BREATH OF LIFE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BREATH OF LIFE INC (EIN 20-5120368)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201343189349305614
- Schema version
- 2012v2.3
- 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 | 2013-11-14T14:33:59-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL E STEUER CPA PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 S BELCHER RD STE 7 | AddressLine1 |
| City | LARGO | City |
| State | FL | State |
| ZIP Code | 337713316 | 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 | 205120368 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BREATH OF LIFE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BREA | NameControl |
| Phone | 7272161402 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 EAST BAY DRIVE | AddressLine1 |
| City | LARGO | City |
| State | FL | State |
| ZIP Code | 33771 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SOL PITCHON | Name |
| Title | CEO | Title |
| Phone | 7272161402 | Phone |
| Date Signed | 2013-11-04 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL E STEUER CPA | Name |
| Phone | 7277979000 | Phone |
| Date Prepared | 2013-11-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SOL PITCHON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 EAST BAY DRIVE | AddressLine1 |
| City | LARGO | City |
| State | FL | State |
| ZIP Code | 33771 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 894348 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BREATHOFLIFE.CC | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2006 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION PROVIDES MEDICAL SUPPORT AND SERVICES TO WOMEN. THESE SERVICES INCLUDE BIRTHING, WELL WOMEN HEALTH CARE & OTHER MEDICAL RELATED SERVICES. THE ORGANIZATION IS AN AFFLILATE OF THE PINELLAS CRISIS PREGNANCY CENTER, INC. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 11 | TotalNbrEmployees |
| Total Nbr Volunteers | 5 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 107215 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 149767 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 604581 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 743536 | ProgramServiceRevenueCY |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1179 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1045 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 712975 | TotalRevenuePriorYear |
| Total Revenue Current Year | 894348 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 311195 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 364981 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 289083 | OtherExpensePriorYear |
| Other Expenses Current Year | 342898 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 600278 | TotalExpensesPriorYear |
| Total Expenses Current Year | 707879 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 112697 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 186469 | RevenuesLessExpensesCY |
| Total Assets BOY | 170651 | TotalAssetsBOY |
| Total Assets EOY | 272734 | TotalAssetsEOY |
| Total Liabilities BOY | 348787 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 264401 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -178136 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8333 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION PROVIDES MEDICAL SUPPORT AND SERVICES TO WOMEN. THESE SERVICES INCLUDE BIRTHING, WELL WOMEN HEALTH CARE & OTHER MEDICAL RELATED SERVICES. THE ORGANIZATION IS AN AFFLILATE OF THE PINELLAS CRISIS PREGNANCY CENTER, INC. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 707879 | Expense |
| Description | BREATH OF LIFE, INC. WAS ESTABLISHED TO PROVIDE MEDICAL, CLINICAL, EDUCATIONAL & ROUTINE HEALTH SERVICES TO WOMEN. THE MEDICAL SERVICES INCLUDE ROUTINE HEALTH CARE EXAMINATIONS. IN ADDITION, WOMEN WHO DESIRE TO HAVE NATURAL CHILD BIRTH ARE ABLE TO DO SO IN THE CENTER'S STATE OF THE ART FACILITIES. | Description |
| Total Program Service Expense | 707879 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 15 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 11 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARY MOLINA | NamePerson |
