FURP.ORG / PUBLIC DATA EXPLORER

EYE THRIVE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
EYE THRIVE (EIN 20-0265693)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-12
IRS object ID
201202869349300425
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-12T09:22:51-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BENDER WELTMAN THOMAS PERRY & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11067 N MASON ROAD SUITE 7AddressLine1
CityST LOUISCity
StateMOState
ZIP Code631416341ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200265693EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CLARKSON EYECARE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCLARNameControl
Phone6362272600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line118141 EDGEWOOD CIRCLEAddressLine1
CityWILDWOODCity
StateMOState
ZIP Code63038ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM JEHLINGName
TitleDirectorTitle
Date Signed2012-10-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBradley R GilmoreName
Phone3145761350Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts274468GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.CLARKSONEYECAREFOUNDATION.ORGWebSite
Activity Or Mission DescriptionTO PROVIDE VISION IMPROVEMENT AND EYECARE SERVICES FOR UNDERPRIVILEDGED INDIVIDUALS IN THE COMMUNITIES WHERE CLARKSON EYECARE INC CONDUCTS BUSINESS.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year227454ContributionsGrantsPriorYear
Contributions Grants Current Year108725ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year17518OtherRevenuePriorYear
Other Revenue Current Year31764OtherRevenueCurrentYear
Total Revenue Prior Year244972TotalRevenuePriorYear
Total Revenue Current Year140489TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY540GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year9703TotalFundrsngExpCurrentYear
Other Expense Prior Year226327OtherExpensePriorYear
Other Expenses Current Year131286OtherExpensesCurrentYear
Total Expenses Prior Year227827TotalExpensesPriorYear
Total Expenses Current Year131826TotalExpensesCurrentYear
Revenues Less Expenses Prior Year17145RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8663RevenuesLessExpensesCY
Total Assets BOY212437TotalAssetsBOY
Total Assets EOY233600TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY212437NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY233600NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE VISION IMPROVEMENT AND EYECARE SERVICES FOR UNDERPRIVILEDGED INDIVIDUALS IN THE COMMUNITIES WHERE CLARKSON EYECARE INC CONDUCTS BUSINESS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense77982Expense
Grants5000Grants
DescriptionTHE FOUNDATION PROVIDES FREE EYECARE TO INDIVIDUALS AT 3 ST. LOUIS LOCATIONS: THE HERBER HOOVER BOYS & GIRLS CLUB AT SPORTSMAN'S PARK, THE HERBERT HOOVER BOYS & GIRLS CLUB AT ADAM'S PARK, AND THE LADY OF PERPETUAL HELP FOOD PANTRY IN ST. LOUIS. 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 OF CLARKSON EYECARE DONATE THEIR TIME TO COMPLETE THE EXAMS AND THE CLARKSON EYECARE STAFF ALSO ASSIST IN THE CLINIC. 386 CHILDREN AND ADULTS WERE SEEN AT THE FREE VISION CLINICS IN 2011.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense23232Expense
DescriptionEYE GENERATION IS A PROGRAM CONSISTING OF VISION SCREENING PERFORMED AT AREA SCHOOLS AND IN CONJUNCTION WITH ORGANIZATIONS THAT PROVIDE SERVICES FOR UNDERPRIVILEGED YOUTH. LASIK FOR THE PHYSICALLY CHALLENGED, SEASON FOR SIGHT, INFANT SEE, & WORLD VISION ARE ALL PROGRAMS THAT HELP INDIVIDUALS IN THE ST LOUIS AREA WITH THEIR VISION NEEDS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionCOMMUNITY OUTREACH IS A PROGRAM THAT WORKS WITH THE COMMUNITY TO IDENTIFY CHILDREN WHO WOULD BENEFIT FROM FREE EYE CARE SERVICES. CHILDREN WHO QUALIFY FOR THE NEEDS-BASED COMMUNITY OUTREACH PROGRAM RECEIVE VISION CARE FROM CLARKSON EYECARE AT NO COST. COMMUNITY OUTREACH SERVED 341 PEOPLE IN 2011.Description
FieldValueIRS element (for citing)
Total Program Service Expense101214TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHELLE WAGNERNamePerson
Telephone Number3149607344TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12464 TAYLOR ROAD SUITE 147AddressLine1
CityWILDWOODCity
StateMOState
ZIP Code63040ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JIM LANDRY
Director0.00X000
MICHAEL KLEIN
Director0.00X000
WILLIAM JEHLING
Director1.00X000
JAMES WACHTER
DIRECTOR0.00X000
DAN ROSEN
Director1.00X000
MATT IOVALDI
Director1.00X000
STEPHEN MENZEL
Director0.00X000
KATHLEEN DOAN
Director1.00X000
HENRY ALLHOFF
Director1.00X000
TESHA PEEL
Executive Direc8.00000X
ERIC MESSMER
President7.00000X
FieldValueIRS element (for citing)
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events64683FundraisingEvents
All Other Contributions44042AllOtherContributions
Noncash Contributions13797NoncashContributions
Total Contributions108725TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events165699GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events64683CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses133979FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column31720TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total Revenue Column44TotalRevenueColumn
Related Or Exempt Function Income44RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue44TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column140489TotalRevenueColumn
Related Or Exempt Function Income44RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total540Total
Program Services540ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8870Total
Management And General8870ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2650Total
Management And General1682ManagementAndGeneral
Fundraising968Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1360Total
Management And General1330ManagementAndGeneral
Fundraising30Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total32Total
Management And General32ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total2287Total
Management And General689ManagementAndGeneral
Fundraising1598Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total78Total
Management And General78ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES AND EQUIPMENT307643214281216
Printing and Publications442829341494
DONATED FRAMES1379713797
DEPRECIATION83178317
CONTRACT LABOR836567749024673699

