HEALTH OUTREACH FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH OUTREACH FOUNDATION (EIN 20-0869346)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201213199349306221
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule G
- Schedule I
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T16:54:53-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481142819 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEVAN D ACORD PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15700 COLLEGE BOULEVARD SUITE 100 | AddressLine1 |
| City | LENEXA | City |
| State | KS | State |
| ZIP Code | 662191473 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200869346 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WORLD OUTREACH FOUNDATION KANSAS CITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WORL | NameControl |
| Phone | 8163313057 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 HEVER KNOLL ROAD | AddressLine1 |
| City | VILLAGE OF LOCH LLOYD | City |
| State | MO | State |
| ZIP Code | 64012 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KRISTIN HARRELL | Name |
| Title | TREASURER | Title |
| Phone | 9134926008 | Phone |
| Date Signed | 2012-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVAN D ACORD | Name |
| PTIN | P01074658 | PTIN |
| Phone | 9134926008 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DR LUZ RACELA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 HEVER KNOLL ROAD | AddressLine1 |
| City | VILLAGE OF LOCH LLOYD | City |
| State | MO | State |
| ZIP Code | 64012 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 554632 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WORLDOUTREACHFOUNDATION.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | PROVIDING NEEDED HEALTH CARE IN REMOTE AREAS OF DEVELOPING AND ECONOMICALLY DEPRESSED COUNTRIES WORLDWIDE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 60 | TotalNbrVolunteers |
| Total Gross UBI | 4125 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 132887 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 462706 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -125 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4125 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -9557 | OtherRevenuePriorYear |
| Other Revenue Current Year | 35230 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 123205 | TotalRevenuePriorYear |
| Total Revenue Current Year | 502061 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 7550 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5150 | 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 | 52572 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 56277 | OtherExpensePriorYear |
| Other Expenses Current Year | 474286 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 63827 | TotalExpensesPriorYear |
| Total Expenses Current Year | 479436 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 59378 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 22625 | RevenuesLessExpensesCY |
| Total Assets BOY | 198057 | TotalAssetsBOY |
| Total Assets EOY | 221006 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 198057 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 221006 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE MEDICAL SERVICES TO UNDERSERVED AND REMOTE AREAS OF THE WORLD. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 297131 | Expense |
| Description | FUNDING AND ORGANIZATION OF MEDICAL MISSION TRIP TO POKHARA AND MUSTANG, NEPAL. MEDICAL AND DENTAL SERVICES PROVIDED TO 1,396 PATIENTS INCLUDING 68 MAJOR SURGERIES PERFORMED. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 19571 | Expense |
| Description | MEDICAL MISSION TO LA RAMONA IN THE DOMINICAN REPUBLIC. CONSULTAIONS AND 140 TUBAL LIGATION SURGERIES PERFORMED ALONG WITH AN ADDITIONAL 25 ESSURE PLACEMENTS WHICH IS A PERMANENT FORM OF NON-INVASIVE BITH CONTROL. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13984 | Expense |
| Grants | 5000 | Grants |
| Description | CONTINUED TO SUPPORT AND FUND THE ON-GOING MISSION CAMPAIGN IN THE PHILIPPINES. OUR MOBILE MEDICAL UNIT TRAVELS TO REMOTE AREAS OF THE COUNTRY AND PROVIDES MEDICAL CARE TO NEEDY CITIZENS IN THESE UNDERSERVED AREAS. 6,061 PATIENTS WERE SEEN THROUGHOUT 2011. THIS INCLUDED 115 SURGERIES AND 417 DENTAL EXTRACTIONS. | Description |
Activity Other ActivityOther (4 entries)
| ExpenseExpense | DescriptionDescription | GrantsGrants |
|---|---|---|
| 2330 | ASSISTED IN DEVELOPING PROGRAMS FOR AT-RISK AND/OR HOMELESS STUDENTS IN THE KC METRO AREA. | |
| 75234 | ORGANIZED, FUNDED AND STAFFED A WELLNESS AND SPORTS CLINIC IN CAM SUR PHILIPPINES. PERFORMED DIABETIC SCREENINGS; PROVIDED SPORTS EQUIPMENT, RUNNING SHOES, DENTAL KITS AND MEDICINES TO NEEDY INDIVIDUALS. | |
| 2000 | CONTINUED TO SUPPORT THE PROMOTION OF MORINGA AS A DIETARY SUPPLEMENT IN THE PHILIPPINES. SUPPORT AND CONSULTATION FOR MORINGA NURSEY IN PANGIL, PHILIPPINES. MORINGA IS A PLANT INDIGENOUS TO THE PHILIPPINES THAT IS A GOOD SOURCE OF PROTEIN. | |
| 150 | GRANT PROVIDED TO PNAGKC FOR NURSE. | 150 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 79714 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 150 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 410400 | 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 | 1 | 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 | 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 | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | 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 | 1 | NonDeductibleContributions |
