ETHIOPIA HEALTH AID INC: Form 990EZ, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ETHIOPIA HEALTH AID INC (EIN 27-3488964)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-15
IRS object ID
201302279349200110
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)
Timestamp2013-08-15T07:30:19-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN251846963EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LALLY & CO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15700 CORPORATE DRIVE SUITE 800AddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15237ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN273488964EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ETHIOPIA HEALTH AID INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlETHINameControl
Phone6264976311Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13690 KAREN SUE LANE STE 400AddressLine1
CityLA CANADA FLINTRIDGECity
StateCAState
ZIP Code91011ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKATREENA SALGADOName
TitleSECRETARYTitle
Phone6264976311Phone
Date Signed2013-07-24DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRANDY REYNOLDS CPAName
PTINP00035130PTIN
Phone4123678190Phone
Date Prepared2013-07-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashXMethodOfAccountingCash
Schedule B Not RequiredXScheduleBNotRequired
Web SiteWWW.ETHIOPIAHEALTHIAD.ORGWebSite
Organization501c3XOrganization501c3
Gross Receipts30848GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc2298ContributionsGiftsGrantsEtc
Fundraising Gross Income28550FundraisingGrossIncome
Special Events Net Income Loss28550SpecialEventsNetIncomeLoss
Total Revenue30848TotalRevenue
Grants And Similar Amounts Paid13483GrantsAndSimilarAmountsPaid
Other Expenses Total12957OtherExpensesTotal
Total Expenses26440TotalExpenses
Excess Or Deficit For Year4408ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY-100NetAssetsOrFundBalancesBOY
Other Changes In Net Assets0OtherChangesInNetAssets
Net Assets Or Fund Balances EOY4308NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIXInfoInScheduleOPartII

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY4500BOY
EOY23000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY27964EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4500BOY
EOY50964EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY4600BOY
EOY46656EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY-100BOY
EOY4308EOY
FieldValueIRS element (for citing)
Primary Exempt PurposeCHARITYPrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

FieldValueIRS element (for citing)
Description Program Service AccomPROVIDE HEALTH AND EDUCATIONAL SERVICES TO RURAL COMMUNITIES IN ETHIOPIA WITH FOOD, MEDICINES, BOOKS, ETC.DescriptionProgramServiceAccom
Grants And Allocations13483GrantsAndAllocations
Includes Foreign GrantsXIncludesForeignGrants
Program Service Expenses26440ProgramServiceExpenses
FieldValueIRS element (for citing)
Total Program Service Expenses26440TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (3 entries)

TitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
GUDATA S HINIKA
PRESIDENT20.00000
NEGUSSIE SADO
TREASURER20.00000
KATREENA SALGADO
SECRETARY20.00000
FieldValueIRS element (for citing)
Info In Schedule O Part VXInfoInScheduleOPartV
Activities Not Previously Rpt0ActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc Doc0MadeChangesToOrgnzngEtcDoc
Organization Had UBI0OrganizationHadUBI
Subject To Proxy Tax0SubjectToProxyTax
Organization Dissolved Etc0OrganizationDissolvedEtc
Direct Indirect Political Expend0DirectIndirectPoliticalExpend
Made Loans To From Officers1MadeLoansToFromOfficers
Loans To From Officers46656LoansToFromOfficers
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTrans
Amount Of Tax Imposed On Org Mgr0AmountOfTaxImposedOnOrgMgr
Amount Of Tax Reimbursed By Org0AmountOfTaxReimbursedByOrg
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1NEGUSSIE SADOBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13690 KAREN SUE LANEAddressLine1
CityLA CANADA FLINTRIDGECity
StateCAState
ZIP Code91011ZIPCode
FieldValueIRS element (for citing)
Telephone Number2137004774TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccount
Foreign Office0ForeignOffice
Maintain Any Donor Advised Funds0MaintainAnyDonorAdvisedFunds
Does Org Have Hospital0DoesOrgHaveHospital
Tanning Services Provided0TanningServicesProvided
Related Org Controlled Entity0RelatedOrgControlledEntity
Engage Political Cmpgn Activities0EngagePoliticalCmpgnActivities
Engage In Lobbying Activities0EngageInLobbyingActivities
Operating School0OperatingSchool
Trnsfrs Exempt Non Char Related Org0TrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer
Filed Schedule A1FiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years15873CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year120600CurrentTaxYearMinus1Year
Current Tax Year30848CurrentTaxYear
Total167321Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years15873CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year120600CurrentTaxYearMinus1Year
Current Tax Year30848CurrentTaxYear
Total167321Total
FieldValueIRS element (for citing)
Public Support Total170167321PublicSupportTotal170
Total Support167321TotalSupport
First5 Years170XFirst5Years170

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MN EVENTNameOfEvent1
Gross Receipts Event128550GrossReceiptsEvent1
Gross Revenue Event128550GrossRevenueEvent1
Gross Receipts Total28550GrossReceiptsTotal
Gross Revenue Total Events28550GrossRevenueTotalEvents
Net Income Summary28550NetIncomeSummary

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonGUDATA S HINIKANamePerson
Relationship With OrganizationPRESIDENTRelationshipWithOrganization
Purpose Of LoanFUND ORGANIZATIONS EXPENSESPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$46,656OriginalPrincipalAmount
Balance Due46656BalanceDue
Default0Default
Approved By Board0ApprovedByBoard
Written Agreement0WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due46656TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GRANTS AND SIMILAR AMOUNTS PAIDFORM 990-EZ, PART I, LINE 10ACTIVITY CLASSIFICATION: . GRANTEE NAME: GODE HIGH SCHOOL. GRANTEE ADDRESS: GODE VILLAGE, ARSI NEGELE OROMIA, ETHIOPIA. DATE OF GIFT: VARIOUS. AMOUNT GIVEN: 13,483.
OTHER EXPENSESFORM 990-EZ, PART I, LINE 16DESCRIPTION: BANK FEES. AMOUNT: 1,014. DESCRIPTION: STORAGE RENTAL. AMOUNT: 3,418. DESCRIPTION: MISCELLANEOUS. AMOUNT: 1,300. DESCRIPTION: PATIENT CARE. AMOUNT: 3,957. DESCRIPTION: TRAVEL. AMOUNT: 3,268. TOTAL TO FORM 990-EZ, LINE 16: 12,957.
OTHER ASSETSFORM 990-EZ, PART II, LINE 24DESCRIPTION: CONSTRUCTION COSTS. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 27,964.
OTHER LIABILITIESFORM 990-EZ, PART II, LINE 26DESCRIPTION: LOAN PAYABLE - GUDATA S. KINIKA. BEG. OF YEAR AMOUNT: 4,600. END OF YEAR AMOUNT: 46,656.

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.Declaration

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