INTERMED INTERNATIONAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- INTERMED INTERNATIONAL INC (EIN 94-1518657)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-07
- IRS object ID
- 201311279349300706
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-07T08:20:12-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 112965470 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESTI & NAEGELE | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 WEST 35TH STREET 16TH FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941518657 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTERMED INTERNATIONAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | INTE | NameControl |
| Phone | 2123274940 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125-28 QUEENS BLVD NO 538 | AddressLine1 |
| City | KEW GARDENS | City |
| State | NY | State |
| ZIP Code | 11415 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | VERNE E CHANEY MD | Name |
| Title | PRESIDENT | Title |
| Phone | 2123274940 | Phone |
| Date Signed | 2013-05-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANNEMARIE AGUANNO CPA | Name |
| PTIN | P00734346 | PTIN |
| Phone | 2127360055 | Phone |
| Date Prepared | 2013-04-25 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | VERNE E CHANEY MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125-28 QUEENS BLVD SUITE 538 | AddressLine1 |
| City | KEW GARDENS | City |
| State | NY | State |
| ZIP Code | 11415 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 255094 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | DOOLEYINTERMED.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1961 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | FOLLOWING THE DEATH OF THE LEGENDARY DR. TOM DOOLEY IN 1961, A FOUNDATION WAS ESTABLISHED IN THAT YEAR BY HIS COLLEAGUES IN HIS NAME TO CONTINUE HIS WORLD WIDE HUMANITARIAN MEDICAL PROGRAMS. THE FOUNDATION'S CHARTER ESTABLISHED IT AS A NON GOVERNMENT, NON PROFIT, NON SECTARIAN AGENCY PROVIDING MEDICAL AID TO UNDERDEVELOPED AND UNDERSERVED AREAS OF THE WORLD. ITS PROGRAM OBJECTIVES FOCUS ON IN-COUNTRY TRAINING OF THE INDIGENOUS HEALTH WORKERS, TO BETTER THE EDUCATION OF PATIENTS AND THE LOCAL POPULATION, IN GENERAL, IN THE PRINCIPLES AND PRACTICES OF PREVENTIVE MEDICINE AND PUBLIC HEALTH. THE NAME OF THE DOOLEY FOUNDATION WAS CHANGED IN 2002 TO INTERMED INTERNATIONAL, INC. THE CHARTERS OF BOTH ORGANIZATIONS ARE IDENTICAL IN STRUCTURE, OPERATION AND PURPOSE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 441569 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 181235 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 926 | InvestmentIncomePriorYear |
| Investment Income Current Year | 15345 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 442495 | TotalRevenuePriorYear |
| Total Revenue Current Year | 196580 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 119425 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 135264 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 11538 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 99787 | OtherExpensePriorYear |
| Other Expenses Current Year | 83660 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 219212 | TotalExpensesPriorYear |
| Total Expenses Current Year | 218924 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 223283 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -22344 | RevenuesLessExpensesCY |
| Total Assets BOY | 490327 | TotalAssetsBOY |
| Total Assets EOY | 471188 | TotalAssetsEOY |
| Total Liabilities BOY | 4096 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 98 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 486231 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 471090 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION'S MISSION IS TO PROVIDE MEDICAL ASSISTANCE TO REFUGEES, CHILDREN, AND VILLAGERS IN THE LESS PRIVILEDGED PARTS OF THE WORLD WITH EMPHASIS ON SELF-HELP PROJECTS IN THE AREAS OF PREVENTIVE MEDICINE, PUBLIC HEALTH, FAMILY PLANNING AND HEALTH WORKER TRAINING. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 31720 | Expense |
| Description | NEPAL FUND, ESTABLISHED IN 1963, THE ORGANIZATION INITIATED A MEDICAL ASSISTANCE PROGRAM IN NEPAL WHICH FOCUSED ON MEDICAL CARE, HEALTH WORKER TRAINING, MEDICAL SURVEYS AND MATERIAL SUPPORT TO HOSPITALS AND RURAL CLINICS. SINCE 2007, INTERMED HAS FOCUSED ON AN ORPHANAGE HOUSING APPROXIMATELY 50 CHILDREN, LOCATED IN NORTHERN NEPAL NEAR KATHMANDU, THE NEW YOUTH CHILDREN DEVELOPMENT SOCIETY. THROUGH AN ADVISOR/CONTACT AT THE NYCDS, INTERMED IS HELPING TO PROVIDE ORPHANED CHILDREN WITH ESSENTIAL NEEDS OF EVERYDAY LIVING THRU QUARTERLY FINANCIAL SUPPORT. THE MOST RECENT PROGRAM IN NEPAL IS THE GIFT OF SIGHT PROGRAM BENEFITING TIBETAN REFUGEES AND VILLAGERS IN RURAL AREAS FOCUSING ON CATARACT EYE SURGERY AND GENERAL MEDICAL CARE, ALONG WITH DONATIONS OF OPHTHALMIC MEDICAL EQUIPMENT AND DENTAL UNITS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13579 | Expense |
