PRIMED FOR LIFE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PRIMED FOR LIFE INC (EIN 20-5844837)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-15
IRS object ID
201232289349302648
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)
Timestamp2012-08-15T02:59:24-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLINTON ACCOUNTING SERVICEBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1103 EAST WASHINGTON STREETAddressLine1
CityCLINTONCity
StateILState
ZIP Code61727ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN205844837EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRIMED FOR LIFE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPRIMNameControl
Phone2177892980Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1816 S COLLEGEAddressLine1
CitySpringfieldCity
StateILState
ZIP Code62704ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLESHONDA ROGERSName
TitleEXECUTIVE DIRECTORTitle
Phone2177892980Phone
Date Signed2012-05-15DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN L GOLDENName
Phone2179352151Phone
Date Prepared2012-08-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLeshonda RogersNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1816 S CollegeAddressLine1
CitySpringfieldCity
StateILState
ZIP Code62702ZIPCode
FieldValueIRS element (for citing)
Gross Receipts355864GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2006YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionLead ... Provide services to families involved in the child welfare system that assist them in navigating through the process successfully and increase the outcome of reunification along with strengthening family dynamics. Gauge ... Program that services youth between the ages of 12-24 with leadership development, character building, life skills and employment in the community.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees6TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year94954ContributionsGrantsPriorYear
Contributions Grants Current Year350361ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2InvestmentIncomePriorYear
Investment Income Current Year1InvestmentIncomeCurrentYear
Other Revenue Prior Year100OtherRevenuePriorYear
Other Revenue Current Year5502OtherRevenueCurrentYear
Total Revenue Prior Year95056TotalRevenuePriorYear
Total Revenue Current Year355864TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year146303SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year83246OtherExpensePriorYear
Other Expenses Current Year192016OtherExpensesCurrentYear
Total Expenses Prior Year83246TotalExpensesPriorYear
Total Expenses Current Year338319TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11810RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17545RevenuesLessExpensesCY
Total Assets BOY36344TotalAssetsBOY
Total Assets EOY57889TotalAssetsEOY
Total Liabilities EOY4000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY36344NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY53889NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionLead ... Provide services to families involved in the child welfare system that assist them in navigating through the process successfully and increase the outcome of reunification along with strengthening family dynamics. Gauge ... Program that services youth between the ages of 12-24 with leadership development, character building, life skills and employment in the community.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense338319Expense
Revenue350361Revenue
DescriptionLead ... Provide services to families involved in the child welfare system that assist them in navigating through the process successfully and increase the outcome of reunification along with strengthening family dynamics. Gauge ... Program that services youth between the ages of 12-24 with leadership development, character building, life skills and employment in the community.Description
Total Program Service Expense338319TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees6NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLESHONDA ROGERSNamePerson
Telephone Number2177892980TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1816 S COLLEGE STAddressLine1
CitySpringfieldCity
StateILState
ZIP Code62704ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
LESHONDA ROGERS
EXECUTIVE DIRECTOR40.00XX6575200
TIMOTHY ROWLES
PRESIDENT10.00000X
CHERRIE BENTON
TREASURER10.00000X
NICOLE GALES
SECRETARY10.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org65752TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants350361GovernmentGrants
Total Contributions350361TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1TotalRevenueColumn
Related Or Exempt Function Income1RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionReimbursements & refundsDescription
Total Revenue Column5502TotalRevenueColumn
Related Or Exempt Function Income5502RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5502TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column355864TotalRevenueColumn
Related Or Exempt Function Income5503RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total36242Total
Program Services36242ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total99186Total
Program Services99186ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10875Total
Program Services10875ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total84624Total
Program Services84624ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1200Total
Program Services1200ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total36446Total
Program Services36446ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total35002Total
Program Services35002ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4793Total
Program Services4793ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Food88228822
Supplies73957395
Telecom52705270
Equipment leases20732073

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6391Total
Program Services6391ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total338319Total
Program Services338319ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY36344BOY
EOY57889EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36344BOY
EOY57889EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY4000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY4000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY36344BOY
EOY53889EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36344BOY
EOY53889EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36344BOY
EOY57889EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses17545ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years159980CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95054CurrentTaxYearMinus1Year
Current Tax Year350361CurrentTaxYear
Total605395Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years159980CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95054CurrentTaxYearMinus1Year
Current Tax Year350361CurrentTaxYear
Total605395Total
FieldValueIRS element (for citing)
Public Support Total170605395PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year2CurrentTaxYearMinus1Year
Current Tax Year1CurrentTaxYear
Total3Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years2013CurrentTaxYearMinus2Years
Current Tax Year5502CurrentTaxYear
Total7515Total
FieldValueIRS element (for citing)
Total Support612913TotalSupport
First5 Years170XFirst5Years170
Public Support Total509605395PublicSupportTotal509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
ExplanationPART VI #19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.Explanation

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