ST PETERSBURG FREE CLINIC INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ST PETERSBURG FREE CLINIC INC (EIN 23-7208280)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-03-06
- IRS object ID
- 201230669349301323
- Schema version
- 2010v3.4
- 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 G
- Schedule I
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-06T14:58:29-06:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBIZ KIRKLAND RUSS MURPHY & TAPP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 13577 FEATHER SOUND DRIVE SUITE 400 | AddressLine1 |
| City | CLEARWATER | City |
| State | FL | State |
| ZIP Code | 33762 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237208280 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST PETERSBURG FREE CLINIC INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STPE | NameControl |
| Phone | 7278211200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 863 THIRD AVENUE NORTH | AddressLine1 |
| City | ST PETERSBURG | City |
| State | FL | State |
| ZIP Code | 33701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN NICELY | Name |
| Title | TREASURER | Title |
| Phone | 7278211200 | Phone |
| Date Signed | 2012-03-06 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRIS CORNEROLI | Name |
| Phone | 7275721400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BETH A HOUGHTON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 863 THIRD AVENUE NORTH | AddressLine1 |
| City | ST PETERSBURG | City |
| State | FL | State |
| ZIP Code | 33701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4028344 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STPETERSBURGFREECLINIC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE TEMPORARY ASSISTANCE FOR FAMILIES AND INDIVIDUALS IN NEED OF THE BASICS OF FOOD, SHELTER, HEALTH CARE, LIMITED FINANCIAL ASSISTANCE, AND REFERRAL INFORMATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 31 | TotalNbrEmployees |
| Total Nbr Volunteers | 3000 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4610586 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3752938 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3519 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1990 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 229159 | OtherRevenuePriorYear |
| Other Revenue Current Year | 211962 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4843264 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3962910 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 200615 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 201785 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1044203 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1034432 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 191651 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3131621 | OtherExpensePriorYear |
| Other Expenses Current Year | 3018122 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4376439 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4254339 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 466825 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -291429 | RevenuesLessExpensesCY |
| Total Assets BOY | 2395068 | TotalAssetsBOY |
| Total Assets EOY | 2100571 | TotalAssetsEOY |
| Total Liabilities BOY | 381594 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 370399 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2013474 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1730172 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | FREE CLINIC'S MISSION IS TO PROVIDE TEMPORARY ASSISTANCE WITH HEALTH CARE, FOOD, AND SHELTER TO PEOPLE WHO ARE NOT ELIGIBLE FOR OTHER ASSISTANC PROGRAMS AND THOSE FACING EMERGENCY SITUATIONS SUCH AS JOB LOSS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 491103 | Expense |
| Grants | 71886 | Grants |
| Description | THE FREE CLINIC HEALTH CENTER IS A WALK-IN CLINIC FOR ADULTS (AGES 18-64) WITHOUT PRIVATE INSURANCE, MEDICARE, MEDICAID, AND FOR THOSE WHO DO NOT QUALIFY BY LOW INCOME FOR COUNTY HEALTH CARE. A GRANT FUNDED ADVANCED REGISTERED NURSE PRACTITIONER TREATS PATIENTS ALONG WITH 36 LICENSED DOCTORS AND 35 NURSES WHO VOLUNTEER THEIR TIME AND SERVICES AT THE FREE CLINIC. 6,500 PHYSICIAN VISITS AND 14,000 PRESCRIPTIONS WERE PROVIDED. SERVICES ALSO INCLUDE HEALTH SCREENINGS, HEALTH EDUCATION, LIMITED NUMBER OF WORK PHYSICALS, DIABETIC CLASSES, OVER THE COUNTER MEDICINE AND MEDICAL EQUIPMENT. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1927625 | Expense |
| Grants | 200 | Grants |