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2735Total
Program Services638ProgramServices
Management And General1399ManagementAndGeneral
Fundraising698Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total131826Total
Program Services101214ProgramServices
Management And General20909ManagementAndGeneral
Fundraising9703Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY199697BOY
EOY211470EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis58047LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec35917LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12740BOY
EOY22130EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY212437BOY
EOY233600EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY212437BOY
EOY233600EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY212437BOY
EOY233600EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY212437BOY
EOY233600EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8663ReconcilationRevenueExpenses
Reconcilation Other Changes12500ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years142310CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45803CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174423CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year361740CurrentTaxYearMinus1Year
Current Tax Year108725CurrentTaxYear
Total833001Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25116CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years191774CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years124886CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year97184CurrentTaxYearMinus1Year
Current Tax Year165699CurrentTaxYear
Total604659Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years964CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year335CurrentTaxYearMinus1Year
Current Tax Year44CurrentTaxYear
Total1343Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years167426CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years237577CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years300273CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year459259CurrentTaxYearMinus1Year
Current Tax Year274468CurrentTaxYear
Total1439003Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43445CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48725CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58056CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year76604CurrentTaxYearMinus1Year
Current Tax Year4865CurrentTaxYear
Total231695Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1000CurrentTaxYearMinus3Years
Current Tax Year19080CurrentTaxYear
Total20080Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43445CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49725CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58056CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year76604CurrentTaxYearMinus1Year
Current Tax Year23945CurrentTaxYear
Total251775Total
FieldValueIRS element (for citing)
Public Support Total5091187228PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Total0Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years167426CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years237577CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years300273CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year459259CurrentTaxYearMinus1Year
Current Tax Year274468CurrentTaxYear
Total1439003Total
FieldValueIRS element (for citing)
Public Support Percentage5090.82500PublicSupportPercentage509
Prior Year Support Percentage0.80230PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis58047OtherCostOrOtherBasis
Depreciation35917Depreciation
Book Value22130BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22130TotalOfBookValueLandBuildings
Total Revenue140489TotalRevenue
Total Expenses131826TotalExpenses
Excess Or Deficit For Year8663ExcessOrDeficitForYear
Prior Period Adjustments12500PriorPeriodAdjustments
Total Adjustments12500TotalAdjustments
Excess Or Deficit Per FS21163ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt315976TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities41508DonatedSrvcAndUseOfFacilities
Other Revenues133979OtherRevenues
Revenue Not Rptd F990175487RevenueNotRptdF990
Revenue Subtotal140489RevenueSubtotal
Total Revenue Per Form990140489TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt307313TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities41508DonatedServicesUseOfFacilities
Other Expenses Included133979OtherExpensesIncluded
Expenses Not Rptd F990175487ExpensesNotRptdF990
Expenses Subtotal131826ExpensesSubtotal
Total Expenses Per Form990131826TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SDIRECT EXPENSES NETTED WITH EVENT REVENU $133979
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990DIRECT EXPENSES NETTED WITH EVENT REVENU $133979

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL GALANameOfEvent1
Gross Receipts Event1214451GrossReceiptsEvent1
Charitable Contributions Event152825CharitableContributionsEvent1
Gross Revenue Event1161626GrossRevenueEvent1
Non Cash Prizes Event1653NonCashPrizesEvent1
Rent Facility Costs Event135421RentFacilityCostsEvent1
Food And Beverage Event123862FoodAndBeverageEvent1
Other Direct Expenses Event170653OtherDirectExpensesEvent1
Name Of Event2SPRING & FALL 5K RUNNameOfEvent2
Gross Receipts Event215931GrossReceiptsEvent2
Charitable Contributions Event211858CharitableContributionsEvent2
Gross Revenue Event24073GrossRevenueEvent2
Other Direct Expenses Event23390OtherDirectExpensesEvent2
Gross Receipts Total230382GrossReceiptsTotal
Charitable Contributions Total64683CharitableContributionsTotal
Gross Revenue Total Events165699GrossRevenueTotalEvents
Non Cash Prizes Total Events653NonCashPrizesTotalEvents
Rent Facility Costs Total Events35421RentFacilityCostsTotalEvents
Food And Beverage Total Events23862FoodAndBeverageTotalEvents
Other Direct Expenses Total Events74043OtherDirectExpensesTotalEvents
Direct Expense Summary Events133979DirectExpenseSummaryEvents
Net Income Summary31720NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review Process990 REVIEWED BY OFFICERS BEFORE RETURN IS FILED.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et3 DIRECTORS FOR THE ORGANIZATION ARE ALSO ON BOARD OF DIRECTORS FOR RELATED ENTITY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CLARKSON EYECARE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1217 CLARKSON ROADAddressLine1
CityELLISVILLECity
StateMOState
ZIP Code63011ZIPCode
FieldValueIRS element (for citing)
Primary ActivityOPTOMETRYPrimaryActivity
Legal Domicile StateMOLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg