FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC (EIN 20-2384178)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-13
- IRS object ID
- 201343179349304554
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-13T14:18:44-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593040705 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERO GORDIMER & COMPANY PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 172359 | AddressLine1 |
| City | TAMPA | City |
| State | FL | State |
| ZIP Code | 33672 | 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 | 202384178 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE FLORIDA MEDICAL CLINIC | BusinessNameLine1 |
| Business Name Line2 | FOUNDATION OF CARING INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FLOR | NameControl |
| Phone | 8137808774 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O 38135 MARKET SQUARE | AddressLine1 |
| City | ZEPHYRHILLS | City |
| State | FL | State |
| ZIP Code | 33542 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRIS ALVAREZ | Name |
| Title | TREASURER | Title |
| Phone | 8137808774 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SAM A LAZZARA | Name |
| PTIN | P01342929 | PTIN |
| Phone | 8138757774 | 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) |
|---|---|---|
| Name Of Principal Officer Person | JOHN HARPER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O 38135 MARKET SQUARE | AddressLine1 |
| City | ZEPHYRHILLS | City |
| State | FL | State |
| ZIP Code | 33542 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 339206 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.FMCFOUNDATIONOFCARING.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2005 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE QUALITY OF LIFE THROUGH MENTORSHIP, SCHOLARSHIPS, SPONSORSHIPS, AWARDS AND SERVICE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 167608 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 132528 | 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 | 112107 | OtherRevenuePriorYear |
| Other Revenue Current Year | 132528 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 279715 | TotalRevenuePriorYear |
| Total Revenue Current Year | 265056 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 229043 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 151632 | 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 | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 39672 | OtherExpensePriorYear |
| Other Expenses Current Year | 54439 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 268715 | TotalExpensesPriorYear |
| Total Expenses Current Year | 206071 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 11000 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 58985 | RevenuesLessExpensesCY |
| Total Assets BOY | 50726 | TotalAssetsBOY |
| Total Assets EOY | 109711 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 50726 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 109711 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | FLORIDA MEDICAL CLINIC FOUNDATION OF CARING REACHES OUT TO LOCAL COMMUNITIES THROUGH PROFESSIONAL EXPERTISE, FINANCIAL SUPPORT AND VOLUNTEER EFFORTS. THE FOUNDATION'S GOAL IS TO IMPROVE THE QUALITY OF LIFE FOR ALL THROUGH MENTORSHIP, SCHOLARSHIPS, SPONSORSHIPS, AWARDS AND SERVICE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 161307 | Expense |
| Grants | 151632 | Grants |
| Description | DIRECTLY GRANTS TO CHARITABLE ORGANIZATIONS THAT SUPPORT CHILDREN, THE ELDERLY, EDUCATION AND ADVOCACY IN ORDER TO MAKE A VAST IMPACT IN THE COMMUNITIES FLORIDA MEDICAL CLINICS SERVES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13780 | Expense |
| Description | THE HEALING ARTS STUDIO PROVIDES 3 WEEKLY ART THERAPY PROGRAMS THAT PROVIDE INSTRUCTION, SUPPLIES, AND SUPPORT TO CANCER SURVIVORS AND THEIR FAMILIES. THE HEALING ARTS STUDIO CURRENTLY OFFERS STUDENTS A PLACE TO LEARN ART, PAINT, AND MOST IMPORTANTLY HEAL EMOTIONALLY IN A SUPPORTIVE GROUP SETTING. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2400 | Expense |
| Description | THE GATHERING PLACE - A MONTHLY MEETING FOR CANCER PATIENTS AND THEIR FAMILIES. THE MEETINGS ARE OPEN TO THOSE IN THE COMMUNITY WHO ARE OR HAVE UNDERGONE CANCER TREATMENTS. THE MEETINGS ARE DESIGNED TO PROVIDE AN OPEN FORUM IN WHICH CANCER PATIENTS AND THEIR FAMILIES CAN SHARE THEIR EXPERIENCES, ASK QUESTIONS, OR LEARN MORE ABOUT CANCER AND THE ISSUES THAT SURRROUND IT. WE OFFER EDUCATION, INFORMATION, SOCIAL CONNECTIONS OR JUST A PLACE TO GATHER AND SHARE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 177487 | 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 | 0 | 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 | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | 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 | 1 | 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 | 0 | 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 |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| 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
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN BENEDETTI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8137808774 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38135 MARKET SQUARE | AddressLine1 |
| City | ZEPHYRHILLS | City |
| State | FL | State |
| ZIP Code | 33452 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| JOHN HARPER | ||||||
| PRESIDENT | 2.00 | X | X | 0 | 0 | 0 |
| RAY FRAZIER | ||||||
| VICE PRESIDENT | 3.00 | X | X | 0 | 0 | 0 |
| CHRISTIAN ALVAREZ | ||||||
| SECRETARY/TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| WENDY CROSIER | ||||||
| DIRECTOR | 4.00 | X | 0 | 0 | 0 | |
| IRA GUTTENTAG MD | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| REYNALDO MULINGTAPANG MD | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| MELANIE TATUM | ||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | |
| SHERI SCHWAB | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARK FITZPATRICK | ||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |
| AL VAN BROEKHOVEN | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| AMORY SANDERS | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| LOU LACAVA | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| STEPHANIE AMBERG | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JOE PART | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TIM JARRETT | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| 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 |
| All Other Contributions | 132528 | AllOtherContributions |
| Noncash Contributions | 11175 | NoncashContributions |
| Total Contributions | 132528 | TotalContributions |
| Gross Income Fundraising Events | 196345 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 74150 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 122195 | TotalRevenueColumn |