| Description | FREE CLINIC FOOD BANK ANNUALLY GATHERS 1,600,000 POUNDS OF DONATED AND SURPLUS FOOD FROM DISTRIBUTORS, RETAILERS, WHOLESALERS, GROWERS, COMMUNITY GROUPS, INDIVIDUALS, SCHOOLS, CHURCHES, AND BUSINESSES. THE FOOD IS DISTRIBUTED TO 58 PARTNER AGENCIES THROUGHOUT THE COMMUNITY WHICH INCLUDES FOOD PANTRIES, SOUP KITCHENS AND DAY-CARE GROUPS FOR CHILDREN AND THE ELDERLY. THE FOOD IS ALSO SUPPLIED TO THREE FREE CLINIC PROGRAMS INCLUDING WE HELP SERVICES (FOOD IS GIVEN DIRECTLY TO INDIVIDUALS AND FAMILIES IN NEED), THE WOMEN'S RESIDENCE (A SHELTER FOR SINGLE HOMELESS WOMEN), AND BEACON HOUSE (A MEN'S SHELTER AND COMMUNITY KITCHEN) WHICH PROVIDED 53,400 MEALS LAST YEAR. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 972692 | Expense |
| Grants | 112229 | Grants |
| Description | FREE CLINIC WE HELP SERVICES OFFERS INDIVIDUALS AND FAMILIES IN NEED WITH A VARIETY OF RESOURCES, EMERGENCY FOOD FROM THE ONSITE FOOD PANTRY, PERSONAL HYGIENE ITEMS, LIMITED FINANCIAL ASSISTANCE FOR WATER BILLS, LIMITED TRANSPORTATION ASSISTANCE, AND COMMUNITY REFERRAL GUIDANCE AND DIRECTION. 38,057 PEOPLE WERE HELPED AND 517,344 POUNDS OF FOOD WERE DISTRIBUTED THROUGH THIS PROGRAM. OVER $97,000 IN FINANCIAL ASSISTANCE WAS PROVIDED FOR ASSISTANCE WITH WATER BILLS, TRANSPORTATION, AND IDENTIFICATION. ADDITIONALLY, OVER $41,000 IN FINANCIAL ASSISTANCE WAS PROVIDED FOR ELECTRIC BILLS TO THOSE SUFFERING FROM SEVERE MEDICAL CONDITIONS. 7,500 CHILDREN WERE ALSO PROVIDED FOOD THROUGH THIS PROGRAM. | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | GrantsGrants | DescriptionDescription |
|---|---|---|
| 180854 | 5399 | THE FREE CLINIC WOMEN'S RESIDENCE PROVIDES A SAFE PLACE FOR SINGLE HOMELESS WOMEN TO STAY WHILE THEY ARE WORKING, SAVING, AND PLANNING FOR INDEPENDENT LIVING. UP TO 20 WOMEN MAY STAY AT ANY ONE TIME. THE WOMEN ARE SUPPORTED THROUGH REFERRAL AND INFORMATION PROGRAMS SUCH AS EDUCATION ABOUT BUDGETING, GOAL SETTING, JOB SEEKING, AND SELF-ESTEEM. WOMEN MAY STAY UP TO SIX MONTHS, WITH AN AVERAGE STAY OF FOUR MONTHS. 64 WOMEN WERE PROVIDED SHELTER DURING THE FISCAL YEAR WITH THE AVERAGE AGE BEING IN THE MID-FORTIES. |
| 367202 | 12071 | THE FREE CLINIC BEACON HOUSE IS A TEMPORARY AND TRANSITIONAL SHELTER OFFERING 30 BEDS, A SAFE PLACE TO STAY, AND JOB AND HOUSING INFORMATION FOR SINGLE, HOMELESS MEN. DINNER IS SERVED SIX NIGHTS A WEEK TO ANYONE IN THE COMMUNITY WHO IS HUNGRY. RESIDENTS WORK WITH STAFF TO SET GOALS, SAVE MONEY, AND WORK TOWARD INDEPENDENT LIVING. REFERRAL INFORMATION, CLOTHING, AND PERSONAL HYGIENE ITEMS ARE PROVIDED. DURING THE LAST FISCAL YEAR, APPROXIMATELY 8,918 NIGHTS OF SHELTER WERE PROVIDED TO 216 MEN. 33,000 EVENING MEALS WERE PROVIDED THROUGH THE BEACON HOUSE COMMUNITY KITCHEN. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 548056 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 17470 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 3939476 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 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 | 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 | 1 | 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 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 31 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| 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 | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | FL | 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 | 7278211200 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 863 THIRD AVENUE NORTH | AddressLine1 |
| City | ST PETERSBURG | City |
| State | FL | State |
| ZIP Code | 33701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| BETH HOUGHTON | ||||||
| CHAIR | 3.00 | X | X | 0 | 0 | 0 |
| SANDRA AVERITT PHD | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MARYLOU BOURDOW | ||||||
| SECRETARY | 4.00 | X | X | 0 | 0 | 0 |
| JANICE BUCHANAN PHD | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JACK COURTNEY | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ELISE MINKOFF | ||||||
| VICE CHAIR | 2.00 | X | 0 | 0 | 0 | |
| JIM MORTENSEN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JOHN NICELY | ||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| MARY WYATT ALLEN | ||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |
| TIM COOP | ||||||
| BOARD MEMEBER | 2.00 | X | 0 | 0 | 0 | |
| LYNDETTE AGUIRRE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| GLENN MCKELVEY | ||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |
| ROLAND METIVIER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| LEIGHA EPLER | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| DAVE HOSICK | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| AL MAY | ||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | |
| GINNY ROWELL | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| NORMAN SMITH | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| SHERWOOD WHITE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ARMETHA WILLIAMS | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JANE EGBERT CFRE | ||||||