| Non Deductible Disclosure | 1 | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | 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 |
| States Where Copy Of Return Is Filed | MO | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8163313057 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 HEVER KNOLL ROAD | AddressLine1 |
| City | VILLAGE OF LOCH LLOYD | City |
| State | MO | State |
| ZIP Code | 64012 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| LISA HOPKINS | |||||
| PRESIDENT | 10.00 | X | 0 | 0 | 0 |
| LUZ SALONGA RACELA | |||||
| CHAIR | 10.00 | X | 0 | 0 | 0 |
| MAYIE VILKINS | |||||
| SECRETARY | 5.00 | X | 0 | 0 | 0 |
| KRISTIN HARRELL | |||||
| TREASURER | 5.00 | X | 0 | 0 | 0 |
| ANTONIO RACELA | |||||
| EXECUTIVE DIRECTOR | 10.00 | 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 |
| Fundraising Events | 25995 | FundraisingEvents |
| All Other Contributions | 436711 | AllOtherContributions |
| Noncash Contributions | 251644 | NoncashContributions |
| Total Contributions | 462706 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4125 | TotalRevenueColumn |
| Unrelated Business Revenue | 4125 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 87801 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 25995 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 52571 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35230 | TotalRevenueColumn |
| Exclusion | $35,230 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 502061 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4125 | UnrelatedBusinessRevenue |
| Exclusion | $35,230 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5000 | Total |
| Program Services | 5000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150 | Total |
| Program Services | 150 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5728 | Total |
| Management And General | 5728 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1476 | Total |
| Management And General | 1476 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1340 | Total |
| Management And General | 1340 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 717 | Total |
| Management And General | 717 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3310 | Total |
| Management And General | 3310 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising | Management And GeneralManagementAndGeneral |
|---|---|---|---|---|
| IN KIND DONATIONS SUPPL | 226444 | 226444 | ||
| PROGRAM SERVICE EXPENSE | 178806 | 178806 | ||
| GOLF TOURNAMENT | 52572 | 52572 | ||
| BANK CHARGES AND CREDIT | 3041 | 3041 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 852 | Total |
| Management And General | 852 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 479436 | Total |
| Program Services | 410400 | ProgramServices |
| Management And General | 16464 | ManagementAndGeneral |
| Fundraising | 52572 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45014 | BOY |
| EOY | 66337 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8021 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4905 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4905 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145022 | BOY |
| EOY | 149469 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 5200 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198057 | BOY |
| EOY | 221006 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125621 | BOY |
| EOY | 125621 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72436 | BOY |
| EOY | 95385 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198057 | BOY |
| EOY | 221006 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198057 | BOY |
| EOY | 221006 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 22625 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 324 | 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 Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 199731 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 155136 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 180496 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 132887 | CurrentTaxYearMinus1Year |
| Current Tax Year | 245108 | CurrentTaxYear |
| Total | 913358 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 13469 | CurrentTaxYearMinus2Years |
| Current Tax Year | 10 | CurrentTaxYear |
| Total | 13479 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 199731 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 155136 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 193965 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 132887 | CurrentTaxYearMinus1Year |
| Current Tax Year | 245118 | CurrentTaxYear |
| Total | 926837 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 52350 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 72770 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13833 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 40805 | CurrentTaxYearMinus1Year |
| Current Tax Year | 42723 | CurrentTaxYear |
| Total | 222481 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 52350 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 72770 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13833 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 40805 | CurrentTaxYearMinus1Year |