| Telephone Number | 7272161402 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1910 EAST BAY DR | AddressLine1 |
| City | LARGO | City |
| State | FL | State |
| ZIP Code | 33771 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| DR STEPHEN SHIELDS MD | ||||||
| DIRECTOR | 1.00 | 3.00 | X | 0 | 0 | 0 |
| MILTON KING | ||||||
| VICE CHAIRMN | 1.00 | 3.00 | X | 0 | 0 | 0 |
| RICK STUART CPA | ||||||
| TREASURER | 1.00 | 4.00 | X | 0 | 0 | 0 |
| DAVID PILKINGTON | ||||||
| CHAIRMAN | 1.00 | 4.00 | X | 0 | 0 | 0 |
| THOMAS CHAPMAN | ||||||
| DIRECTOR | 1.00 | 3.00 | X | 0 | 0 | 0 |
| DR WILLIAM KONRAD PHD | ||||||
| DIRECTOR | 1.00 | 3.00 | X | 0 | 0 | 0 |
| JULIE PELUSO | ||||||
| DIRECTOR | 1.00 | 3.00 | X | 0 | 0 | 0 |
| MICHAEL HUTH | ||||||
| SECRETARY | 1.00 | 3.00 | X | 0 | 0 | 0 |
| KATHY ARRINGTON | ||||||
| DIRECTOR | 1.00 | 3.00 | X | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| All Other Contributions | 149767 | AllOtherContributions |
| Noncash Contributions | 9865 | NoncashContributions |
| Total Contributions | 149767 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BIRTH CENTER FEES | Description |
| Total Revenue Column | 743536 | TotalRevenueColumn |
| Exclusion | $743,536 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 743536 | TotalProgramServiceRevenue |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Total Revenue Column | 1045 | TotalRevenueColumn |
| Exclusion | $1,045 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1045 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 894348 | TotalRevenueColumn |
| Exclusion | $744,581 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 323728 | Total |
| Program Services | 323728 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16395 | Total |
| Program Services | 16395 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24858 | Total |
| Program Services | 24858 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3926 | Total |
| Program Services | 3926 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13282 | Total |
| Program Services | 13282 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67970 | Total |
| Program Services | 67970 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5362 | Total |
| Program Services | 5362 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 298 | Total |
| Program Services | 298 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53517 | Total |
| Program Services | 53517 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| CONTRACT SERVICE | 120194 | 120194 |
| MATERIALS & SUPPLIES | 25494 | 25494 |
| BAD DEBT EXPENSE | 11300 | 11300 |
| IN-KIND EXPENSES | 9865 | 9865 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31690 | Total |
| Program Services | 31690 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 707879 | Total |
| Program Services | 707879 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23748 | BOY |
| EOY | 34968 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131417 | BOY |
| EOY | 214147 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14001 | BOY |
| EOY | 20072 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5761 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2814 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 885 | BOY |
| EOY | 2947 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 600 | BOY |
| EOY | 600 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170651 | BOY |
| EOY | 272734 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51202 | BOY |
| EOY | 74135 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 297585 | BOY |
| EOY | 190266 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 348787 | BOY |
| EOY | 264401 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -179739 | BOY |
| EOY | 8333 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1603 | BOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -178136 | BOY |
| EOY | 8333 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170651 | BOY |
| EOY | 272734 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 186469 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Written IRS Determination | X | WrittenIRSDetermination |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PINELLAS CRISIS PREGNANCY CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592588366 | EIN |