| EXECUTIVE DIRECTOR | 55.00 | X | 80308 | 0 | 2012 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 80308 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2012 | 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 |
| Government Grants | 126752 | GovernmentGrants |
| All Other Contributions | 3626186 | AllOtherContributions |
| Noncash Contributions | 2402854 | NoncashContributions |
| Total Contributions | 3752938 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4282 | TotalRevenueColumn |
| Exclusion | $4,282 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6272 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -6272 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -6272 | TotalRevenueColumn |
| Exclusion | -$6,272 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 271124 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 59162 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 211962 | TotalRevenueColumn |
| Exclusion | $211,962 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3962910 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $209,972 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201785 | Total |
| Program Services | 201785 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82090 | Total |
| Program Services | 65443 | ProgramServices |
| Management And General | 5507 | ManagementAndGeneral |
| Fundraising | 11140 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 827960 | Total |
| Program Services | 658507 | ProgramServices |
| Management And General | 55908 | ManagementAndGeneral |
| Fundraising | 113545 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13261 | Total |
| Program Services | 11292 | ProgramServices |
| Management And General | 760 | ManagementAndGeneral |
| Fundraising | 1209 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36344 | Total |
| Program Services | 36344 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74777 | Total |
| Program Services | 57079 | ProgramServices |
| Management And General | 4393 | ManagementAndGeneral |
| Fundraising | 13305 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29567 | Total |
| Program Services | 24285 | ProgramServices |
| Management And General | 2857 | ManagementAndGeneral |
| Fundraising | 2425 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55441 | Total |
| Program Services | 40047 | ProgramServices |
| Management And General | 5835 | ManagementAndGeneral |
| Fundraising | 9559 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23454 | Total |
| Program Services | 18600 | ProgramServices |
| Management And General | 2828 | ManagementAndGeneral |
| Fundraising | 2026 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36801 | Total |
| Program Services | 29152 | ProgramServices |
| Management And General | 3267 | ManagementAndGeneral |
| Fundraising | 4382 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174059 | Total |
| Program Services | 149465 | ProgramServices |
| Management And General | 14724 | ManagementAndGeneral |
| Fundraising | 9870 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20536 | Total |
| Program Services | 20277 | ProgramServices |
| Fundraising | 259 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13276 | Total |
| Program Services | 9957 | ProgramServices |
| Management And General | 1660 | ManagementAndGeneral |
| Fundraising | 1659 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68828 | Total |
| Program Services | 61278 | ProgramServices |
| Management And General | 3775 | ManagementAndGeneral |
| Fundraising | 3775 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70685 | Total |
| Program Services | 56669 | ProgramServices |
| Management And General | 11605 | ManagementAndGeneral |
| Fundraising | 2411 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| DONATED FOOD USED/DISTR | 2465064 | 2465064 | ||
| PROGRAM SUPPLIES | 48559 | 27044 | 7036 | 14479 |
| LICENSES AND FEES | 8039 | 4679 | 2530 | 830 |
| STAFF TRAINING AND CONT | 2791 | 1574 | 527 | 690 |
| RENTAL EXPENSE | 1022 | 935 | 87 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4254339 | Total |
| Program Services | 3939476 | ProgramServices |
| Management And General | 123212 | ManagementAndGeneral |
| Fundraising | 191651 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147562 | BOY |
| EOY | 32956 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 416246 | BOY |
| EOY | 358363 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 732595 | BOY |
| EOY | 423309 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 149247 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107358 | BOY |
