DAYSPRING PREGNANCY CARE CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DAYSPRING PREGNANCY CARE CENTER (EIN 22-2811483)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-12
IRS object ID
201301939349300535
Schema version
2012v2.0
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)
Timestamp2013-07-12T10:19:46-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222811483EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DAYSPRING PREGNANCY CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDAYSNameControl
Phone6032986123Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 MAIN STREETAddressLine1
CityWEST LEBANONCity
StateNHState
ZIP Code03784ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANNE M BURGEName
TitleEXECUTIVE DIRECTORTitle
Phone6032986123Phone
Date Signed2012-07-12DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANNE M BURGENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 MAIN STAddressLine1
CityW LEBANONCity
StateNHState
ZIP Code03784ZIPCode
FieldValueIRS element (for citing)
Gross Receipts440317GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitehttp://www.pregnancycenteruppervalley.com/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionThe Pregnancy Center of the Upper Valley is an information and education center for young adults facing unexpected pregnancy and/or other consequences of premature sexual activity.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees11TotalNbrEmployees
Total Nbr Volunteers60TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year382311ContributionsGrantsPriorYear
Contributions Grants Current Year397897ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2InvestmentIncomePriorYear
Investment Income Current Year-6548InvestmentIncomeCurrentYear
Other Revenue Prior Year68OtherRevenuePriorYear
Other Revenue Current Year173OtherRevenueCurrentYear
Total Revenue Prior Year382381TotalRevenuePriorYear
Total Revenue Current Year391522TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year256844SalariesEtcPriorYear
Salaries Etc Current Year253135SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year40542TotalFundrsngExpCurrentYear
Other Expense Prior Year131272OtherExpensePriorYear
Other Expenses Current Year117204OtherExpensesCurrentYear
Total Expenses Prior Year388116TotalExpensesPriorYear
Total Expenses Current Year370339TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5735RevenuesLessExpensesPriorYear
Revenues Less Expenses CY21183RevenuesLessExpensesCY
Total Assets BOY34347TotalAssetsBOY
Total Assets EOY51139TotalAssetsEOY
Total Liabilities BOY5601TotalLiabilitiesBOY
Total Liabilities EOY1210TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY28746NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY49929NetAssetsOrFundBalancesEOY
Mission DescriptionThe Pregnancy Center of the Upper Valley is an information andMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense269494Expense
DescriptionFREE PREGNANCY TESTS AND LIMITED OBSTETRICAL ULTRASOUNDS. CLOTHING AND OTHER FREE SUPPORT SERVICES FOR PREGNANT WOMEN.Description
Total Program Service Expense269494TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees11NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonANNE BURGE EXEC DIRECTORNamePerson
Telephone Number6032986123TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 MAIN STREETAddressLine1
CityWEST LEBANONCity
StateNHState
ZIP Code03784ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ROBERT BROCHU
TRUSTEE1.00X000
PETER GOODRICH
CHAIR/TREASURER3.00X000
ANNE BURGE
EXEC DIR40.00X5021600X
LYNN WENGER
TRUSTEE1.00X000
KATHARINE MCCRILLIS
TRUSTEE1.00X000
CRAIG MORTON
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org50216TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events12235FundraisingEvents
All Other Contributions385662AllOtherContributions
Total Contributions397897TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1TotalRevenueColumn
Exclusion$1ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities22039Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities22063Securities
Other6525Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-24Securities
Other-6525Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6549TotalRevenueColumn
Exclusion-$6,549ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events20380GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events12235CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses20207FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column173TotalRevenueColumn
Exclusion$173ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column391522TotalRevenueColumn
Exclusion-$6,375ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total50216Total
Program Services10043ProgramServices
Management And General25108ManagementAndGeneral
Fundraising15065Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total184930Total
Program Services166769ProgramServices
Management And General7478ManagementAndGeneral
Fundraising10683Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total17989Total
Program Services13526ProgramServices
Management And General2493ManagementAndGeneral
Fundraising1970Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total7808Total
Program Services6446ProgramServices
Management And General1362ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10717Total
Program Services6706ProgramServices
Management And General1208ManagementAndGeneral
Fundraising2803Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3337Total
Program Services1135ProgramServices
Management And General1101ManagementAndGeneral
Fundraising1101Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total64398Total
Program Services45079ProgramServices
Management And General12880ManagementAndGeneral
Fundraising6439Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total4512Total
Program Services2111ProgramServices
Management And General2401ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1021Total
Program Services809ProgramServices
Management And General212ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5526Total
Program Services3868ProgramServices
Management And General1105ManagementAndGeneral
Fundraising553Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total8128Total
Program Services5351ProgramServices
Management And General2607ManagementAndGeneral
Fundraising170Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
REPAIRS/MAINTENANCE2136213600
CLIENT RESOURCES3513351300
DUES7801905900
TELEPHONE5328181217581758

