EYE THRIVE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- EYE THRIVE (EIN 20-0265693)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-15
- IRS object ID
- 201342279349301144
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule G
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-15T10:17:20-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431552002 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOPATA FLEGEL & COMPANY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 MASON RIDGE CENTER DR STE 100 | AddressLine1 |
| City | ST LOUIS | City |
| State | MO | State |
| ZIP Code | 63141 | 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 | 200265693 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EYE CARE CHARITY OF MID-AMERICA | BusinessNameLine1 |
| Business Name Line2 | F/K/A CLARKSON EYECARE FOUNDATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EYEC | NameControl |
| Phone | 6367781022 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 732 GODDARD AVENUE | AddressLine1 |
| City | CHESTERFIELD | City |
| State | MO | State |
| ZIP Code | 63005 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM JEHLING | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 6367781022 | Phone |
| Date Signed | 2013-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PATRICIA A MYERS | Name |
| PTIN | P00759926 | PTIN |
| Phone | 3145148881 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | WILLIAM JEHLING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 732 GODDARD AVENUE | AddressLine1 |
| City | CHESTERFIELD | City |
| State | MO | State |
| ZIP Code | 63005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 320559 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ECCOMA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE VISION IMPROVEMENT AND EYECARE SERVICES FOR UNDERPRIVILEGED INDIVIDUALS AROUND THE WORLD, BUT WITH AN EMPHASIS ON THE MID-AMERICA REGION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | 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 | 108725 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 233296 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 31764 | OtherRevenuePriorYear |
| Other Revenue Current Year | -9362 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 140489 | TotalRevenuePriorYear |
| Total Revenue Current Year | 223934 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 540 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 21320 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 26274 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 21838 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 131286 | OtherExpensePriorYear |
| Other Expenses Current Year | 177796 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 131826 | TotalExpensesPriorYear |
| Total Expenses Current Year | 225390 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8663 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1456 | RevenuesLessExpensesCY |
| Total Assets BOY | 233600 | TotalAssetsBOY |
| Total Assets EOY | 232144 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 233600 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 232144 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE VISION IMPROVEMENT AND EYECARE SERVICES FOR UNDERPRIVILEGED INDIVIDUALS AROUND THE WORLD, BUT WITH AN EMPHASIS ON THE MID-AMERICA REGION. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 134895 | Expense |
| Grants | 2750 | Grants |
| Description | FREE VISION CLINICS: THE ORGANIZATION PROVIDES FREE EYECARE TO INDIVIDUALS AT 3 LOCATIONS IN ST. LOUIS: THE HERBERT HOOVER BOYS AND GIRLS CLUB AT SPORTSMAN'S PARK, THE HERBERT HOOVER BOYS AND GIRLS CLUB AT ADAM'S PARK, AND THE LADY OF PERPETUAL HELP FOOD PANTRY. THE VISION CLINICS OPERATE WEEKLY, COMPLETING COMPREHENSIVE EYE EXAMS, AND PRESCRIBING AND FITTING GLASSES IF REQUIRED. IN ADDITION, THE DOCTORS IDENTIFY AND ADDRESS EYE HEALTH CONCERNS THAT MAY REQUIRE MORE ATTENTION. THE DOCTORS DONATE THEIR TIME TO COMPLETE THE EXAMS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 17894 | Expense |
| Description | SURGICAL SERVICES: THE ORGANIZATION PROVIDES LASIK SURGERY AND SURGERY FOR RETINAL DETACHMENTS FOR THE PHYSICALLY CHALLENGED AND AS A DIRECT ACCESS PROGRAM THAT IS FREE TO THOSE WHO MEET THE FINANCIAL REQUIREMENT REGARDING INCOME AND FAMILY SIZE THAT WOULD PLACE THE INDIVIDUAL BELOW THE POVERTY LEVEL. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 24744 | Expense |
| Grants | 18570 | Grants |
| Description | WORLD VISION IS A PROGRAM THAT SUPPORTS INTERNATIONAL MISSION TRIPS THAT PROVIDE EYE CARE SERVICES AND VISION IMPROVEMENT. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 177533 | 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 | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 1 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | 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 | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LORA MATHER | NamePerson |
| Telephone Number | 6367781022 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 732 GODDARD AVENUE | AddressLine1 |
| City | CHESTERFIELD | City |
| State | MO | State |
| ZIP Code | 63005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| JIM LANDRY | ||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |
| KATHLEEN DOAN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MATT IOVALDI | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| WILLIAM JEHLING | ||||||
| BOD CHAIRMAN | 1.00 | X | 0 | 0 | 0 | |
| TESHA PEEL | ||||||
| DIRECTOR | 8.00 | X | 0 | 0 | 0 | |
| DAN ROSEN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MICHAEL KLEIN | ||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |
| JOSEPH GIRA | ||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |
| DAVID HEINRICH | ||||||
| BOD TREASURER | 0.00 | X | 0 | 0 | 0 | |
| KATHY HUBER | ||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |
| DAVID KINCADE | ||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |
| MIKE RHODE | ||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |
| ERIC MESSMER | ||||||
| PRESIDENT | 7.00 | 0 | 0 | 0 | X | |
| LORA MATHER | ||||||
| EXECUTIVE DIRECTOR | 0.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | 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 |
| Fundraising Events | 65079 | FundraisingEvents |
| All Other Contributions | 168217 | AllOtherContributions |
| Noncash Contributions | 122601 | NoncashContributions |
| Total Contributions | 233296 | TotalContributions |
| Gross Income Fundraising Events | 87218 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 65079 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 96625 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -9407 | TotalRevenueColumn |
| Exclusion | -$9,407 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 45 | TotalRevenueColumn |
| Related Or Exempt Function Income | 45 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 45 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 223934 | TotalRevenueColumn |
| Related Or Exempt Function Income | 45 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$9,407 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2750 | Total |
| Program Services | 2750 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18570 | Total |
| Program Services | 18570 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19241 | Total |
| Program Services | 4838 | ProgramServices |
| Management And General | 2682 | ManagementAndGeneral |
| Fundraising | 11721 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7033 | Total |
| Program Services | 1768 | ProgramServices |
| Management And General | 980 | ManagementAndGeneral |
| Fundraising | 4285 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 727 | Total |
| Management And General | 727 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000 | Total |
| Management And General | 1000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5091 | Total |
| Management And General | 1512 | ManagementAndGeneral |
| Fundraising | 3579 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 667 | Total |
| Management And General | 578 | ManagementAndGeneral |
| Fundraising | 89 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1699 | Total |
| Management And General | 1699 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6909 | Total |
| Management And General | 6909 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5595 | Total |
| Program Services | 3753 | ProgramServices |
| Management And General | 1735 | ManagementAndGeneral |
| Fundraising | 107 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8318 | Total |
| Program Services | 8318 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| OPTICAL COSTS - IN KIND | 76544 | 76544 | ||
| CONTRACT LABOR | 46527 | 43098 | 1372 | 2057 |
| EYE CARE SERVICES | 17894 | 17894 | ||
| BANK CHARGES | 2536 | 2536 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4289 | Total |
| Management And General | 4289 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225390 | Total |
| Program Services | 177533 | ProgramServices |
| Management And General | 26019 | ManagementAndGeneral |
| Fundraising | 21838 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 211470 | BOY |
| EOY | 207621 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 61765 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 44235 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22130 | BOY |
| EOY | 17530 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 6993 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 233600 | BOY |
| EOY | 232144 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 233600 | BOY |
| EOY | 167144 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 65000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 233600 | BOY |
| EOY | 232144 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 233600 | BOY |
| EOY | 232144 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -1456 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 45803 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 174423 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 361740 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 108725 | CurrentTaxYearMinus1Year |
| Current Tax Year | 233296 | CurrentTaxYear |
| Total | 923987 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 191774 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 124886 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 97184 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 165699 | CurrentTaxYearMinus1Year |
| Current Tax Year | 87218 | CurrentTaxYear |
| Total | 666761 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 964 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 335 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 44 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45 | CurrentTaxYear |
| Total | 1388 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 237577 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 300273 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 459259 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 274468 | CurrentTaxYearMinus1Year |
| Current Tax Year | 320559 | CurrentTaxYear |
| Total | 1592136 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 48725 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 58056 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 76604 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4865 | CurrentTaxYearMinus1Year |
| Total | 188250 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus1 Year | 19080 | CurrentTaxYearMinus1Year |