| EOY | 45146 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31926 | BOY |
| EOY | 54017 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2119609 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1132076 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 909381 | BOY |
| EOY | 987533 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50000 | BOY |
| EOY | 50000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2395068 | BOY |
| EOY | 2100571 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131166 | BOY |
| EOY | 106695 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250428 | BOY |
| EOY | 263704 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 381594 | BOY |
| EOY | 370399 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1143971 | BOY |
| EOY | 896948 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 819503 | BOY |
| EOY | 783224 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50000 | BOY |
| EOY | 50000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2013474 | BOY |
| EOY | 1730172 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2395068 | BOY |
| EOY | 2100571 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -291429 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 8127 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 869503 | BeginningOfYearBalance |
| Contributions | 277211 | Contributions |
| Investment Earnings Or Losses | -13276 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 287366 | GrantsOrScholarships |
| End Of Year Balance | 846072 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 641495 | BeginningOfYearBalance |
| Contributions | 642662 | Contributions |
| Investment Earnings Or Losses | -13276 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 319034 | GrantsOrScholarships |
| Other Expenditures | 82344 | OtherExpenditures |
| End Of Year Balance | 869503 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 418040 | BeginningOfYearBalance |
| Contributions | 308304 | Contributions |
| Investment Earnings Or Losses | -17849 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 60000 | GrantsOrScholarships |
| Other Expenditures | 7000 | OtherExpenditures |
| End Of Year Balance | 641495 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.05910 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.94090 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 346687 | OtherCostOrOtherBasis |
| Book Value | 346687 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1455119 | OtherCostOrOtherBasis |
| Depreciation | 911483 | Depreciation |
| Book Value | 543636 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 317803 | OtherCostOrOtherBasis |
| Depreciation | 220593 | Depreciation |
| Book Value | 97210 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 987533 | TotalOfBookValueLandBuildings |
| Total Revenue | 3962910 | TotalRevenue |
| Total Expenses | 4254339 | TotalExpenses |
| Excess Or Deficit For Year | -291429 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 6200 | NetUnrealizedGLOnInvestments |
| Other | $1,927 | OtherAmount |
| Total Adjustments | 8127 | TotalAdjustments |
| Excess Or Deficit Per FS | -283302 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4263164 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 6200 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 270500 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 17282 | OtherRevenues |
| Revenue Not Rptd F990 | 293982 | RevenueNotRptdF990 |
| Revenue Subtotal | 3969182 | RevenueSubtotal |
| Other Revenues Not Included | -6272 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -6272 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 3962910 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4529184 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 270500 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 6272 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 276772 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4252412 | ExpensesSubtotal |
