficit For Year | $9,967 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $5,289 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $15,256 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,289 | BOYAmt |
| EOY | $15,256 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,289 | BOYAmt |
| EOY | $15,256 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,289 | BOYAmt |
| EOY | $15,256 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO PROVIDE HEALTH CARE AND COMMUNITY SERVICES TO THE PEOPLE OF MT. MERU REGION OF TANZANIA | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| PROVIDING HEALTH CARE AND COMMUNITY SERVICES TO PEOPLE OF TANZANIA, WHICH INCLUDES PROVIDING STAFF, NURSES, DENTISTS, PHARMACY SUPPLIES, AND MAINTAINING A VEHICLE FOR AMBULANCE SERVICES | $0 | $19,827 |
| PROVIDING FAMINE RELIEF FOR OVER 500 FAMILIES ON MOUNT MERU IN TANZANIA | $0 | $12,000 |
| MAINTENANCE OF TWO WELLS IN NDOOMBO | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $31,827 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (11 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| DENISE MBISE | ||||
| PRESIDENT | 2.00 | $0 | $0 | $0 |
| REV WARREN WILLIAMS | ||||
| VICE-PRESIDENT | 1.00 | $0 | $0 | $0 |
| ELAINE LUCHT | ||||
| SECRETARY | 2.00 | $0 | $0 | $0 |
| JODIE LARSON | ||||
| TREASURER | 2.00 | $0 | $0 | $0 |
| MICHAEL CAMPO | ||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| BARB ELMER | ||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 |
| JILL WANGGARD | ||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| EXAUDH MBISE | ||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 |
| NANCY HOFER | ||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| SIMON AKINDES | ||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| JOANNIE WILLIAMS | ||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENISE MBISE | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3500 WASHINGTON AVE | AddressLine1 |
| City | RACINE | City |
| State | WI | State |
| ZIP Code | 53405 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2629308267 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
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 | $19,962 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,653 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,343 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,829 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,485 | CurrentTaxYearAmt |
| Total | $127,272 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,962 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,653 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,343 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,829 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,485 | CurrentTaxYearAmt |
| Total | $127,272 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $41,897 | SubstantialContributorsTotAmt |
| Public Support Total170 | $85,375 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1 | CurrentTaxYearMinus2YearsAmt |
| Total | $5 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $127,277 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $6,652 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.67080 | PublicSupportCY170Pct |
| Public Support PY170 | 0.65360 | 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION: BANK FEES. AMOUNT: 277. DESCRIPTION: MISSION TRIP PROJECT EXPENSES. AMOUNT: 5,346. DESCRIPTION: ANNUAL FILING FEES. AMOUNT: 79. DESCRIPTION: PHARMACY EXPENSES - NDOOMBO. AMOUNT: 851. DESCRIPTION: CAR MAINTENANCE - NDOOMBO. AMOUNT: 2,137. DESCRIPTION: TRIP PROJECTS. AMOUNT: 4,512. DESCRIPTION: FOOD PURCHASES FOR DISTRIBUTION - NDOOMBO. AMOUNT: 12,000. DESCRIPTION: CLINIC SALARIES - NDOOMBO. AMOUNT: 5,152. DESCRIPTION: CLINIC ELECTRIC EXPENSES - NDOOMBO. AMOUNT: 664. TOTAL TO FORM 990-EZ, LINE 16: 31,018. | ExplanationTxt |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |
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