SAMARITAN AVIATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN AVIATION (EIN 84-1543484)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-15
IRS object ID
201232909349300908
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)
Timestamp2012-10-15T13:40:22-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN363990892EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Capin Crouse LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1972 Emerson Parkway Ste AAddressLine1
CityGreenwoodCity
StateINState
ZIP Code46143ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN841543484EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Samaritan AviationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAMANameControl
Phone9702494341Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 492AddressLine1
CityMontroseCity
StateCOState
ZIP Code814019606ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoey BurnsName
TitleChairman of the BoardTitle
Phone9702494341Phone
Date Signed2012-10-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDavid C MojaName
PTINP00747006PTIN
Phone3178852620Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJoey BurnsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 492AddressLine1
CityMontroseCity
StateCOState
ZIP Code814019606ZIPCode
FieldValueIRS element (for citing)
Gross Receipts734018GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.samaritanaviation.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTo promote the gospel by providing mission, medical, and aviation services.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees8TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year577402ContributionsGrantsPriorYear
Contributions Grants Current Year581620ContributionsGrantsCurrentYear
Program Service Revenue Prior Year30028ProgramServiceRevenuePriorYear
Program Service Revenue CY120409ProgramServiceRevenueCY
Investment Income Prior Year87InvestmentIncomePriorYear
Investment Income Current Year84InvestmentIncomeCurrentYear
Other Revenue Prior Year1392OtherRevenuePriorYear
Other Revenue Current Year-8645OtherRevenueCurrentYear
Total Revenue Prior Year608909TotalRevenuePriorYear
Total Revenue Current Year693468TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11055GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY20339GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year133987SalariesEtcPriorYear
Salaries Etc Current Year201786SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year102349TotalFundrsngExpCurrentYear
Other Expense Prior Year359349OtherExpensePriorYear
Other Expenses Current Year479648OtherExpensesCurrentYear
Total Expenses Prior Year504391TotalExpensesPriorYear
Total Expenses Current Year701773TotalExpensesCurrentYear
Revenues Less Expenses Prior Year104518RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-8305RevenuesLessExpensesCY
Total Assets BOY1155949TotalAssetsBOY
Total Assets EOY1148331TotalAssetsEOY
Total Liabilities BOY92373TotalLiabilitiesBOY
Total Liabilities EOY99592TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1063576NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1048739NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSamaritan Aviation's mission is to care for people in need by providing medical and aviation services with the goal of sharing God's love.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense397712Expense
Grants20339Grants
Revenue120409Revenue
DescriptionSamaritan Aviation provided medical, mission and aviation support in Papua New Guinea. In 2011 we air evacuated over 50 critically ill or injured individuals, almost half of these were mother's in distressed. Our float plane delivered lifesaving medicine to two villages with cholera outbreaks. We also supplied over 15 thousand pounds of medical supplies to 28 village aid posts.Samaritan Aviation provided Mercy Flights for 13 individuals, some more than once during 2011 that were too ill to travel by road or commercial airline. In several of the flights we were able to fly the patients to medical appointments which allowed them to return to the comfort of their own home in the same day. We also follow-up with flight patients & their families to offer our continuous support through our organization.Description
Total Program Service Expense397712TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office1ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees8NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryPPNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Gina DavisBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9702494341TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 492AddressLine1
CityMontroseCity
StateCOState
ZIP Code814019606ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Joey Burns
Chairman of the board5.00XX000
Gary Bustin
President40.00XX21500035000
Steven Mark Palm
Vice President40.00XX17034038816
Matthew Palm
Secretary/Treasurer1.00XX000
Jacob Carroll
Financial Director8.00X000
Dr Dan Cranston
Field Medical Director1.00X000
Scott Friedman
Dir. of Aviation Devlp't2.00X000
Patrick Clowes
Board member/Attorney5.00X000
Cameron Nevins
Dir. of Enterprise2.00X000
Dr David Brown
Field Surgical Dir.1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org38534TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation73816TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events18947FundraisingEvents
All Other Contributions562673AllOtherContributions
Noncash Contributions205884NoncashContributions
Total Contributions581620TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Young Samaritan Thrift4533109279892798
PNG Mercy flights9000992761127611
FieldValueIRS element (for citing)
Total Program Service Revenue120409TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column84TotalRevenueColumn
Exclusion$84ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real13510Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real17502Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-3992Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-3992TotalRevenueColumn
Exclusion-$3,992ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events18245GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events18947CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses23048FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-4803TotalRevenueColumn
Exclusion-$4,803ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther incomeDescription
Business Code900099BusinessCode
Total Revenue Column150TotalRevenueColumn
Exclusion$150ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue150TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column693468TotalRevenueColumn
Related Or Exempt Function Income120409RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$8,561ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8339Total
Program Services8339ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total12000Total
Program Services12000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total112350Total
Program Services44940ProgramServices
Management And General33705ManagementAndGeneral
Fundraising33705Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total83005Total
Program Services34862ProgramServices
Management And General34032ManagementAndGeneral
Fundraising14111Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6431Total
Program Services2701ProgramServices
Management And General2637ManagementAndGeneral
Fundraising1093Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2450Total
Management And General2450ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1000Total
Program Services420ProgramServices
Management And General410ManagementAndGeneral
Fundraising170Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total50311Total
Program Services21131ProgramServices
Management And General20627ManagementAndGeneral
Fundraising8553Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total57337Total
Program Services24081ProgramServices
Management And General23509ManagementAndGeneral
Fundraising9747Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3426Total
Program Services1439ProgramServices
Management And General1405ManagementAndGeneral
Fundraising582Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total23524Total
Program Services9880ProgramServices
Management And General9645ManagementAndGeneral
Fundraising3999Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total80771Total
Program Services33924ProgramServices
Management And General33116ManagementAndGeneral
Fundraising13731Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2714Total
Program Services1140ProgramServices
Management And General1113ManagementAndGeneral
Fundraising461Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total5112Total
Program Services2147ProgramServices
Management And General2096ManagementAndGeneral
Fundraising869Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total79517Total
Program Services33397ProgramServices
Management And General32602ManagementAndGeneral
Fundraising13518Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total10646Total
Program Services4471ProgramServices
Management And General4365ManagementAndGeneral
Fundraising1810Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Thrift store operations7423974239
Aircraft maintenance4548945489
Projects3143731437
Program shipping1167511675