| Other Expenses Not Included | 1927 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1927 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4254339 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | PROVIDE A LONG-TERM PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY THE FREE CLINIC. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE FREE CLINIC FOLLOWS ACCOUNTING STANDARDS CODIFICATION TOPIC 740, "INCOME TAXES" ("ASC 740"). A COMPONENT OF THIS STANDARD PRESCRIBES A RECOGNITION AND MEASUREMENT THRESHOLD OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. FOR THOSE BENEFITS TO BE RECOGNIZED, A TAX POSITION MUST BE MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE FREE CLINIC'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS UNDER THIS STANDARD AS A COMPONENT OF TAX EXPENSE, AND NONE WERE RECOGNIZED SINCE THERE WAS NO MATERIAL IMPACT OF THE APPLICATION OF THIS STANDARD FOR THE YEARS ENDED SEPTEMBER 30, 2011 AND 2010. THE FREE CLINIC'S INFORMATION RETURNS ARE OPEN TO IRS EXAMINATION FOR THE 2007 TAX YEAR ENDED SEPTEMBER 30, 2008, AND ALL SUBSEQUENT YEARS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | OTHER CHANGES 1,927. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ELIMINATION OF SISTER MARGARET FREEMAN FOUNDATION ACTIVITY ON FS 17,282. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF ASSETS RECORDED AS EXPENSE ON FS -6,272. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF ASSETS RECORDED AS EXPENSE ON FS 6,272. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | OTHER CHANGES 1,927. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | SOUP'S ON FUNDRAISER | NameOfEvent1 |
| Gross Receipts Event1 | 53740 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 53740 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 6196 | OtherDirectExpensesEvent1 |
| Name Of Event2 | BATTLE OF THE MINDS FUNDRAISER | NameOfEvent2 |
| Gross Receipts Event2 | 217384 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 217384 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 52966 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 271124 | GrossReceiptsTotal |
| Gross Revenue Total Events | 271124 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 59162 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 59162 | DirectExpenseSummaryEvents |
| Net Income Summary | 211962 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SPECIFIC ASSISTANCE TO INDIVIDUALS IN NEED OF FOOD, MEDICAL CARE, SHELTER, LIMITED FINANCIAL ASSISTANCE, AND REFERRAL INFORMATION, THROUGH PROGRAMS SUCH AS BEACON HOUSE, WE HELP SERVICES, AND WOMEN'S RESIDENCE | TypeOfGrant |
| Number Of Recipients | 15000 | NumberOfRecipients |
| Amount Of Cash Grant | 201785 | AmountOfCashGrant |
| Method Of Valuation | BOOK | MethodOfValuation |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE VARIOUS PROGRAMS, SUCH AS BEACON HOUSE, WE HELP SERVICES, AND WOMEN'S RESIDENCE PROVIDE ASSISTANCE TO INDIVIDUALS IN THE FOLLOWING WAYS: - DIRECT MEDICINE - THE CLINIC PURCHASES AND DISTRIBUTES MEDICINE DIRECTLY TO PATIENTS. - UTILITIES - THE CLINIC PAYS UTILITY BILLS ON BEHALF OF INDIVIDUALS. - DIRECT ASSISTANCE - THE CLINIC PROVIDES FOOD (MOSTLY DONATED) ON BEHALF OF INDIVIDUALS. - TRANSPORTATION - THE CLINIC PURCHASES BUS PASSES ON BEHALF OF INDIVIDUALS. - ID SERVICES - THE CLINIC HELPS INDIVIDUALS WITH OBTAINING DRIVER LICENSES AND BIRTH CERTIFICATES. - DIABETIC SUPPLIES - THE CLINIC PROVIDES DIABETIC TESTING SUPPLIES. ALL APPLICANTS ARE INTERVIEWED AND SCREENED TO DETERMINE THEIR SPECIFIC NEEDS. ALL ASSISTANCE IS PAID FOR DIRECTLY BY THE CLINIC, AND NO MONEY GOES DIRECTLY TO INDIVIDUALS. | Explanation |
Schedule M IRS990ScheduleM
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 2402854 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | ESTIMATED $1.50/LB | 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 |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | CONTRIBUTORS DONATED APPROXIMATELY 1,601,903 POUNDS OF FOOD DURING THE YEAR. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990, AND PRESENTS THE EXACT IRS FILING COPY OF THE FORM 990 FOR EACH VOTING BOARD MEMBER'S REVIEW, BEFORE IT IS FILED. | |
| THE EXECUTIVE DIRECTOR MONITORS FOR ANY CONFLICT OF INTEREST AMONG EMPLOYEES, AND INVOLVES THE CHAIRPERSON OR BOARD AS NECESSARY. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE BOARD'S EXECUTIVE COMMITTEE DETERMINES THE EXECUTIVE DIRECTOR'S SALARY BASED ON THEIR KNOWLEDGE OF SALARIES AT COMPARABLE ORGANIZATIONS. | FORM 990, PART VI, SECTION B, LINE 15A | |
| THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PLEASE CALL 727-823-7866 TO MAKE A REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 6,200. OTHER CHANGES 1,927. TOTAL TO FORM 990, PART XI, LINE 5: 8,127. | FORM 990, PART XI, LINE 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISTER MARGARET FREEMAN FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 863 3RD AVENUE NORTH | AddressLine1 |
| City | ST PETERSBURG | City |
| State | FL | State |
| ZIP Code | 33701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311470427 | EIN |
| Primary Activities | PROVIDE FUNDS FOR THE ST. PETERSBURG FREE CLINIC | PrimaryActivities |
| Legal Domicile State | FL | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 11A - TYPE 1 | PublicCharityStatus |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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