CHILDRENS EMERGENCY MEDICAL FUND OF NEW JERSEY INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS EMERGENCY MEDICAL FUND OF NEW JERSEY INC (EIN 22-3618673)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-14
- IRS object ID
- 201312879349200536
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-14T15:57:40-07:00 | 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 | Hochberg Addeo & Polacco LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Industrial Way West Bldg E | AddressLine1 |
| City | Eatontown | City |
| State | NJ | State |
| ZIP Code | 07724 | 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 | 223618673 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDRENS EMERGENCY MEDICAL FUND OF | BusinessNameLine1 |
| Business Name Line2 | NEW JERSEY INC CO FRANCINE REIBMAN | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 9737636525 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1162 | AddressLine1 |
| City | MAPLEWOOD | City |
| State | NJ | State |
| ZIP Code | 07040 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | FRANCINE REIBMAN | Name |
| Title | VP | Title |
| Date Signed | 2013-10-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Matthew Polacco CPA | Name |
| PTIN | P00234958 | PTIN |
| Phone | 7325421999 | Phone |
| 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 Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts Less Than25000 | X | GrossReceiptsLessThan25000 |
| Gross Receipts | 4089 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 4089 | ContributionsGiftsGrantsEtc |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Fundraising Gross Income | 0 | FundraisingGrossIncome |
| Special Events Direct Expenses | 0 | SpecialEventsDirectExpenses |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Total Revenue | 4089 | TotalRevenue |
| Other Expenses Total | 3019 | OtherExpensesTotal |
| Total Expenses | 3019 | TotalExpenses |
| Excess Or Deficit For Year | 1070 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 30825 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 31895 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30296 | BOY |
| EOY | 31866 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 529 | BOY |
| EOY | 29 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30825 | BOY |
| EOY | 31895 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30825 | BOY |
| EOY | 31895 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | THE FUND HAS BEEN ESTABLISHED TO PROVIDE EDUCATION, TREATMENT AND ACT AS AN ADVOCATE ON BEHALF OF THOSE NEEDING ASSISTANCE.CASH AMOUNT GIVEN: 1,730NON-CASH MEDICAL SUPPLIES 1,209TOTAL 2,939 | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | TO ESTABLISH AN EMERGENCY MEDICAL FUND FOR FAMILIES IN NEED WHOSE COVERAGE FALLS SHORT OF MEETING ALL MEDICAL EXPENSES INCURRED DURING THE TREATMENT OF AN ILL CHILD. | DescriptionProgramServiceAccom |
| Grants And Allocations | 2939 | GrantsAndAllocations |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 2939 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (4 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| DORA GROSSMAN | ||
| Secretary | 0 | 0 |
| FRANCINE REIBMAN | ||
| VP | 0 | 0 |
| LEONARD GROSSMAN | ||
| Pres. | 0 | 0 |
| BARRY PRYSTOWSKY | ||
| VP | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Filed990 T | false | OrganizationFiled990T |
| 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 |
| Initiation Fees And Capital Contri | 0 | InitiationFeesAndCapitalContri |
| Gross Receipts For Public Use | 0 | GrossReceiptsForPublicUse |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | FRANCINE REIBMAN | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 74 BLANCHARD ROAD | AddressLine1 |
| City | SOUTH ORANGE | City |
| State | NJ | State |
| ZIP Code | 07040 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9737636525 | 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 |
| Form720 Filed | false | Form720Filed |
| 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 |
| Related Org Section527 Org | false | RelatedOrgSection527Org |
| 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 Minus4 Years | 19560 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8790 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3200 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9411 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4089 | CurrentTaxYear |
| Total | 45050 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19560 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8790 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3200 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9411 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4089 | CurrentTaxYear |
| Total | 45050 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 0 | AmountsSubstContributorsTotal |
| Public Support Total170 | 45050 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 671 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 231 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3 | CurrentTaxYearMinus2Years |
| Total | 905 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 45955 | TotalSupport |
| Public Support Pertcentage170 | 0.98030 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.96890 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990-EZ, Part II, Line 24.1 | Other Assets.1 | NON CASH DONATIONS - Beginning $450 NON CASH DONATIONS - Ending $0 |
| Form 990-EZ, Part II, Line 24.1003 | Other Assets.1003 | Machinery and Equipment - Beginning $79 Machinery and Equipment - Ending $29 |
| Form 990-EZ, Part I, Line 16.2 | Other Expenses.2 | LICENSES AND FEES $30 |
| Form 990-EZ, Part I, Line 16.1 | Other Expenses.1 | MEDICAL ASSISTANCE $2939 |
| Form 990-EZ, Part I, Line 16.1009 | Other Expenses.1009 | Depreciation $50 |
Comments