EYE FOUNDATION OF AMERICA INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- EYE FOUNDATION OF AMERICA INC (EIN 55-0621735)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-09-21
- IRS object ID
- 201222659349300307
- 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 L
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-09-21T10:29:23-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550521993 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOOTHMAN RICE PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 908 | AddressLine1 |
| City | BRIDGEPORT | City |
| State | WV | State |
| ZIP Code | 26330 | 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 | 550621735 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EYE FOUNDATION OF AMERICA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EYEF | NameControl |
| Phone | 3045990705 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3140 COLLINS FERRY ROAD | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 26505 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DR VK RAJU | Name |
| Title | MEDICAL DIRECTOR | Title |
| Phone | 3045990705 | Phone |
| Date Signed | 2012-09-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STACIE MILLER | Name |
| PTIN | P00247848 | PTIN |
| Phone | 3046245471 | Phone |
| Date Prepared | 2012-09-04 | DatePrepared |
| 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 VK RAJU | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3140 COLLINS FERRY ROAD | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 26505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 382815 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.EYEFOUNDATIONOFAMERICA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | DEDICATED TO THE ELIMINATION OF AVOIDABLE BLINDNESS, ESPECIALLY IN CHILDREN, WORLDWIDE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 188681 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 295511 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 22203 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6464 | InvestmentIncomePriorYear |
| Investment Income Current Year | -36744 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | -3048 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 195145 | TotalRevenuePriorYear |
| Total Revenue Current Year | 277922 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 191898 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 0 | OtherExpensePriorYear |
| Other Expenses Current Year | 82591 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 0 | TotalExpensesPriorYear |
| Total Expenses Current Year | 274489 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 195145 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3433 | RevenuesLessExpensesCY |
| Total Assets BOY | 343759 | TotalAssetsBOY |
| Total Assets EOY | 376733 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 343759 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 376733 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | EYE FOUNDATION OF AMERICA (EFA) PROVIDES MEDICAL EYE CARE AND TREATMENT THAT IS BOTH AFFORDABLE AND ACCESSIBLE TO ALL ON EQUAL TERMS, WITH THE GOAL OF ELIMINATING AVOIDABLE BLINDNESS, ESPECIALLY IN CHILDREN. EFA'S MISSION IS TO GO WHERE THE NEED IS GREATEST - OFTEN RURAL AND REMOTE AREAS OF DEVELOPING COUNTRIES WHERE THERE IS NO MEDICAL CARE OR WHERE THE COST OF THE CARE IS PROHIBITIVE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 265798 | Expense |
| Revenue | 22203 | Revenue |
| Description | PERFORMING LASIK SURGERIES TO PROVIDE FUNDING FOR CHARITABLE PURPOSES SUCH AS PROVIDING ASSISTANCE TO GOUTAMI EYE INSTITUTE IN INDIA WHICH PROVIDES EYE CARE AND TREATMENT TO THOSE IN RURAL AND REMOTE AREAS. | Description |
| Total Program Service Expense | 265798 | 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 | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 1 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | 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 | 1 | 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 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | 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 | WV | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NV RAJU | NamePerson |
| Telephone Number | 3045990705 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3140 COLLINS FERRY ROAD | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 26505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (6 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| DAVID RAESE | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| SAMUEL STONE | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| ASHOK RAJU | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| DR VK RAJU | ||||||
| TREASURER/MEDICAL DIRECTOR | 20.00 | 0 | 0 | 0 | X | |
| JAYACHANDRA REDDY | ||||||
| PRESIDENT | 0.50 | 0 | 0 | 0 | X | |
| LEELA V RAJU MD | ||||||
| SECRETARY | 0.50 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 29271 | FundraisingEvents |
| All Other Contributions | 266240 | AllOtherContributions |
| Noncash Contributions | 96227 | NoncashContributions |
| Total Contributions | 295511 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LASIK SURGERY INCOME | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 22203 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22203 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 22203 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7582 | TotalRevenueColumn |
| Exclusion | $7,582 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 55719 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 100045 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -44326 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -44326 | TotalRevenueColumn |
| Exclusion | -$44,326 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 1800 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 29271 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 4848 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -3048 | TotalRevenueColumn |
| Exclusion | -$3,048 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 277922 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22203 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$39,792 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24000 | Total |
| Program Services | 24000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22423 | Total |
| Program Services | 22423 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145475 | Total |
| Program Services | 145475 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6715 | Total |
| Management And General | 6715 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1680 | Total |
| Program Services | 1680 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19995 | Total |
| Program Services | 19995 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 923 | Total |
| Program Services | 923 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| LASER & FACILITY RENT | 37513 | 37513 | |
| OTHER CONTRIBUTIONS | 9932 | 9932 | |
| CONTRACT LABOR | 1976 | 1976 | |
| MISCELLANEOUS EXPENSE | 1961 | 1961 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1896 | Total |
| Program Services | 1896 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 274489 | Total |
| Program Services | 265798 | ProgramServices |
| Management And General | 8691 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69556 | BOY |
| EOY | 36982 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5348 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5348 | 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 | 274203 | BOY |
| EOY | 339751 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 343759 | BOY |
| EOY | 376733 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 343759 | BOY |
| EOY | 376733 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 343759 | BOY |
| EOY | 376733 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 343759 | BOY |
| EOY | 376733 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3433 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 29541 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5348 | OtherCostOrOtherBasis |
| Depreciation | 5348 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CERTIFICATES OF DEPOSIT | 338412 | F |
| STOCKS | 1339 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 339751 | TotalOfBookValueSecurities |
| Total Revenue | 277922 | TotalRevenue |
| Total Expenses | 274489 | TotalExpenses |
| Excess Or Deficit For Year | 3433 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -78 | NetUnrealizedGLOnInvestments |
| Other | $29,619 | OtherAmount |
| Total Adjustments | 29541 | TotalAdjustments |
| Excess Or Deficit Per FS | 32974 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 336934 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -78 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 17938 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 41152 | OtherRevenues |
| Revenue Not Rptd F990 | 59012 | RevenueNotRptdF990 |
| Revenue Subtotal | 277922 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 277922 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 307047 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 17938 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 14620 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 32558 | ExpensesNotRptdF990 |
| Expenses Subtotal | 274489 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 274489 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | ACCOUNTING STANDARDS CODIFICATION TOPIC 740-10 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN WHERE THERE IS UNCERTAINTY ABOUT WHETHER A TAX POSITIONS WILL ULTIMATELY BE SUSTAINED UPON EXAMINATION. THE FOUNDATION DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE (OR REFLECT) ANY UNCERTAIN TAX POSITIONS. THE FOUNDATION'S FEDERAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAXES FOR TAX YEARS 2009, 2010, AND 2011 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | REALIZATION OF PRIOR YEAR UNREALIZED LOSSES 29,619. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | REALIZATION OF PRIOR YEARS UNREALIZED LOSSES 29,619. ACCOUNTS RECEIVABLE ADJUSTMENT FOR BOOK PURPOSES 6,685. FUNDRAISING EXPENSES NETTED AGAINST FUNDRAISING INCOME 4,848. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | ACCOUNTS PAYABLE ADJUSTMENT FOR BOOK PURPOSES 9,772. FUNDRAISING EXPENSES NETTED AGAINST FUNDRAISING INCOME 4,848. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintained |
| 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 | 0 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 0 | TotalAmountSpent |
Grants To Orgs Outside US GrantsToOrgsOutsideUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | INDIA | Region |
| Purpose Of Grant | TO PROVIDE ASSISTANCE SO THAT EYE CARE CAN BE PROVIDED IN DEVELOPING COUNTRIES, OFTEN IN RURAL AND REMOTE AREAS. | PurposeOfGrant |
| Amount Of Cash Grant | 47072 | AmountOfCashGrant |
| Manner Of Cash Disbursement | ELECTRONIC TRANSFER | MannerOfCashDisbursement |
| Amount Of Non Cash Assistance | 98403 | AmountOfNonCashAssistance |
| Description Of Non Cash Assistance | MEDICAL SUPPLIES AND EQUIPMENT. | DescriptionOfNonCashAssistance |
| Method Of Valuation | FMV | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of501c3 Orgs | 1 | TotalNumberOf501c3Orgs |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | FORKS OF CHEAT WINERY FUNDRAISER | NameOfEvent1 |
| Gross Receipts Event1 | 31071 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 29271 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 1800 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 1687 | CashPrizesEvent1 |
| Other Direct Expenses Event1 | 3161 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 31071 | GrossReceiptsTotal |
| Charitable Contributions Total | 29271 | CharitableContributionsTotal |
| Gross Revenue Total Events | 1800 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 1687 | CashPrizesTotalEvents |
| Other Direct Expenses Total Events | 3161 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 4848 | DirectExpenseSummaryEvents |
| Net Income Summary | -3048 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| HEART AND HAND FOR THE HANDICAPPED | ||||||||
| PO BOX 520230 | FLUSHING | NY | 11352 | 237344585 | 501(C)(3) | 19000 | FMV | CHARITABLE DONATION |
| JOHN HOPKINS UNIVERSITY | ||||||||
| 3400 NORTH CHARLES STREET | BALTIMORE | MD | 21218 | 520595110 | 501(C)(3) | 5000 | FMV | CHARITABLE DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | EDUCATION ASSISTANCE FOR OPHTHALMIC ASSISTANT TRAINING. | TypeOfGrant |
| Number Of Recipients | 2 | NumberOfRecipients |
| Amount Of Cash Grant | 22423 | AmountOfCashGrant |
| Method Of Valuation | FMV | MethodOfValuation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOUTAMI EYE INSTITUTE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | DR. RAJU IS A BOARD MEMBER OF BOTH THE FOUNDATION AND THE INSTITUTE. | Relationship |
| Amount Of Transaction | 145475 | AmountOfTransaction |
| Description Of Transaction | EYE FOUNDATION MAKES CASH AND NON-CASH CONTRIBUTIONS TO THE INSTITUTE IN THE COURSE OF PERFORMING THEIR EXEMPT PURPOSE. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 96227 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | 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 (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE TREASURER/MEDICAL DIRECTOR, V.K. RAJU IS THE SECRETARY, LEELA V. RAJU'S AND ASHOK RAJU'S FATHER. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT COPY OF THE 990 IS PROVIDED TO THE BOARD FOR THEIR REVIEW BEFORE THE RETURN IS FILED. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -78. REALIZATION OF PRIOR YEAR UNREALIZED LOSSES 29,619. TOTAL TO FORM 990, PART XI, LINE 5: 29,541. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR IN THE ORGANIZATION'S PROCESS FOR SELECTING AN INDEPENDENT ACCOUNTANT. | CHANGE IN INDEPENDENT AUDITOR SELECTION PROCESS |
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