THE LAZARUS HOUSE A CENTER FOR WELLNESS: Form 990EZ, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE LAZARUS HOUSE A CENTER FOR WELLNESS (EIN 76-0693417)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-10
IRS object ID
201312539349200406
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)
Timestamp2013-09-10T07:00:45-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ZIENTEK & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12465 SOUTH KIRKWOODAddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77077ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN760693417EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE LAZARUS HOUSE A CENTER FOR WELLNESSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAZANameControl
Phone7135265071Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14106 AUSTIN STAddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77004ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDANIELLE SAMPEYName
TitleEXECUTIVE DIRECTORTitle
Phone7135265071Phone
Date Signed2013-08-21DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAL ZIENTEK CPA CFPName
Phone2814966152Phone
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
Web Sitewww.thelazarushouse.orgWebSite
Organization501c3XOrganization501c3
Gross Receipts155720GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc60201ContributionsGiftsGrantsEtc
Program Service Revenue43074ProgramServiceRevenue
Membership Dues0MembershipDues
Investment Income0InvestmentIncome
Cost Other Basis And Sales Expenses0CostOtherBasisAndSalesExpenses
Gain Or Loss From Sale Of Assets0GainOrLossFromSaleOfAssets
Gaming Gross Income0GamingGrossIncome
Fundraising Gross Income52445FundraisingGrossIncome
Special Events Direct Expenses7381SpecialEventsDirectExpenses
Special Events Net Income Loss45064SpecialEventsNetIncomeLoss
Cost Of Goods Sold0CostOfGoodsSold
Gro Profit Loss Sales Of Inventory0GroProfitLossSalesOfInventory
Total Revenue148339TotalRevenue
Salaries Other Comp Empl Benefits14985SalariesOtherCompEmplBenefits
Printing Publications Postage268PrintingPublicationsPostage
Other Expenses Total144806OtherExpensesTotal
Total Expenses160059TotalExpenses
Excess Or Deficit For Year-11720ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY74898NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY63178NetAssetsOrFundBalancesEOY

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY70272BOY
EOY60639EOY

Land And Buildings LandAndBuildings

FieldValueIRS element (for citing)
BOY4626BOY
EOY208065EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY74898BOY
EOY268704EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
EOY205526EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY74898BOY
EOY63178EOY
FieldValueIRS element (for citing)
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Primary Exempt PurposeCharitable nonprofit wellness.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

FieldValueIRS element (for citing)
Description Program Service AccomSEE LINE 31 - SCHEDULE ODescriptionProgramServiceAccom
Program Service Expenses138211ProgramServiceExpenses
FieldValueIRS element (for citing)
Total Program Service Expenses138211TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (10 entries)

TitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
TINO RAMIREZ
President3.000
MARC COHEN
V. Pres.3.000
SANDY STACY
Secretary3.000
BONNIE PURVIS
Treasurer3.000
LYNN SELZER
Member1.000
DAVID GOODING
Member1.000
PATRICK WOERNER
Member1.000
CARL SHEARER
Hon. Member0.000
MELISSA WILSON
Hon. Member0.000
DANIELLE SAMPEY
Ex. Dir.40.0044954
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc DocfalseMadeChangesToOrgnzngEtcDoc
Organization Had UBIfalseOrganizationHadUBI
Subject To Proxy TaxfalseSubjectToProxyTax
Organization Dissolved EtcfalseOrganizationDissolvedEtc
Did Org File Form1120 POL This YearfalseDidOrgFileForm1120POLThisYear
Made Loans To From OfficersfalseMadeLoansToFromOfficers
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTrans
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDANIELLE SAMPEYNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14106 AUSTINAddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77004ZIPCode
FieldValueIRS element (for citing)
Telephone Number7135265071TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccount
Foreign OfficefalseForeignOffice
Maintain Any Donor Advised FundsfalseMaintainAnyDonorAdvisedFunds
Does Org Have HospitalfalseDoesOrgHaveHospital
Tanning Services ProvidedfalseTanningServicesProvided
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction With Control EntityfalseTransactionWithControlEntity
Engage Political Cmpgn ActivitiesfalseEngagePoliticalCmpgnActivities
Engage In Lobbying ActivitiesfalseEngageInLobbyingActivities
Operating SchoolfalseOperatingSchool
Trnsfrs Exempt Non Char Related OrgfalseTrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years63163CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57401CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56234CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52753CurrentTaxYearMinus1Year
Current Tax Year60201CurrentTaxYear
Total289752Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years63163CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57401CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56234CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52753CurrentTaxYearMinus1Year
Current Tax Year60201CurrentTaxYear
Total289752Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total77266AmountsSubstContributorsTotal
Public Support Total170212486PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support289752TotalSupport
Public Support Pertcentage1700.73330PublicSupportPertcentage170
Public Support Pertcent Prior Year0.49800PublicSupportPertcentPriorYear
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 G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Fiesta 2012NameOfEvent1
Gross Receipts Event110395GrossReceiptsEvent1
Gross Revenue Event110395GrossRevenueEvent1
Name Of Event2Aids Walk 2012NameOfEvent2
Gross Receipts Event216075GrossReceiptsEvent2
Gross Revenue Event216075GrossRevenueEvent2
Gross Receipts Other Events11989GrossReceiptsOtherEvents
Gross Revenue Other Events11989GrossRevenueOtherEvents
Other Direct Expenses Other Events7381OtherDirectExpensesOtherEvents
Gross Receipts Total38459GrossReceiptsTotal
Gross Revenue Total Events38459GrossRevenueTotalEvents
Other Direct Expenses Total Events7381OtherDirectExpensesTotalEvents
Direct Expense Summary Events7381DirectExpenseSummaryEvents
Net Income Summary31078NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (36 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11aReport is e-mailed to members.
Pt VI, Line 15The United Way Compensation Survey is used.
Pt III, Line 31Wellness Program:
The Lazarus House: a center for wellness provided a
low cost program of wellness for individuals suffering
from disease related muscle loss, or cachexia. The
Larzarus House provided an exercise program that utilized
progressive resistance training to address and attenuate
disease related muscle loss, cardiopulmonary training
to increase endurance and address dysmorphic issues
associated with some medications, and nutritional
counseling to encourage optimal muscle growth.
Clients of Lazarus House: a center for wellness
attended three times weekly for an hour per session.
Certified personal trainers provided researched and
disease specific exercise training sessions. Progress
was documented through a series of measurements taken
before initiation, at 6 weeks, and upon completion.
Measurements demonstrated that clients, on average,
gained muscle and reflected a decrease in muscular wasting.
The Lazarus House: Worked with an average of 47
clients, adolescent and adults, three times weekly in
2012. Clients presented with vary etiologies and degrees
of cachexia. Disease related muscle loss addressed at
Lazarus House involved clients who suffered from HIV/AIDS,
cancer, and spinal trauma.
Form 990EZ, Part I, Line 16DEPRECIATION 1913. PROGRAM EXPENSES 138211. PAYROLL TAXES 1971. SUPPLIES 534. FEES 1069. NEWSLETTER 85. MISCELLANEOUS - PRIOR PERIOD ADJUSTMENT 174. PAYROLL FEES 849.
Form 990EZ, Part II, Line 26N/P - CENTRAL BANK 200000. PROPERTY TAXES FOR 2012 PAID 2013 - CLOSING CREDIT 5526.
Form 990, Part IX, Line 24fEQUIPMENT MAINTENANCE CLIENT APPRECIATION CONTINUING EDUCATION PAYPAL FEE
The Lazarus House: Provided lectures for community
organizations, free of charge, offering information
about exercise and disease related wasting.
The Lazarus House purchase the facility/property
for which we operate in Fall 2012. Lazarus House also
started a capital campaign for an expansion and
improvement to the existing property.

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