FREEDOM FROM FISTULA FOUNDATION US INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FREEDOM FROM FISTULA FOUNDATION US INC (EIN 45-3541106)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-15
- IRS object ID
- 201302889349201060
- Schema version
- 2012v2.2
- 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) |
|---|---|---|
| Timestamp | 2013-10-15T09:08:51-00:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM F QUINN CPA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 565 ROUTE 25A LL-3 | AddressLine1 |
| City | MILLER PLACE | City |
| State | NY | State |
| ZIP Code | 11764 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453541106 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREEDOM FROM FISTULA FOUNDATION (US) INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FREE | NameControl |
| Phone | 6465902707 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 UN PLAZA 6TH FLOOR Room L-10 | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10017 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTINA KIRSHBAUM | Name |
| Title | V P Treasurer | Title |
| Phone | 6465902707 | Phone |
| Date Signed | 2013-10-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM F QUINN | Name |
| Phone | 6318218037 | Phone |
| Date Prepared | 2013-10-15 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Web Site | freedomfromfistula.com | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 100000 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 100000 | ContributionsGiftsGrantsEtc |
| Total Revenue | 100000 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 21009 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 15031 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 14035 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 854 | PrintingPublicationsPostage |
| Other Expenses Total | 3985 | OtherExpensesTotal |
| Total Expenses | 54914 | TotalExpenses |
| Excess Or Deficit For Year | 45086 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances EOY | 45086 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 50672 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 1367 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 52039 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 6953 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 45086 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | WOMENS CHILDBIRTH HEALTH SERVICES | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | THE CHARITY IS DEDICATED TO HELPING WOMEN WHO ARE INJURED AND LEFT INCONTINENT FOLLOWING PROLONGED OBSTRUCTED CHILDBIRTH BY PROVIDING FREE SURGICAL REPAIRS AS WELL AS PREVENTIVE MATERNITY CARE. | DescriptionProgramServiceAccom |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (3 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| ANN GLOAG | ||
| PRES/DIRECTOR | 002.00 | 0 |
| JOHN PAUL KETSLS | ||
| VP/DIRECTOR | 004.00 | 0 |
| CHRISTINA KIRSHBAUM | ||
| VP/TREAS/DIRECTOR | 008.00 | 4000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KATHRYN GIRGENTI | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 UNITED NATIONS PLAZA 6TH FL | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6465902707 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 100000 | CurrentTaxYear |
| Total | 100000 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 100000 | CurrentTaxYear |
| Total | 100000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 100000 | PublicSupportTotal170 |
| Total Support | 100000 | TotalSupport |
| First5 Years170 | X | First5Years170 |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| ExplanationExplanation |
|---|
| Form 990-EZ, Part I, Line 16, Other Expenses ADVERTISING 150 |
| Form 990-EZ, Part I, Line 16, Other Expenses BANK AND CREDIT CARD FEES 15 |
| Form 990-EZ, Part I, Line 16, Other Expenses BOOKS, SUBSCRIPTIONS AND REFERENCE MATERIALS 50 |
| Form 990-EZ, Part I, Line 16, Other Expenses OFFICE EXPENSE 324 |
| Form 990-EZ, Part I, Line 16, Other Expenses INSURANCE 1,159 |
| Form 990-EZ, Part II, Line 24, Other Assets OFFICE FURN, EQUIPMENT AND COMPUTERS NET DEPRECIATION Beginning of year 0, End of year 1,367 |
| Form 990-EZ, Part II, Line 26, Liabilities ACCRUED FEDERAL PAYROLL TAXES Beginning of year 0, End of year 5,120 |
| Form 990-EZ, Part II, Line 26, Liabilities ACCRUED NYS PAYROLL TAXES Beginning of year 0, End of year 1,833 |
| Form 990-EZ Section SCH B PART 1 Line ITEM 1 ANN GLOAG THE FOUNDER, PRESIDENT AND DIRECTOR CONTRIBUTED 100,000 AS SEED CAPITAL TO GET THE FOUNDATION UP AND RUNNING AND INTENDS TO GO FORWARD TO CONTINUE TO FINANCIALLY SUPPORT THE CHARITYS GENERAL AND ADMINISTRATIVE COSTS SO THAT EVERY DOLLAR RAISED FROM OTHER DONORS GOES FULLY AND DIRECTLY IN SUPPORT OF THE FOUNDATIONS CHARITABLE MISSION. |
Compensation Explanation CompensationExplanation
Compensation Compensation (3 entries)
| ExplanationExplanation |
|---|
| ANN GLOAG |
| FOUNDER DOES NOT RECEIVE ANY COMPENSATION |
| JOHN PAUL KETSLS |
| DOES NOT RECEIVE ANY FORM OF COMPENSATION |
| CHRISTINA KIRSHBAUM |
| FOUR MONTHS PAYMENT IN 2012 |
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