| Type Of Organization | 7 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $87,137 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 87137 | SumOfAmounts |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5761 | OtherCostOrOtherBasis |
| Depreciation | 2814 | Depreciation |
| Book Value | 2947 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2947 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LOAN FROM AFFILIATE, PREGNANCY CNTR | Description |
| Amount | $190,266 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 190266 | TotalOfAmounts |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | THE ORGANIZATION PROVIDES MEDICAL SUPPORT AND SERVICES TO WOMEN. THESE SERVICES INCLUDE BIRTHING, WELL WOMEN HEALTH CARE & OTHER MEDICAL RELATED SERVICES. THE ORGANIZATION IS AN AFFLILATE OF THE PINELLAS CRISIS PREGNANCY CENTER, INC. |
| EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS | FORM 990, PAGE 1, PART I, LINE 6 | DURING THE YEAR, THERE WERE 5 VOLUNTEERS WHICH ASSISTED IN MEDICAL CARE, GROUNDS/BUILDING MAINTENANCE, AND OTHER FUNCTIONS. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | INFORMATION USED TO PREPARE THE 990 TAX RETURN WAS OBTAINED FROM THE ORGANIZATION'S ANNUAL AUDIT CONDUCTED BY INDEPENDENT CPAS. THE ORGANIZATION RETAINED THE VOLUNTEER SERVICES OF A LOCAL CPA TO PREPARE THE ANNUAL 990 TAX RETURN. THE RETURN WAS REVIEWED BY THE ORGANIZATION'S DIRECTOR OF ACCOUNTING AND BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | EACH BOARD MEMBER, ON AN ANNUAL BASIS DISCLOSES ANY CONFLICTS OF INTEREST SO THAT THEY MAY BE REVIEWED & EVALUATED BY THE BOARD OF DIRECTORS. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | AT THIS POINT, THE CEO DOES NOT RECEIVE COMPENSATION FOR SERVICES PERFORMED. HIS COMPENSATION IS PAID DIRECTLY FROM THE SUPPORTED ORGANIZATION, PINELLAS CRISIS PREGNANCY CENTER. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE ORGANIZATION HAS SEVERAL KEY EMPLOYEES. ON AN ANNUAL BASIS, THE CEO CONDUCTS A PERFORMANCE EVALUATION OF THEIR WORK, GOALS OF THE ORGANIZATION & FUTURE GROWTH. THE BOARD OF DIRECTORS HAS GIVEN THE CEO THE AUTHORITY TO SET ALL SALARIES AND WAGES, WITH THE EXCEPTION OF HIS OWN. UNDER THE BUDGET CONSTRAINTS, THE CEO IS AUTHORIZED TO SET WAGES FOR KEY EMPLOYEES. DURING THE ANNUAL BUDGET PROCESS, THE GOVERNANCE COMMITTEE & THE BOARD OF DIRECTORS REVIEW THE SALARIES OF KEY EMPLOYEES. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | ALL GOVERNANCE DOCUMENTS ARE ON FILE IN THE ADMINISTRATIVE OFFICES. UPON WRITTEN REQUEST, THESE DOCUMENTS WOULD BE AVAILABLE FOR EXAMINATION. |
| RECONCILIATION OF CHANGES - OTHER | FORM 990, PART XI, LINE 9 | INCOME ASSOCIATED WITH AFFLILIATE, PINELLAS CRISIS 0 CONSOLIDATION ENTRIES 0 EXPENSES ASSOCIATED WITH AFFILIATE, PINELLAS COUNTY 0 CONSOLIDATION ENTRIES 0 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BREATH OF LIFE BIRTH CENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1900 EAST BAY DR | AddressLine1 |
| City | LARGO | City |
| State | FL | State |
| ZIP Code | 33771 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261612730 | EIN |
| Primary Activities | FACILITIES | PrimaryActivities |
| Legal Domicile State | FL | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| PINELLAS CRISIS PREGNANCY CENTER I | ||||||||||
| 1910 EAST BAY DR | LARGO | FL | 33771 | 592588366 | SUPP ORG | FL | 501C3 | 7 | N/A | false |
| SHEPHERD'S VILLAGE INC | ||||||||||
| 1910 EAST BAY DR | LARGO | FL | 33771 | 593096209 | SAME BOARD | FL | 501C3 | 7 | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| PINELLAS CRISIS PREGNANCY CNTR INC | ||
| E | -46000 | ACTUAL COSTS |
| PINELLAS CRISIS PREGNANCY CNTR INC | ||
| K | 51705 | ACTUAL COSTS |
| PINELLAS CRISIS PREGNANCY CNTR INC | ||
| P | 5735 | ACTUAL COSTS |
| PINELLAS CRISIS PREGNANCY CNTR INC | ||
| Q | 253 | ACTUAL COSTS |
| PINELLAS CRISIS PREGNANCY CNTR INC | ||
| R | 50 | ACTUAL COSTS |
| PINELLAS CRISIS PREGNANCY CNTR INC | ||
| S | 75404 | ACTUAL COSTS |
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