PRIMED FOR LIFE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PRIMED FOR LIFE INC (EIN 20-5844837)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-15
IRS object ID
201332279349304553
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)
Timestamp2013-08-15T18:06:25-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLINTON ACCOUNTING SERVICEBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1103 E WASHINGTONAddressLine1
CityCLINTONCity
StateILState
ZIP Code61727ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN205844837EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRIMED FOR LIFE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPRIMNameControl
Phone2177892980Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1816 S COLLEGEAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62704ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLESHONDA ROGERSName
TitleEXECUTIVE DIRECTORTitle
Phone2177892980Phone
Date Signed2013-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN GOLDENName
Phone2179352151Phone
Date Prepared2013-08-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLESHONDA ROGERSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1816 S COLLEGEAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62704ZIPCode
FieldValueIRS element (for citing)
Gross Receipts428995GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2006YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPROVIDE SERVICES TO FAMILIES INVOLVED IN THE CHILD WELFARE SYSTEM THAT ASSIST THEM IN NAVIGATING THROUGH THE PROCESS SUCCESSFULLY. PROVIDE A PROGRAM THAT SERVICES YOUTH WITH LEADERSHIP DEVELOPMENT, CHARACTER BUILDING, LIFE SKILLS AND EMPLOYMENT IN THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees6TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year350361ContributionsGrantsPriorYear
Contributions Grants Current Year2968ContributionsGrantsCurrentYear
Program Service Revenue CY426026ProgramServiceRevenueCY
Investment Income Prior Year1InvestmentIncomePriorYear
Investment Income Current Year1InvestmentIncomeCurrentYear
Other Revenue Prior Year5502OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year355864TotalRevenuePriorYear
Total Revenue Current Year428995TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year146303SalariesEtcPriorYear
Salaries Etc Current Year272024SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year192016OtherExpensePriorYear
Other Expenses Current Year148084OtherExpensesCurrentYear
Total Expenses Prior Year338319TotalExpensesPriorYear
Total Expenses Current Year420108TotalExpensesCurrentYear
Revenues Less Expenses Prior Year17545RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8887RevenuesLessExpensesCY
Total Assets BOY57889TotalAssetsBOY
Total Assets EOY71744TotalAssetsEOY
Total Liabilities BOY4000TotalLiabilitiesBOY
Total Liabilities EOY8968TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY53889NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY62776NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE SERVICES TO FAMILIES INVOLVED IN THE CHILD WELFAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense246493Expense
Revenue270666Revenue
DescriptionPROVIDE SERVICES TO FAMILIES INVOLVED IN THE CHILD WELFARE SYSTEM THAT ASSIST THEM IN NAVIGATING THROUGH THE PROCESS SUCCESSFULLY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense139275Expense
Revenue133693Revenue
DescriptionPROVIDE A PROGRAM THAT SERVICES YOUTH WITH LEADERSHIP DEVELOPMENT, CHARACTER BUILDING, LIFE SKILLS AND EMPLOYMENT IN THE COMMUNITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense34340Expense
Revenue21667Revenue
DescriptionCONTRACTUAL GRANT ADMINISTRATIONDescription
FieldValueIRS element (for citing)
Total Program Service Expense420108TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees6NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLESHONDA ROGERSNamePerson
Telephone Number2177892980TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1816 S COLLEGEAddressLine1
CitySPRINGFIELDCity
StateILState
ZIP Code62704ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
LESHONDA ROGERS
EXECUTIVE DIRECTOR40.00XX7658400
TIMOTHY ROWLES
PRESIDENT10.00000X
CHERRIE BENTON
TREASURER10.00000X
NICOLE GALES
SECRETARY10.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org76584TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions2968AllOtherContributions
Total Contributions2968TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
LEAD624100270666
CAP624100133693
OKO62410021667
FieldValueIRS element (for citing)
Total Program Service Revenue426026TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column428995TotalRevenueColumn
Related Or Exempt Function Income426027RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total243569Total
Program Services243569ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total28455Total
Program Services28455ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18582Total
Program Services18582ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total42000Total
Program Services42000ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total33672Total
Program Services33672ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total498Total
Program Services498ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total14570Total
Program Services14570ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
FOOD7582758200
SUPPLIES149821498200
TELECOM8566856600
EQUIPMENT LEASES13213200

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7500Total
Program Services7500ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total420108Total
Program Services420108ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY57889BOY
EOY71744EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY57889BOY
EOY71744EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4000BOY
EOY8968EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4000BOY
EOY8968EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY53889BOY
EOY62776EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY53889BOY
EOY62776EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY57889BOY
EOY71744EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses8887ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years159980CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years95054CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year350361CurrentTaxYearMinus1Year
Current Tax Year360988CurrentTaxYear
Total966383Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years159980CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years95054CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year350361CurrentTaxYearMinus1Year
Current Tax Year360988CurrentTaxYear
Total966383Total
FieldValueIRS element (for citing)
Public Support Total170966383PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years2CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1CurrentTaxYearMinus1Year
Current Tax Year1CurrentTaxYear
Total5Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year22175CurrentTaxYear
Total22175Total
FieldValueIRS element (for citing)
Total Support988563TotalSupport
Public Support Pertcentage1700.97760PublicSupportPertcentage170
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage
Facts And Circumstances TestOTHER INCOME PART II, LINE 10; DESCRIPTION: CONTRACTUAL GRANT ADMINISTRATION; 2012: 22175.;FactsAndCircumstancesTest

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11bREVIEWED BY THE EXECUTIVE DIRECTOR
Form 990, Part IX, Line 24fOUTREACH 4414. 4414. 0. 0. YOUTH STIPENDS 1106. 1106. 0. 0. CLIENT SERVICES 1592. 1592. 0. 0. MISCELLANEOUS 388. 388. 0. 0.

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