WITH CHANGE IN MIND INC: Form 990EZ, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WITH CHANGE IN MIND INC (EIN 45-2835368)
Tax period
2011-07-22 to 2011-12-31
Filed
2012-08-22
IRS object ID
201232359349200223
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)
Timestamp2012-08-22T16:52:25-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1AUDREYS TAX & BOOKKEEPINGBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1114 RINDERER RDAddressLine1
CityTrentonCity
StateILState
ZIP Code62293ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2011-07-22TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN452835368EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WITH CHANGE IN MIND INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWITHNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line11849 J ROCK ROADAddressLine1
CityTrentonCity
StateILState
ZIP Code62293ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePATRICK HEMPENName
TitleTREASURERTitle
Date Signed2012-02-23DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAudrey F Miller CPAName
Phone6186548182Phone
Date Prepared2012-08-22DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Initial ReturnXInitialReturn
Method Of Accounting CashXMethodOfAccountingCash
Schedule B Not RequiredXScheduleBNotRequired
Web SitewithchangeinmindorgWebSite
Organization501c3XOrganization501c3
Gross Receipts Less Than25000XGrossReceiptsLessThan25000
Gross Receipts0GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Fees And Oth Pymt To Ind Contractors1152FeesAndOthPymtToIndContractors
Printing Publications Postage420PrintingPublicationsPostage
Other Expenses Total1715OtherExpensesTotal
Total Expenses3287TotalExpenses
Excess Or Deficit For Year-3287ExcessOrDeficitForYear
Net Assets Or Fund Balances EOY-3287NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIXInfoInScheduleOPartII

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Land And Buildings LandAndBuildings

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY3287EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY-3287EOY
FieldValueIRS element (for citing)
Primary Exempt PurposeCHARITABLE RELIGIOUS EDUCATIONAL AND SCIPrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment

FieldValueIRS element (for citing)
Description Program Service AccomNO INCOME SO NO ACHIEVEMENTSDescriptionProgramServiceAccom
Program Service Expenses0ProgramServiceExpenses
FieldValueIRS element (for citing)
Total Program Service Expenses0TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
PATRICK HEMPEN
1849 J ROCK ROADTrentonIL62293TREASURER0000
ERIN HEMPEN
1849 J ROCK ROADTrentonIL62293PRESIDENT0000
DAVID WILLETT
432 15TH STBellinghamWA98225DIRECTOR0000
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 FiledILStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPATRICK HEMPENNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11849 J ROCK ROADAddressLine1
CityTrentonCity
StateILState
ZIP Code62293ZIPCode
FieldValueIRS element (for citing)
Telephone Number3143234306TelephoneNumber
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
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer
Filed Schedule AtrueFiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total5090PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierExplanationExplanation
01. Description of other expenses (Part I, line 16)Description Amount WEB HOSTING 122 WEB DESIGN 750 DOMAIN NAMES 143 ANNUAL FILING FEES 700
02. Description of total liabilities (Part II, line 26)Beginning Category of Year End of Year HEMPEN LOAN 0 3287

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