CARCINOID CANCER FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CARCINOID CANCER FOUNDATION (EIN 13-6277875)
- Tax period
- 2011-03-01 to 2012-02-29
- Filed
- 2012-10-09
- IRS object ID
- 201232839349300708
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-09T10:30:00-05:00 | Timestamp |
| Tax Period End Date | 2012-02-29 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WOLF WEISSMAN CPA'S PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 PENN PLZ STE 2615 | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 101192495 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-03-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 136277875 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARCINOID CANCER FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CARC | NameControl |
| Phone | 8887223132 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 MAMARONECK AVENUE | AddressLine1 |
| Address Line2 | ROOM/SUITE 492 | AddressLine2 |
| City | WHITE PLAINS | City |
| State | NY | State |
| ZIP Code | 10605 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GRACE GOLDSTEIN | Name |
| Title | CHIEF OPERATING OFFICER | Title |
| Phone | 8887223132 | Phone |
| Date Signed | 2012-10-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | IRWIN WOLF | Name |
| Phone | 2129677300 | Phone |
| Date Prepared | 2012-10-09 | 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 | GRACE GOLDSTEIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9 AUDREY LANE | AddressLine1 |
| City | WHITE PLAINS | City |
| State | NY | State |
| ZIP Code | 10605 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 291841 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CARCINOID.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1968 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | EDUCATION OF MEDICAL PROFESSIONALS AND THE GENERAL PUBLIC; CONDUCT AND SUPPORT RESEARCH IN THE AREA OF CARCINOID AND NEUROENDOCRINE TUMORS WITH THE ULTIMATE GOAL OF FINDING A CURE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Gross UBI | 50000 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 17984 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 169307 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 232372 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 9236 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 120 | InvestmentIncomePriorYear |
| Investment Income Current Year | 233 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4441 | OtherRevenuePriorYear |
| Other Revenue Current Year | 50000 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 173868 | TotalRevenuePriorYear |
| Total Revenue Current Year | 291841 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 107192 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 38000 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 36950 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 148198 | OtherExpensePriorYear |
| Other Expenses Current Year | 180579 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 260390 | TotalExpensesPriorYear |
| Total Expenses Current Year | 218579 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -86522 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 73262 | RevenuesLessExpensesCY |
| Total Assets BOY | 141028 | TotalAssetsBOY |
| Total Assets EOY | 219709 | TotalAssetsEOY |
| Total Liabilities BOY | 1660 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7079 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 139368 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 212630 | NetAssetsOrFundBalancesEOY |
| Mission Description | EDUCATION OF MEDICAL PROFESSIONALS AND THE GENERAL PUBLIC; CONDUCT AND SUPPORT RESEARCH IN THE AREA OF CARCINOID AND NEUROENDOCRINE TUMORS WITH THE ULTIMATE GOAL OF FINDING A CURE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 3336 | Expense |
| Description | ENCOURAGES, CONDUCTS, AND SUPPORTS RESEARCH IN THE AREA OF THE CARCINOID TUMOR AND ITS SYNDROMES; PROVIDES GRANTS FOR CARCINOID-RELATED RESEARCH PROJECTS BY OTHER INSTITUTIONS; SUPPORTS AND ENCOURAGES RESEARCH AND THE SHARING OF DATA AMONG PHYSICIANS; MAINTAINS A RESEARCH DATABASE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 119098 | Expense |
| Description | PROVIDES INFORMATION AND EDUCATION FOR MEDICAL PROFESSIONALS, PATIENTS, CAREGIVERS, AND THE GENERAL PUBLIC; PROVIDES E-MAIL AND TELEPHONE SUPPORT; CONDUCTS CONFERENCES TO EDUCATE AND RAISE AWARENESS; WORKS TO IMPROVE ACCESS TO ACCURATE AND UP-TO-DATE INFORMATION. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 122434 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 7 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | 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 | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicy |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GRACE GOLDSTEIN | NamePerson |
| Telephone Number | 9146831001 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9 AUDREY LANE | AddressLine1 |
| City | WHITE PLAINS | City |
| State | NY | State |
| ZIP Code | 10605 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (8 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| STANLEY PRESSMENT ESQ | ||||||
| SECRETARY/TR | 0.25 | X | 4500 | 0 | 0 | |
| BRIAN THEDE | ||||||
| MEMBER | 0.25 | X | 0 | 0 | 0 | |
| NANCY TEIXEIRA | ||||||
| MEMBER | 0.25 | X | 0 | 0 | 0 | |
| MICHAIL SHAFIR MD | ||||||
| MEMBER | 0.25 | X | 0 | 0 | 0 | |
| RICHARD RP WARNER MD | ||||||
| MEDICAL DIRE | 0.25 | X | 0 | 0 | 0 | |
| LORETTA BUCKMAN | ||||||
| MEMBER | 0.25 | X | 0 | 0 | 0 | |
| GRACE GOLDSTEIN | ||||||
| COO | 35.00 | 80470 | 0 | 0 | X | |
| KEITH WARNER | ||||||
| CEO | 15.00 | 38000 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 122970 | TotalReportableCompFromOrg |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Fundraising Events | 1231 | FundraisingEvents |
| All Other Contributions | 231141 | AllOtherContributions |
| Total Contributions | 232372 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | EDUCATIONAL PROGRAMS | Description |
| Total Revenue Column | 9236 | TotalRevenueColumn |
| Exclusion | $9,236 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 9236 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 233 | TotalRevenueColumn |
| Exclusion | $233 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SPONSORED ADVERTISING | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 50000 | TotalRevenueColumn |
| Unrelated Business Revenue | 50000 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 50000 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 291841 | TotalRevenueColumn |
| Unrelated Business Revenue | 50000 | UnrelatedBusinessRevenue |
| Exclusion | $9,469 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38000 | Total |
| Program Services | 27420 | ProgramServices |
| Management And General | 10580 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33130 | Total |
| Management And General | 3130 | ManagementAndGeneral |