| Current Tax Year | 42723 | CurrentTaxYear |
| Total | 222481 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 704356 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 889 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2944 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4125 | CurrentTaxYear |
| Total | 7958 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 889 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2944 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4125 | CurrentTaxYear |
| Total | 7958 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 199731 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 155136 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 194854 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 135831 | CurrentTaxYearMinus1Year |
| Current Tax Year | 249243 | CurrentTaxYear |
| Total | 934795 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.75350 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.77050 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00850 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00440 | PriorYrInvestIncomePercentage |
| 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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 145022 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 4447 | InvestmentEarningsOrLosses |
| End Of Year Balance | 149469 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 105527 | BeginningOfYearBalance |
| Contributions | 30000 | Contributions |
| Investment Earnings Or Losses | 9495 | InvestmentEarningsOrLosses |
| End Of Year Balance | 145022 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4905 | OtherCostOrOtherBasis |
| Depreciation | 4905 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | AMERICAN FUNDS | Description |
| Book Value | 149469 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 149469 | TotalOfBookValueSecurities |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | TO PROVIDE FUNDS FOR FUTURE MEDICAL MISSIONS AND SUPPORT THE NEW INITIATIVE OF ASSISTING AT-RISK LOCAL YOUTH. | Explanation |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures |
|---|---|---|---|---|---|
| PHILIPPINES | 0 | 0 | PROGRAM SERVICES | PROVIDE HEALTHCARE SERVICES TO REMOTE UNDERSERVED AREAS, DISTRIBUTION OF EYEGLASSES, PERSONAL HYGEINE ITEMS, CLOTHING AND SCHOOL SUPPLIES | 22995 |
| NEPAL | 0 | 0 | PROGRAM SERVICES | 150131 |
| 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 | 173126 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 173126 | TotalAmountSpent |
| 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 |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD USED TO ACCCOUNT FOR EXPENDITURES: | Identifier |
| Explanation | SCHEDULE F, PART I, LINE 3: CASH METHOD | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 105801 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 18000 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 87801 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 21174 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 14583 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 1325 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 15489 | OtherDirectExpensesEvent1 |
| Name Of Event2 | DINNER AND AUCTION | NameOfEvent2 |
| Gross Receipts Event2 | 7995 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 7995 | CharitableContributionsEvent2 |
| Gross Receipts Total | 113796 | GrossReceiptsTotal |
| Charitable Contributions Total | 25995 | CharitableContributionsTotal |
| Gross Revenue Total Events | 87801 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 21174 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 14583 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 1325 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 15489 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 52571 | DirectExpenseSummaryEvents |
| Net Income Summary | 35230 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
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: FOUNDATION REQUIRES THAT GRANT REQUESTS BE MADE TO THE BOARD, BOARD APPROVAL AND SUBSEQUENT ACCOUNTING BY GRANTEE ORGANIZATION REQUIRED. | Explanation |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 300 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COMPARABLE VALUES | MethodOfDeterminingRevenues |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 5 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 224971 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COMPARABLE VALUES | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | SILENT AUCTION & RAFFLE ITEMS/GIFT CERTIFICATES | Description |
| Number Of Contributions | 15 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 21173 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COMPARABLE VALUES | MethodOfDeterminingRevenues |
| 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 | TO PROVIDE ASSISTANCE TO LOCAL AT-RISK AND/OR HOMELESS YOUTH. |
| FORM 990, PART VI, SECTION A, LINE 2 | EXECUTIVE DIRECTOR DR. TONY RACELA IS THE SPOUSE OF EXECUTIVE CHAIR, DR. LUZ RACELA. BOARD MEMBER JENNIFER DENT IS THE DAUGHTER OF LISA HOPKINS, PRESIDENT. | |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED AND APPROVED BY THE BOARD PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FEDERAL FORM 990 AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 324. |