| Total | 20080 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 49725 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 58056 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 76604 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 23945 | CurrentTaxYearMinus1Year |
| Total | 208330 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1383806 | PublicSupportTotal509 |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 237577 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 300273 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 459259 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 274468 | CurrentTaxYearMinus1Year |
| Current Tax Year | 320559 | CurrentTaxYear |
| Total | 1592136 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.86920 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.76860 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 58555 | OtherCostOrOtherBasis |
| Depreciation | 43702 | Depreciation |
| Book Value | 14853 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3210 | OtherCostOrOtherBasis |
| Depreciation | 533 | Depreciation |
| Book Value | 2677 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 17530 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 284628 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 60694 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 60694 | RevenueNotRptdF990 |
| Revenue Subtotal | 223934 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 223934 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 286084 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 60694 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 60694 | ExpensesNotRptdF990 |
| Expenses Subtotal | 225390 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 225390 | TotalExpensesPerForm990 |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | RWANDA | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | GRANTS TO RECIPIENTS LOCATED IN REGION | TypeOfActivitiesConducted |
| Specific Services Provided | EYE CARE CLINIC, EYE SURGERIES | SpecificServicesProvided |
| Total Expenditures | 18570 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 18570 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 18570 | TotalAmountSpent |
Grants To Orgs Outside US GrantsToOrgsOutsideUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | RWANDA | Region |
| Purpose Of Grant | TO SUPPORT EYE CARE, SURGERY CLINIC IN RWANDA | PurposeOfGrant |
| Amount Of Cash Grant | 18750 | AmountOfCashGrant |
| Manner Of Cash Disbursement | WIRE TRANSFER | MannerOfCashDisbursement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Other Orgs | 1 | TotalNumberOfOtherOrgs |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL GALA | NameOfEvent1 |
| Gross Receipts Event1 | 131845 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 46554 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 85291 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 500 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 23719 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 17842 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 4960 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 48029 | OtherDirectExpensesEvent1 |
| Name Of Event2 | SPRING & FALL 5K RUN | NameOfEvent2 |
| Gross Receipts Event2 | 20452 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 18525 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 1927 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 382 | RentFacilityCostsEvent2 |
| Entertainment Event2 | 200 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 993 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 152297 | GrossReceiptsTotal |
| Charitable Contributions Total | 65079 | CharitableContributionsTotal |
| Gross Revenue Total Events | 87218 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 500 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 24101 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 17842 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 5160 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 49022 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 96625 | DirectExpenseSummaryEvents |
| Net Income Summary | -9407 | NetIncomeSummary |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | EYE GLASSES | 2 | 75824 | MARKET VALUE |
| X | AUCTION ITEMS | 99 | 40829 | MARKET VALUE |
| X | SUPPLIES | 1 | 360 | MARKET VALUE |
| X | EYE GLASSES CASES | 1 | 720 | MARKET VALUE |
| X | REFRACTOR | 1 | 4868 | MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | SURGICAL SERVICES IS A PROGRAM THAT PROVIDES EYE SURGERY TO THE PHYSICALLY CHALLENGED AND TO THOSE WHO MEET THE FINANCIAL REQUIREMENT. WORLD VISION IS A NEW PROGRAM SERVICE THAT SUPPORTS INTERNATIONAL MISSION TRIPS THAT PROVIDE EYE CARE SERVICES AND VISION IMPROVEMENT. |
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | THE COMMUNITY OUTREACH PROGRAM THAT PROVIDES EYE EXAMS AND EYE GLASSES TO THOSE WHO MEET THE FINANCIAL REQUIREMENT WAS SUSPENDED IN JULY 2012. THIS PROGRAM WAS RESTARTED IN 2013 UTILIZING A NEW MOBILE CARE UNIT. |
| FORM 990, PART VI, SECTION A, LINE 2 | 3 DIRECTORS FOR THE ORGANIZATION ARE ALSO ON THE BOARD OF DIRECTORS FOR CLARKSON EYECARE INC., A RELATED ENTITY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR AUDIT OVERSIGHT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARKSON EYECARE INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 217 CLARKSON ROAD | AddressLine1 |
| City | ELLISVILLE | City |
| State | MO | State |
| ZIP Code | 63011 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431213749 | EIN |
| Primary Activity | OPTOMETRY | PrimaryActivity |
| Legal Domicile State | MO | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARKSON EYECARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | M | TransactionType |
| Amount Involved | 53338 | AmountInvolved |
| Method Of Amt Determination | ACTUAL AMOUNTS PAID | MethodOfAmtDetermination |