SAMARITAN CAREGIVERS INCORPORATED: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN CAREGIVERS INCORPORATED (EIN 35-1999781)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-08
IRS object ID
201302209349300110
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-08-08T09:12:49-04:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1T & C TAX SERVICE INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11722 E HOFFER STAddressLine1
CityKOKOMOCity
StateINState
ZIP Code46902ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351999781EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAMARITAN CAREGIVERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAMANameControl
Phone7654537611Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12705 S BERKLEY RD 3CAddressLine1
CityKokomoCity
StateINState
ZIP Code46902ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMEY HENDERSONName
TitleEXECUTIVE DIRECTORTitle
Date Signed2013-08-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD A COMOGLIOName
PTINP00365044PTIN
Phone7654521500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMEY HENDERSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12705 S BERKLEY RD 3CAddressLine1
CityKokomoCity
StateINState
ZIP Code46902ZIPCode
FieldValueIRS element (for citing)
Gross Receipts151332GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionSAMARITAN CAREGIVER VOLUNTEERS PROVIDE FREE HELP WITH NONMEDICAL EVERYDAY ACTIVITIES TO HOWARD COUNTY RESIDENTS, 50 AND OVER, STILL LIVING AT HOME, TO SUPPORT INDEPENDENCEActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers367TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year99334ContributionsGrantsPriorYear
Contributions Grants Current Year102263ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-517InvestmentIncomePriorYear
Investment Income Current Year9214InvestmentIncomeCurrentYear
Other Revenue Prior Year29751OtherRevenuePriorYear
Other Revenue Current Year27993OtherRevenueCurrentYear
Total Revenue Prior Year128568TotalRevenuePriorYear
Total Revenue Current Year139470TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year88248SalariesEtcPriorYear
Salaries Etc Current Year97771SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year26375TotalFundrsngExpCurrentYear
Other Expense Prior Year32746OtherExpensePriorYear
Other Expenses Current Year37398OtherExpensesCurrentYear
Total Expenses Prior Year120994TotalExpensesPriorYear
Total Expenses Current Year135169TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7574RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4301RevenuesLessExpensesCY
Total Assets BOY199252TotalAssetsBOY
Total Assets EOY209016TotalAssetsEOY
Total Liabilities BOY8478TotalLiabilitiesBOY
Total Liabilities EOY13941TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY190774NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY195075NetAssetsOrFundBalancesEOY
Mission DescriptionVOLUNTEER ELDERLY CAREGIVERSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense72707Expense
DescriptionA SOCIAL SEVICE ORGANIZATION COMMITTED TO IMPROVING/MAINTAIN THEDescription
Total Program Service Expense72707TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 LiabilitiesfalseReportOtherLiabilities
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionstrueNonDeductibleContributions
Non Deductible DisclosuretrueNonDeductibleDisclosure
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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 OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMEY HENDERSONNamePerson
Telephone Number7654537611TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12705 S BERKLEYAddressLine1
CityKOKOMOCity
StateINState
ZIP Code46902ZIPCode

Form990 Part VII Section A Form990PartVIISectionA

FieldValueIRS element (for citing)
Name PersonJAMEY HENDERSONamePerson
TitleEXECUTIVE DIRTitle
Average Hours Per Week40AverageHoursPerWeek
OfficerXOfficer
Reportable Comp From Organization44006ReportableCompFromOrganization
Reportable Comp From Related Orgs0ReportableCompFromRelatedOrgs
Other Compensation0OtherCompensation
FieldValueIRS element (for citing)
Total Reportable Comp From Org44006TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Related Organizations29315RelatedOrganizations
Government Grants8476GovernmentGrants
All Other Contributions64472AllOtherContributions
Total Contributions102263TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9214TotalRevenueColumn
Related Or Exempt Function Income9214RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events39855GrossIncomeFundraisingEvents
Fundraising Direct Expenses11862FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column27993TotalRevenueColumn
Exclusion$28,023ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column139470TotalRevenueColumn
Related Or Exempt Function Income9214RelatedOrExemptFunctionIncome
Exclusion$28,023ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total89728Total
Program Services45600ProgramServices
Management And General22689ManagementAndGeneral
Fundraising21439Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1614Total
Program Services820ProgramServices
Management And General408ManagementAndGeneral
Fundraising386Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6429Total
Program Services3267ProgramServices
Management And General1536ManagementAndGeneral
Fundraising1626Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3896Total
Program Services2602ProgramServices
Management And General1294ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2637Total
Program Services1340ProgramServices
Management And General667ManagementAndGeneral
Fundraising630Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1507Total
Program Services766ProgramServices
Management And General381ManagementAndGeneral
Fundraising360Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2369Total
Program Services1582ProgramServices
Management And General787ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total312Total
Program Services208ProgramServices
Management And General104ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4225Total
Program Services2822ProgramServices
Management And General1404ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2354Total
Program Services1196ProgramServices
Management And General595ManagementAndGeneral
Fundraising563Fundraising

Other Expenses OtherExpenses (4 entries)

TotalTotal
2522
3016
1853
2204

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10503Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total135169Total
Program Services72708ProgramServices
Management And General36087ManagementAndGeneral
Fundraising26375Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17567BOY
EOY15250EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY62560BOY
EOY76589EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY731BOY
EOY1083EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis145504LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec35922LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY112282BOY
EOY109582EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6112BOY
EOY6512EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY199252BOY
EOY209016EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8478BOY
EOY13941EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8478BOY
EOY13941EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY190774BOY
EOY195075EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY190774BOY
EOY195075EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY199252BOY
EOY209016EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4301ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
FS AuditedfalseFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years170109CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years107705CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years78621CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year96871CurrentTaxYearMinus1Year
Current Tax Year102263CurrentTaxYear
Total555569Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35096CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44643CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46931CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38990CurrentTaxYearMinus1Year
Current Tax Year39855CurrentTaxYear
Total205515Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years205205CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years152348CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years125552CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year135861CurrentTaxYearMinus1Year
Current Tax Year142118CurrentTaxYear
Total761084Total
FieldValueIRS element (for citing)
Public Support Total509761084PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-10715CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11058CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4957CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1946CurrentTaxYearMinus1Year
Current Tax Year9214CurrentTaxYear
Total16460Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-10715CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11058CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4957CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1946CurrentTaxYearMinus1Year
Current Tax Year9214CurrentTaxYear
Total16460Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years194490CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years163406CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years130509CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year137807CurrentTaxYearMinus1Year
Current Tax Year151332CurrentTaxYear
Total777544Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97880PublicSupportPercentage509
Prior Year Support Percentage0.98760PriorYearSupportPercentage
Investment Income Percentage0.02120InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01060PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControltrueDisclosedOrgsLegalControl
Disclosed For Charitable PurposestrueDisclosedForCharitablePurposes
Written Policy MonitoringtrueWrittenPolicyMonitoring
Included On FSfalseIncludedOnFS

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis119770InvestmentCostOrOtherBasis
Depreciation12914Depreciation
Book Value106856BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis25734InvestmentCostOrOtherBasis
Depreciation23008Depreciation
Book Value2726BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings109582TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

ExplanationExplanation
THE TAX RETURN IS REVIEWED BY THE GOVERNING BOARD IN COMPLIANCE WITH
THE APPLICABLE BYLAWS IN WHICH THE FINANCIALS ARE RECONCILED WITH THE
TAX RETURN.
CONFLICT OF INTEREST DISCLOSURES ARE MADE BY EACH BOARD MEMBER/OFFICER
EACH YEAR UPON REVIEW OF THE TAX RETURN AND FINANCIALS.

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