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total370339Total
Program Services269494ProgramServices
Management And General60303ManagementAndGeneral
Fundraising40542Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14229BOY
EOY14059EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis122832LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec86996LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18874BOY
EOY35836EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1244BOY
EOY1244EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34347BOY
EOY51139EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5601BOY
EOY1210EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5601BOY
EOY1210EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY28746BOY
EOY49929EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28746BOY
EOY49929EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34347BOY
EOY51139EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses21183ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years350461CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years357292CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years374421CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year382311CurrentTaxYearMinus1Year
Current Tax Year397897CurrentTaxYear
Total1862382Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years350461CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years357292CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years374421CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year382311CurrentTaxYearMinus1Year
Current Tax Year397897CurrentTaxYear
Total1862382Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total272308AmountsSubstContributorsTotal
Public Support Total1701590074PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years350CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2CurrentTaxYearMinus1Year
Current Tax Year1CurrentTaxYear
Total375Total
FieldValueIRS element (for citing)
Total Support1862757TotalSupport
Public Support Pertcentage1700.85360PublicSupportPertcentage170
Public Support Pertcent Prior Year0.81650PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis18831OtherCostOrOtherBasis
Depreciation12162Depreciation
Book Value6669BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis104001OtherCostOrOtherBasis
Depreciation74834Depreciation
Book Value29167BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings35836TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionFederal & VT withholding payableDescription
Amount$1,210Amount
FieldValueIRS element (for citing)
Total Of Amounts1210TotalOfAmounts

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event110754GrossReceiptsEvent1
Charitable Contributions Event16554CharitableContributionsEvent1
Gross Revenue Event14200GrossRevenueEvent1
Rent Facility Costs Event14034RentFacilityCostsEvent1
Name Of Event2SHOWNameOfEvent2
Gross Receipts Event221861GrossReceiptsEvent2
Charitable Contributions Event25681CharitableContributionsEvent2
Gross Revenue Event216180GrossRevenueEvent2
Rent Facility Costs Event21319RentFacilityCostsEvent2
Entertainment Event214173EntertainmentEvent2
Other Direct Expenses Event2681OtherDirectExpensesEvent2
Gross Receipts Total32615GrossReceiptsTotal
Charitable Contributions Total12235CharitableContributionsTotal
Gross Revenue Total Events20380GrossRevenueTotalEvents
Rent Facility Costs Total Events5353RentFacilityCostsTotalEvents
Entertainment Total Events14173EntertainmentTotalEvents
Other Direct Expenses Total Events681OtherDirectExpensesTotalEvents
Direct Expense Summary Events20207DirectExpenseSummaryEvents
Net Income Summary173NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 12cThe conflict of interest policy is reviewed at a
Board meeting at the beginning of each calendar year.
Pt VI, Line 15aAll members of the board of directors are independent
of one another and the executive director (ED). The
board assembled and reviewed infomation about com-
pensation for positions comparable to the ED before
setting the ED's compensation. The ED is not a
voting member of the board and did not participate in
this review or the determination of her compensation.
The deliberation and decision of the board were
recorded contemporaneously in the minutes.
Pt VI, Line 19The organization makes its governing documents
and conflict of interest policy available to the
public upon request.
Pt VI, Line 11bEach board member was provided with a copy of this
Form 990 and asked to review it. The board provided
for discussion of this Form 990 at a regularly
scheduled board meeting.
Form 990EZ, Part I, Line 16ADVERTISING CLIENT RESOURCES COMPUTER EXPENSES DUES SMALL EQUIPMENT OTHER FUNDRAISING EXPENSES INSURANCE MILEAGE/TRAVEL OFFICE SUPPLIES PUBLIC RELATIONS TRAINING
Form 990EZ, Part II, Line 24FURNITURE & EQUIPMENT LEASEHOLD IMRROVEMENTS ACCUMULATED DEPRECIATION SECURITY DEPOSIT
Form 990EZ, Part II, Line 26PAYROLL TAXES PAYABLE VT WITHHOLDING PAYABLE

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.