THREE DOCTORS FOUNDATION INC: Form 990EZ, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THREE DOCTORS FOUNDATION INC (EIN 22-3729161)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201313199349204371
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)
Timestamp2013-11-15T16:41:29-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN263294898EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GAINES GOLDENFARB & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line190 WOODBRIDGE CTR DR STE 370AddressLine1
CityWOODBRIDGECity
StateNJState
ZIP Code07095ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223729161EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE THREE DOCTORS FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTHRENameControl
Phone9733533903Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line165 HAZELWOOD AVENUEAddressLine1
CityNEWARKCity
StateNJState
ZIP Code07106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRAMECK HUNTName
TitleTREASURER/DIRECTORTitle
Phone9733533903Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL D GAINES CPAName
PTINP00045355PTIN
Phone7329069277Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Web SiteWWW.THREEDOCTORSFOUNDATION.ORGWebSite
Organization501c3XOrganization501c3
Gross Receipts98347GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc98347ContributionsGiftsGrantsEtc
Total Revenue98347TotalRevenue
Salaries Other Comp Empl Benefits1441SalariesOtherCompEmplBenefits
Fees And Oth Pymt To Ind Contractors7919FeesAndOthPymtToIndContractors
Occupancy Rent Utilities And Maint27483OccupancyRentUtilitiesAndMaint
Printing Publications Postage6666PrintingPublicationsPostage
Other Expenses Total30899OtherExpensesTotal
Total Expenses74408TotalExpenses
Excess Or Deficit For Year23939ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY7026NetAssetsOrFundBalancesBOY
Other Changes In Net Assets0OtherChangesInNetAssets
Net Assets Or Fund Balances EOY30965NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIXInfoInScheduleOPartII

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY3779BOY
EOY36445EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6748BOY
EOY1423EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10527BOY
EOY37868EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY3501BOY
EOY6903EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY7026BOY
EOY30965EOY
FieldValueIRS element (for citing)
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Primary Exempt PurposeTO INSPIRE AND CREATE OPPORTUNITIES FOR INDIVIDUALS OF INNER CITY COMMUNITIES THROUGH EDUCATION, MENTORING AND HEALTH AWARENESS.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment (3 entries)

Description Program Service AccomDescriptionProgramServiceAccomGrants And AllocationsGrantsAndAllocationsProgram Service ExpensesProgramServiceExpenses
MENTOR DAY PROGRAM-CAREER AND EDUCATIONAL ENRICHMENT FOR INNER CITY YOUTH AGES 10 TO 18011326
HMB HEALTHFAIR/WALK-A-THON - TO PROMOTE EDUCATION AND HEALTH AWARENESS AMONG THE GENERAL PUBLIC INCLUDING FREE HEALTH SCREENINGS AND INFORMATION083
POSITIVE PEER PRESSURE HEALTH CHALLENGE - INNER CITY YOUTH AGES 10 TO 18 DEVELOP AND PRESENT HEALTH-AWARENESS RELATED PRESENTATIONS.00
FieldValueIRS element (for citing)
Total Program Service Expenses11409TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (3 entries)

TitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
RAMECK HUNT MD
TREASURER/DIRECTOR5.00000
GEORGE JENKINS MD
SECRETARY/DIRECTOR5.00000
SAMPSON DAVIS MD
PRESIDENT/DIRECTOR5.00000
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 Officers0MadeLoansToFromOfficers
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 FiledNJStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line165 HAZELWOOD AVENUEAddressLine1
CityNEWARKCity
StateNJState
ZIP Code07106ZIPCode
FieldValueIRS element (for citing)
Telephone Number9733533903TelephoneNumber
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 Minus4 Years141436CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years108453CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years97043CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106371CurrentTaxYearMinus1Year
Current Tax Year98347CurrentTaxYear
Total551650Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years141436CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years108453CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years97043CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106371CurrentTaxYearMinus1Year
Current Tax Year98347CurrentTaxYear
Total551650Total
FieldValueIRS element (for citing)
Public Support Total170551650PublicSupportTotal170
Total Support551650TotalSupport
Public Support Pertcentage1701.00000PublicSupportPertcentage170
Public Support Pertcent Prior Year0.45960PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER EXPENSESFORM 990-EZ, PART I, LINE 16DESCRIPTION: DIRECT PROGRAM AND FUNDRAISING EXPENSES. AMOUNT: 16,899. DESCRIPTION: OFFICE SUPPLIES AND EXPENSES. AMOUNT: 1,364. DESCRIPTION: TELEPHONE, INTERNET AND WEBSITE EXPENSE. AMOUNT: 7,056. DESCRIPTION: EQUIPMENT RENTAL. AMOUNT: 3,741. DESCRIPTION: TRAVEL, ENTERTAINMENT AND PROMOTIONS. AMOUNT: 414. DESCRIPTION: DEPRECIATION. AMOUNT: 1,425. TOTAL TO FORM 990-EZ, LINE 16: 30,899.
OTHER ASSETSFORM 990-EZ, PART II, LINE 24DESCRIPTION: PROPERTY AND EQUIPMENT, NET. BEG. OF YEAR AMOUNT: 2,848. END OF YEAR AMOUNT: 1,423. DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 3,900. END OF YEAR AMOUNT: 0.
OTHER LIABILITIESFORM 990-EZ, PART II, LINE 26DESCRIPTION: ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 3,501. END OF YEAR AMOUNT: 6,903.

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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