CHOICES PREGNANCY RESOURCE CLINIC INC: Form 990EZ, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHOICES PREGNANCY RESOURCE CLINIC INC (EIN 58-2035622)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-15
IRS object ID
201231369349204758
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T18:29:44-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY M SCHWARTZ CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line120 ROLLING RIVER LNAddressLine1
CityRussellvilleCity
StateARState
ZIP Code72802ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN582035622EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHOICES PREGNANCY RESOURCE CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHOINameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 394AddressLine1
CityRUSSELLVILLECity
StateARState
ZIP Code728110394ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSHERRY BERGERName
TitleEXEC DIRECTORTitle
Phone4799672255Phone
Date Signed2012-05-14DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARY M SCHWARTZName
Phone4799685004Phone
Date Prepared2012-05-15DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashXMethodOfAccountingCash
Organization501c3XOrganization501c3
Gross Receipts118351GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc117299ContributionsGiftsGrantsEtc
Other Revenue Total1052OtherRevenueTotal
Total Revenue118351TotalRevenue
Salaries Other Comp Empl Benefits60995SalariesOtherCompEmplBenefits
Fees And Oth Pymt To Ind Contractors2995FeesAndOthPymtToIndContractors
Occupancy Rent Utilities And Maint6658OccupancyRentUtilitiesAndMaint
Printing Publications Postage2659PrintingPublicationsPostage
Other Expenses Total39555OtherExpensesTotal
Total Expenses112862TotalExpenses
Excess Or Deficit For Year5489ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY53311NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY58800NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIXInfoInScheduleOPartII

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY9163BOY
EOY16980EOY

Land And Buildings LandAndBuildings

FieldValueIRS element (for citing)
BOY77972BOY
EOY75652EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2591BOY
EOY469EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY89726BOY
EOY93101EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY36415BOY
EOY34301EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY53311BOY
EOY58800EOY
FieldValueIRS element (for citing)
Primary Exempt PurposeCRISIS PREGNANCY COUNSELINGPrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

FieldValueIRS element (for citing)
Description Program Service AccomOPEN 208 DAYS 462 CLIENT VISITS PROVIDED 129 PREGNANCY TESTS PARENTING INCENTIVE PROGRAMS TANGIBLE NEEDS FOR MOTHER BABIES ULTRASOUNDS 100DescriptionProgramServiceAccom
Program Service Expenses0ProgramServiceExpenses
FieldValueIRS element (for citing)
Total Program Service Expenses0TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
JOHN WHORTON
PO BOX 246LONDONAR72847CHAIRMAN2000
ORMOND PETERS
705 TURRENTINE WAYRUSSELLVILLEAR72802DIRECTOR1000
MICHAEL LAMOUREUX
208 CRAIGWOOD CIRRUSSELLVILLEAR72802VICE CHAIRMAN1000
SHERRY BERGER
PO BOX 74RUSSELLVILLEAR72811EXEC DIRECTOR402400017250
JACQUELINE ROOKE
6461 SR 363RUSSELLVILLEAR72802SECRETARY2000
SCOTT FINDLEY
126 WALLEYE DRRUSSELLVILLEAR72802DIRECTOR1000
EMILY KNOX
655 TUCKER MTN RDRUSSELLVILLEAR72802DIRECTOR1000
JALEEN ROBINSON
826 CR 2626LAMARAR72846NURSE MANAGER101006300
MARY M SCHWARTZ
20 ROLLING RIVER LNRUSSELLVILLEAR72802TREASURER265000
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc DocfalseMadeChangesToOrgnzngEtcDoc
Organization Had UBIfalseOrganizationHadUBI
Subject To Proxy TaxfalseSubjectToProxyTax
Organization Dissolved EtcfalseOrganizationDissolvedEtc
Did Org File Form1120 POL This YearfalseDidOrgFileForm1120POLThisYear
Made Loans To From OfficersfalseMadeLoansToFromOfficers
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTrans
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSHERRY BERGERNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 74AddressLine1
CityRUSSELLVILLECity
StateARState
ZIP Code72811ZIPCode
FieldValueIRS element (for citing)
Telephone Number4799672255TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccount
Foreign OfficefalseForeignOffice
Maintain Any Donor Advised FundsfalseMaintainAnyDonorAdvisedFunds
Does Org Have HospitalfalseDoesOrgHaveHospital
Tanning Services ProvidedfalseTanningServicesProvided
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction With Control EntityfalseTransactionWithControlEntity
Engage Political Cmpgn ActivitiesfalseEngagePoliticalCmpgnActivities
Engage In Lobbying ActivitiesfalseEngageInLobbyingActivities
Operating SchoolfalseOperatingSchool
Trnsfrs Exempt Non Char Related OrgfalseTrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Filed Schedule AtrueFiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years110655CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years129613CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years103599CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year101809CurrentTaxYearMinus1Year
Current Tax Year117299CurrentTaxYear
Total562975Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years110655CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years129613CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years103599CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year101809CurrentTaxYearMinus1Year
Current Tax Year117299CurrentTaxYear
Total562975Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total6719AmountsSubstContributorsTotal
Public Support Total170556256PublicSupportTotal170

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year1052CurrentTaxYear
Total1052Total
FieldValueIRS element (for citing)
Total Support564027TotalSupport
Public Support Pertcentage1700.98620PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97730PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
01. Description of other revenue (Part I, line 8)DESCRIPTION AMOUNT INSURANCE PROCEEDS 1002 CREDIT CARD REWARDS 50
02. Description of other expenses (Part I, line 16)DESCRIPTION AMOUNT REPAIR AND MAINTENANCE 185 EQUIPMENT LEASE 2833 OFFICE AND EQUIPMENT EXPENSE 4127 TELEPHONE 4087 EVENT EXPENSES 11379 AFFILIATIONS PUBLICITY LITERATURE 3749 MEDICAL SUPPLIES 1127 CLIENT EDUCATION AND EXPENSES 2662 TRAINING AND DEVELOPMENT 1124 VOLUNTEER AND MILEAGE REIMB 738 INSURANCE 3102 DEPRECIATION 4442
03. Description of other assets (Part II, line 24)BEGINNING CATEGORY OF YEAR END OF YEAR FURN EQUIP LESS ACCUM DEPR 2591 469
04. Description of total liabilities (Part II, line 26)BEGINNING CATEGORY OF YEAR END OF YEAR MORTGAGE ON BUILDING 35348 33094 PAYROLL TAXES 1067 1207

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