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BROADLEAF HEALTH AND EDUCATION ALLIANCE: Form 990EZ, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
BROADLEAF HEALTH AND EDUCATION ALLIANCE (EIN 45-2992173)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-08-15
IRS object ID
201442309349200804
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)
Return2014-08-15T10:07:00-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN841046243PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HANSON & CO CPASBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14100 E MISSISSIPPI AVE 17TH FLAddressLine1
CityDENVERCity
StateCOState
ZIP Code80246ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN452992173EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BROADLEAF HEALTH AND EDUCATION ALLIANCEBusinessNameLine1
Business Name Line2C/O RALPH A MATERGIABusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlBROABusinessNameControlTxt
Phone5704605150PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1919 MAIN STREETAddressLine1
CitySTROUDSBURGCity
StatePAState
ZIP Code18360ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATT MATERGIAPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5704605150PhoneNum
Signature2014-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRI RUPERT CPAPreparerPersonNm
PTINP00320807PTIN
Phone3033881010PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressWWW.BROADLEAF.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$64,990GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$64,990ContributionsGiftsGrantsEtcAmt
Special Events Direct Expenses$4,082SpecialEventsDirectExpensesAmt
Special Events Net Income Loss-$4,082SpecialEventsNetIncomeLossAmt
Total Revenue$60,908TotalRevenueAmt
Grants And Similar Amounts Paid$17,582GrantsAndSimilarAmountsPaidAmt
Other Expenses Total$191OtherExpensesTotalAmt
Total Expenses$17,773TotalExpensesAmt
Excess Or Deficit For Year$43,135ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$19,389NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$62,524NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$19,389BOYAmt
EOY$60,624EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,900EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,389BOYAmt
EOY$62,524EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$19,389BOYAmt
EOY$62,524EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO IMPROVE THE HEALTH AND EDUCATION OF YOUNG CHILDEREN IN RURAL UNDERSERVED COMMUNITIES IN DEVELOPING COUNTRIES THROUGH THE IMPLEMENTATION OF COMPREHENSIVE SCHOOL BASED HEALTH AND HYGIENE IMPROVEMENT PROGRAMS.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
CONTRIBUTIONS WERE MADE TO MERCY CORP. MERCY CORP-INDIA IS A PARTNER IN PILOTING THE BROADLEAF HEALTH AND EDUCATION ALLIANCE COMPREHENSIVE HEALTH AND HYGIENE IMPROVEMENT PROGRAM(CHHIP)IN 7 PARTNER SCHOOLS LOCATED IN DARJEELING, WEST BENGAL, INDIA.$17,582$0
THE COMPREHENSIVE HEALTH AND HYGIENE IMPROVEMENT PROGRAM (CHHIP)IMPLEMENTED A HEALTH CURRICULUM, REVISED TO MATCH THE LOCAL CONTEXT AND NEPALI DIALECT IN DARJEELING, WEST BENGAL, INDIA, IN 7 PARTNER SCHOOLS FOR 376 STUDENTS WHO RECEIVED BASIC HEALTH SERVICES AND SCREENING. THE CURRICULUM IMPLEMENTATION RESULTED IN INCREASING HEALTH KNOWLEDGE SCORES BY AN AVERAGE OF 17% HIGHER THAN CONTROL GROUP SCHOOLS.$0$0
HEALTH INTERVENTIONS AND SCREENINGS IN ALL PARTNER SCHOOLS RESULTED IN 147 STUDENT REFERRALS TO SPECIALIZED CARE OR EARLY INTERVENTION SERVICES AND 97.3% OF CHILDREN SUCCESSFULLY COMPLETED THE REFERRALS. TWO INFRASTRUCTURE PROJECTS WERE COMPLETED PROVIDING ACCESS FOR 67 STUDENTS.$0$0

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (8 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MICHAEL MARTERGIA
CHAIRPERSON0.00$0$0$0
DENNA MARTERGIA
VICE CHAIRPERSON0.00$0$0$0
ERIC MAXWELL
EXECUTIVE DIRECTOR0.00$0$0$0
JESSICA MAUSNER
MEMBER0.00$0$0$0
BEHZAD LARRY
MEMBER0.00$0$0$0
JC KOLLMORGEN
MEMBER0.00$0$0$0
MATT MATERGIA
TREASURER0.00$0$0$0
ROBERTO GONZALEZ
MEMBER0.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MATT MATERGIABusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11550 PLATTE STREET A321AddressLine1
CityDENVERCity
StateCOState
ZIP Code80202ZIPCode
FieldValueIRS element (for citing)
Phone5704605150PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,500CurrentTaxYearMinus1YearAmt
Current Tax Year$64,990CurrentTaxYearAmt
Total$82,990TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,500CurrentTaxYearMinus1YearAmt
Current Tax Year$64,990CurrentTaxYearAmt
Total$82,990TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$82,990PublicSupportTotal170Amt
Total Support$82,990TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1FUNDRAISING GALANameOfEvent1Amt
Gross Receipts Event1$24,504GrossReceiptsEvent1Amt
Charitable Contri Event1$24,504CharitableContriEvent1Amt
Food And Beverage Event1$1,200FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$1,240OtherDirectExpensesEvent1Amt
Name Of Event2BIKE RIDENameOfEvent2Amt
Gross Receipts Event2$9,733GrossReceiptsEvent2Amt
Charitable Contri Event2$9,733CharitableContriEvent2Amt
Other Direct Expenses Event2$1,642OtherDirectExpensesEvent2Amt
Gross Receipts Total$34,237GrossReceiptsTotalAmt
Charitable Contributions Tot$34,237CharitableContributionsTotAmt
Food And Beverage Total Events$1,200FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$2,882OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$4,082DirectExpenseSummaryEventsAmt
Net Income Summary-$4,082NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTIONS. GRANTEE NAME: MERCY CORPS. GRANTEE ADDRESS: 45 SW ANKENY ST PORTLAND , OR 97204. DATE OF GIFT: 03/04/13. AMOUNT GIVEN: 8,791.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTIONS. GRANTEE NAME: MERCY CORPS. GRANTEE ADDRESS: 45 SW ANKENY ST PORTLAND, OR 97204. DATE OF GIFT: 07/22/13. AMOUNT GIVEN: 8,791. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 17,582.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: BANK SERVICE CHARGES. AMOUNT: 15. DESCRIPTION: COMPTUER EXPENSE. AMOUNT: 12. DESCRIPTION: MARKETING . AMOUNT: 36. DESCRIPTION: MERCHANT FEES. AMOUNT: 128. TOTAL TO FORM 990-EZ, LINE 16: 191.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,900.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE 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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