| Description | THAILAND, INTERMED SUPPORTS AN INCOME-GENERATING PROGRAM FOR VILLAGE WOMEN WHO ARE TRAINED IN THE WEAVING AND SEWING OF HANDICRAFTS. THE MARKETING IS CARRIED OUT BY AN EXCEPTIONAL LAO-THAI WOMAN WHO HAS BEEN HELPING REFUGEES AND VILLAGERS IN SELF-HELP PROJECTS FOR 30 YEARS. THE HANDICRAFTS ARE MARKETED IN THAILAND AND TRADE FAIRS IN JAPAN PROVIDING FAMILY INCOME TO IMPROVE THEIR LIVING CONDITIONS, NUTRITION AND HEALTH. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 31383 | Expense |
| Description | PUBLIC INFORMATION AND EDUCATIONTO DISSEMINATE INFORMATION TO THE GENERAL PUBLIC AND BUSINESS COMMUNITY IN THE U. S. ON THE URGENT NEED OF THE THIRD WORLD FOR HEALTH, EDUCATION AND SOCIAL DEVELOPMENT. | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | DescriptionDescription |
|---|---|
| 40291 | NICARAGUA FUND, ESTABLISHED IN 1999 TO PROVIDE MEDICAL EQUIPMENT AND FULL-TIME PHYSICIAN AND NURSE TO A CLINIC IN WASPAM, WHICH IS LOCATED ON THE COCO RIVER. IT IS A COMMUNITY-BASED MATERNAL-CHILD HEALTH PROGRAM BENEFITING MOSTLY WOMEN AND CHILDREN OF THE MISKITO AND MAYAGNA PEOPLE. |
| 67737 | VARIOUS OTHER PROGRAMS TO CARRY OUT MISSION. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 108028 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 184710 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 2 | NumberOfEmployees |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DR VERNE CHANEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2123274940 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125-28 QUEENS BLVD SUITE 538 | AddressLine1 |
| City | KEW GARDENS | City |
| State | NY | State |
| ZIP Code | 11415 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| VERNE CHANEY MD | |||||
| PRESIDENT AND FOUNDER | 40.00 | X | 0 | 0 | 0 |
| GEOFFREY A SMITH | |||||
| VICE PRESIDENT | 2.00 | X | 0 | 0 | 0 |
| ROSEMARIE HAMMOND | |||||
| CORPORATE SECRETARY | 40.00 | X | 55000 | 0 | 0 |
| MARIA COMPTE MD | |||||
| DIRECTOR OF FOUNDATION DEV | 10.00 | X | 0 | 0 | 0 |
| JAMES A KONSTANTY | |||||
| TREASURER | 2.00 | X | 0 | 0 | 0 |
| DILCEIA BOGUNOVIC | |||||
| CONTROLLER AND FINANCIAL D | 40.00 | X | 70000 | 0 | 0 |
| BARBARA HENRY | |||||
| BOARD OF DIRECTORS | 2.00 | X | 0 | 0 | 0 |
| ROBERT ERICKSON | |||||
| VICE PRESIDENT OF PUBLIC A | 2.00 | X | 0 | 0 | 0 |
| SCOTT HAMILTON | |||||
| VP DIRECTOR OF ASIAN PROGR | 10.00 | X | 0 | 0 | 0 |
| ROBERT RITCH MD | |||||
| BOARD OF DIRECTORS | 2.00 | X | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 125000 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 181235 | AllOtherContributions |
| Total Contributions | 181235 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13896 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13896 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 59963 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 58514 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1449 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1449 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1449 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 196580 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15345 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125220 | Total |
| Program Services | 118227 | ProgramServices |
| Management And General | 3435 | ManagementAndGeneral |
| Fundraising | 3558 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10044 | Total |
| Program Services | 8808 | ProgramServices |
| Management And General | 965 | ManagementAndGeneral |
| Fundraising | 271 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10000 | Total |
| Management And General | 10000 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3036 | Total |
| Management And General | 3036 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 749 | Total |
| Management And General | 749 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2619 | Total |
| Management And General | 2619 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| SUPPLIES | 17575 | 15700 | 1079 | 796 |
| PHARAMACEUTICALS | 16000 | 16000 | ||
| DUES AND SUBSCRIPTIONS | 10978 | 6180 | 295 | 4503 |
| SPECIAL PROJECTS | 9000 | 9000 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13703 | Total |
| Program Services | 10795 | ProgramServices |
| Management And General | 498 | ManagementAndGeneral |
| Fundraising | 2410 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218924 | Total |
| Program Services | 184710 | ProgramServices |
| Management And General | 22676 | ManagementAndGeneral |
| Fundraising | 11538 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 227972 | BOY |