| Exclusion | $122,195 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 10333 | GrossSalesOfInventory |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10333 | TotalRevenueColumn |
| Exclusion | $10,333 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 265056 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $132,528 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151632 | Total |
| Program Services | 151632 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1510 | Total |
| Management And General | 1510 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1744 | Total |
| Management And General | 1744 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6888 | Total |
| Program Services | 94 | ProgramServices |
| Management And General | 6794 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250 | Total |
| Management And General | 250 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11448 | Total |
| Program Services | 11208 | ProgramServices |
| Management And General | 240 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2144 | Total |
| Management And General | 2144 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| FOOD, CLOTHING DONATION | 8900 | 8900 | |
| SUPPLIES | 7007 | 5653 | 1354 |
| CONTRACT LABOR | 6066 | 6066 | |
| TAXES AND LICENSES | 5219 | 5219 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3263 | Total |
| Management And General | 3263 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206071 | Total |
| Program Services | 177487 | ProgramServices |
| Management And General | 28584 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50726 | BOY |
| EOY | 109711 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50726 | BOY |
| EOY | 109711 | 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 | 50726 | BOY |
| EOY | 109711 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50726 | BOY |
| EOY | 109711 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50726 | BOY |
| EOY | 109711 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 58985 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 | 158240 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 159105 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 159321 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 167608 | CurrentTaxYearMinus1Year |
| Current Tax Year | 121353 | CurrentTaxYear |
| Total | 765627 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 158240 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 159105 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 159321 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 167608 | CurrentTaxYearMinus1Year |
| Current Tax Year | 121353 | CurrentTaxYear |
| Total | 765627 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 239417 | AmountsSubstContributorsTotal |
| Public Support Total170 | 526210 | PublicSupportTotal170 |
| Total Support | 765627 | TotalSupport |
| Public Support Pertcentage170 | 0.68730 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.62020 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CASINO NIGHT | NameOfEvent1 |
| Gross Receipts Event1 | 163255 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 163255 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 11940 | NonCashPrizesEvent1 |
| Other Direct Expenses Event1 | 54784 | OtherDirectExpensesEvent1 |
| Name Of Event2 | OUR HANDS OUR CAUSE | NameOfEvent2 |
| Gross Receipts Event2 | 31615 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 31615 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 1220 | NonCashPrizesEvent2 |
| Other Direct Expenses Event2 | 6206 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 1475 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 1475 | GrossRevenueOtherEvents |
| Gross Receipts Total | 196345 | GrossReceiptsTotal |
| Gross Revenue Total Events | 196345 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 13160 | NonCashPrizesTotalEvents |
| Other Direct Expenses Total Events | 60990 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 74150 | DirectExpenseSummaryEvents |
| Net Income Summary | 122195 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| BIG BORTHERS BIG SISTERS | |||||||
| 711 S DALE MABRY SUITE 300 | TAMPA | FL | 33609 | 592173085 | 501(C)(3) | 15000 | GENERAL SUPPORT |
| BOYS & GIRLS CLUB | |||||||
| 1307 N MACDILL AVE | TAMPA | FL | 33605 | 590624368 | 501(C)(3) | 15000 | GENERAL SUPPORT |
| CHAMPION FOR CHILDREN | |||||||
| 1106 N FRANKLIN ST | TAMPA | FL | 33602 | 591807551 | 501(C)(3) | 25000 | GENERAL SUPPORT |
| LAYLA'S HOUSETAMPA METRO YMCA | |||||||
| 110 EAST PALM AVENUE | TAMPA | FL | 33602 | 591742909 | 501(C)(3) | 25000 | GENERAL SUPPORT |
| COMMUNITY AGING RETIREMENT SERVICES | |||||||
| 12417 CLOCK TOWER PKWY | HUDSON | FL | 34667 | 237348090 | 501(C)(3) | 15000 | GENERAL SUPPORT |
| TRINITY CAFE | |||||||
| 100 E MADISON ST SUITE 300 | TAMPA | FL | 33602 | 593733387 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| SUN RISE OF PASCO | |||||||
| PO BOX 928 | DADE CITY | FL | 33526 | 592284119 | 501(C)(3) | 10432 | GENERAL SUPPORT |
| UNSIGNED PREPS | |||||||
| PO BOX 45155 | TAMPA | FL | 33677 | 593184150 | 501(C)(3) | 7000 | GENERAL SUPPORT |
| QUANTUM LEAP FARM | |||||||
| 10401 WOODSTOCK RD | ODESSA | FL | 33556 | 593469464 | 501(C)(3) | 7000 | GENERAL SUPPORT |
| MORNING STAR SCHOOL | |||||||
| 210 E LINEBAUGH AVE | TAMPA | FL | 33612 | 591149340 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 10 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE PROCESS USED BY OUR BOARD IS TO RESEARCH EACH AND EVERY GRANT TO GUARANTEE THAT IT MEETS THE MISSION OF THE FOUNDATION. GRANTS WILL BE REVIEWED TWICE A YEAR, JUNE AND DECEMBER. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS HOLDS ITS MEETINGS ON A QUARTERLY BASIS. IN ORDER TO ACCOMMODATE ITS FILING REQUIREMENTS, FORM 990 IS DISTRIBUTED ELECTRONICALLY TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | DISCLOSURE REPORTS ARE SUBJECT TO REVIEW. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAINTAINS A PUBLIC INSPECTION COPY OF FORMS 990 AND 1023, WHICH ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLORIDA MEDICAL CLINIC PA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38135 MARKET SQUARE | AddressLine1 |
| City | ZEPHYRHILLS | City |
| State | FL | State |
| ZIP Code | 33542 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593156212 | EIN |
| Primary Activity | MEDICAL FACILITY | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | S | 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 | 1 | 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 | 0 | 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 |
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