| Fundraising | 30000 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4500 | Total |
| Management And General | 4500 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4075 | Total |
| Management And General | 4075 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7670 | Total |
| Management And General | 2621 | ManagementAndGeneral |
| Fundraising | 5049 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13500 | Total |
| Program Services | 6750 | ProgramServices |
| Management And General | 6750 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3010 | Total |
| Program Services | 3010 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6325 | Total |
| Program Services | 6325 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2038 | Total |
| Management And General | 2038 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1500 | Total |
| Management And General | 1500 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| HEALTH EDUCATION | 55941 | 55941 | |
| EDUCATION SUPPORT ASSOCIA | 15780 | 15780 | |
| BOOKKEEPING | 6600 | 6600 | |
| TELEPHONE | 4818 | 1606 | 3212 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21692 | Total |
| Program Services | 5602 | ProgramServices |
| Management And General | 14189 | ManagementAndGeneral |
| Fundraising | 1901 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218579 | Total |
| Program Services | 122434 | ProgramServices |
| Management And General | 59195 | ManagementAndGeneral |
| Fundraising | 36950 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37874 | BOY |
| EOY | 87546 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87080 | BOY |
| EOY | 117312 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 181462 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 166611 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16074 | BOY |
| EOY | 14851 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141028 | BOY |
| EOY | 219709 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1660 | BOY |
| EOY | 7079 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1660 | BOY |
| EOY | 7079 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139368 | BOY |
| EOY | 203877 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 8753 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139368 | BOY |
| EOY | 212630 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141028 | BOY |
| EOY | 219709 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 73262 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 161534 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 216460 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 307271 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 169307 | CurrentTaxYearMinus1Year |
| Current Tax Year | 232372 | CurrentTaxYear |
| Total | 1086944 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 109818 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 67372 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 44076 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71878 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4441 | CurrentTaxYear |
| Total | 297585 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 9236 | CurrentTaxYear |
| Total | 9236 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 271352 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 283832 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 351347 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 241185 | CurrentTaxYearMinus1Year |
| Current Tax Year | 246049 | CurrentTaxYear |
| Total | 1393765 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 47000 | CurrentTaxYearMinus2Years |
| Total | 47000 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 104818 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 136000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 87000 | CurrentTaxYearMinus2Years |
| Total | 327818 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 104818 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 136000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 134000 | CurrentTaxYearMinus2Years |
| Total | 374818 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1018947 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2595 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 65 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 33 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 120 | CurrentTaxYearMinus1Year |
| Current Tax Year | 233 | CurrentTaxYear |
| Total | 3046 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2595 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 65 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 33 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 120 | CurrentTaxYearMinus1Year |
| Current Tax Year | 233 | CurrentTaxYear |
| Total | 3046 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 17984 | CurrentTaxYear |
| Total | 17984 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 273947 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 283897 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 351380 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 241305 | CurrentTaxYearMinus1Year |
| Current Tax Year | 264266 | CurrentTaxYear |
| Total | 1414795 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.72020 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
| Total Revenue | 291841 | TotalRevenue |
| Total Expenses | 218579 | TotalExpenses |
| Excess Or Deficit For Year | 73262 | ExcessOrDeficitForYear |
| Other | -$1,356 | OtherAmount |
| Total Adjustments | -1356 | TotalAdjustments |
| Excess Or Deficit Per FS | 71906 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 291841 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 291841 | RevenueSubtotal |
| Total Revenue Per Form990 | 291841 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 219935 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1356 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1356 | ExpensesNotRptdF990 |
| Expenses Subtotal | 218579 | ExpensesSubtotal |
| Total Expenses Per Form990 | 218579 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGES - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 8 | SPECIAL EVENTS EXPENSES NETTED ON RETURN 0 SPECIAL EVENTS EXPENSES NETTED ON RETURN 0 BOOK / TAX DEPRECIATION DIFFERENCE -1,356 |
| REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 2D | SPECIAL EVENTS EXPENSES NETTED ON RETURN 0 |
| EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 2D | SPECIAL EVENTS EXPENSES NETTED ON RETURN 0 BOOK / TAX DEPRECIATION DIFFERENCE 1,356 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RELATED PARTY INFORMATION AMONG OFFICERS | FORM 990, PAGE 6, PART VI, LINE 2 | KEITH WARNER MEDICAL DIRECTOR CEO |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | A DRAFT OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | FORM 990 AND THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE FOUNDATION'S WEBSITE. |
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