| EOY | 155221 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 215987 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200 | BOY |
| EOY | 200 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5247 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2208 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3788 | BOY |
| EOY | 3039 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42380 | BOY |
| EOY | 312728 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 490327 | BOY |
| EOY | 471188 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4096 | BOY |
| EOY | 98 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4096 | BOY |
| EOY | 98 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 486231 | BOY |
| EOY | 471090 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 486231 | BOY |
| EOY | 471090 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 490327 | BOY |
| EOY | 471188 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -22344 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 7203 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 Minus4 Years | 135958 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 324866 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 215274 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 441569 | CurrentTaxYearMinus1Year |
| Current Tax Year | 182684 | CurrentTaxYear |
| Total | 1300351 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 135958 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 324866 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 215274 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 441569 | CurrentTaxYearMinus1Year |
| Current Tax Year | 182684 | CurrentTaxYear |
| Total | 1300351 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 1300351 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 615 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1033 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 873 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 926 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15345 | CurrentTaxYear |
| Total | 18792 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 150 | CurrentTaxYearMinus4Years |
| Total | 150 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1319293 | TotalSupport |
| Public Support Pertcentage170 | 0.98560 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99700 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5247 | OtherCostOrOtherBasis |
| Depreciation | 2208 | Depreciation |
| Book Value | 3039 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3039 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENT IN STOCK | Description |
| Book Value | 312728 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 312728 | TotalOfBookValueSecurities |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE ORGANIZATION'S FORM 990 FOR THE YEARS ENDING 2008, 2009, 2010, AND 2011 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE GENERALLY THREE YEARS AFTER THEY ARE FILED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | BEFORE FILING FORM 990, THE ORGANIZATION REVIEWS FORM 990 WITH DR. VERNE CHANEY, MD, WHO IS THE PRESIDENT AND FOUNDER OF THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION IS REVIEWED BY DR. VERNE CHANEY, MD, WHO IS THE PRESIDENT AND FOUNDER OF THE ORGANIZATION. AT TIMES, IN ORDER TO SUPPORT THE MISSION IN SEVERE ECONOMIC TIMES, COMPENSATION HAS BEEN WAIVED. COMPENSATION IS EVALUATED ANNUALLY. | |
| FORM 990, PART VI, SECTION C, LINE 18 | UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION AVAILABLE TO THE PUBLIC. THE ORGANIZATION DOES NOT HAVE A CONFLICT OF INTEREST POLICY. | |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION AVAILABLE TO THE PUBLIC. THE ORGANIZATION DOES NOT HAVE A CONFLICT OF INTEREST POLICY. | |
| FORM 990, PART VII | VERNE CHANEY, M.D. - 125-28 QUEENS BLVD, STE. 538, KEW GARDENS, NY 11415. GEOFFREY A. SMITH - PO BOX 129 HEMLOCK ROAD, ONEONTA, NY 13820. ROSEMARIE HAMMOND - 125-28 QUEENS BLVD, STE. 538, KEW GARDENS, NY 11415. MARIA COMPTE, M.D. - 110-20 71ST AVENUE, APT #326, FOREST HILLS, NY 11375. JAMES A. KONSTANTY - 252 MAIN STREET, ONEONTA, NY 13820. DILCEIA BOGUNOVIC - 125-28 QUEENS BLVD, SUITE 538, KEW GARDENS, NY 11415. BARBARA HENRY - 149-30 88TH STREET, HOWARD BEACH, NY 11414. ROBERT ERICKSON - 2 NEWMARCH STREET, IPSWICH, MA 01938. SCOTT HAMILTON - 125-28 QUEENS BLVD, SUITE 538, KEW GARDENS, NY 11415. ROBERT RITCH, MD - 310 EAST 14TH STREET, NEW YORK, NY 10003. | CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC |
| THE ORGANIZATION REVIEWS FINANCIAL INFORMATION WITH DR. VERNE CHANEY, MD, PRESIDENT AND FOUNDER ALONG WITH THE OTHER MEMBERS OF THE GOVERNING BODY. |
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