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total701773Total
Program Services397712ProgramServices
Management And General201712ManagementAndGeneral
Fundraising102349Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY118751BOY
EOY81187EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY44519BOY
EOY16672EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis862099LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec286627LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY517679BOY
EOY575472EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY475000BOY
EOY475000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1155949BOY
EOY1148331EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23562BOY
EOY26092EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY68811BOY
EOY63500EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY10000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY92373BOY
EOY99592EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1018952BOY
EOY1048739EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY44624BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1063576BOY
EOY1048739EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1155949BOY
EOY1148331EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-8305ReconcilationRevenueExpenses
Reconcilation Other Changes-6532ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years688240CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years488418CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years492311CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year577402CurrentTaxYearMinus1Year
Current Tax Year507381CurrentTaxYear
Total2753752Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years688240CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years488418CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years492311CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year577402CurrentTaxYearMinus1Year
Current Tax Year507381CurrentTaxYear
Total2753752Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total476319AmountsSubstContributorsTotal
Public Support Total1702277433PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1654CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4931CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87CurrentTaxYearMinus1Year
Current Tax Year13594CurrentTaxYear
Total20293Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years35210CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24199CurrentTaxYearMinus1Year
Current Tax Year18395CurrentTaxYear
Total77804Total
FieldValueIRS element (for citing)
Total Support2851849TotalSupport
Gross Receipts From Admissions Etc152081GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.79860PublicSupportPertcentage170
Public Support Pertcent Prior Year0.77440PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSchedule A, Part II, Line 10, Explanation of Other Income: Special event income Other IncomeGeneralExplanation

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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6593OtherCostOrOtherBasis
Book Value6593BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis148316OtherCostOrOtherBasis
Depreciation8936Depreciation
Book Value139380BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis701990OtherCostOrOtherBasis
Depreciation276247Depreciation
Book Value425743BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5200OtherCostOrOtherBasis
Depreciation1444Depreciation
Book Value3756BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings575472TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDeposit on Kodiak airplaneDescription
Book Value475000BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets475000TotalBookValueOtherAssets

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
East Asia and the Pacific11Program service expenseMedical, mission and aviation support in the region.242162
East Asia and the Pacific00Grant to US 501c3 orgs for medical kits to be used in the region2500
East Asia and the Pacific00Grants to recipients located in region12000
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Subtotal Number Of Employees1SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees1TotalNumberOfEmployees
Subtotal Amount Spent256662SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent256662TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionEast Asia and the PacificRegion
Purpose Of GrantMercy FightsPurposeOfGrant
Amount Of Cash Grant12000AmountOfCashGrant
Manner Of Cash DisbursementCashMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifierExplanationExplanation
Procedure for Monitoring Grants Outside the U.S.:Schedule F, Part I, Line 2: Medical supplies and medications are given to hospitals and aid ports located in the jungle and sometimes cach is granted to NGO's to be used for similar purposes. The organization receiving goods delivers the goods to the remote locations and performs site visits. Organizations receiving cash grants use the grant funds for the designated purpose of the grant. The board of directors assesses their needs based on those site visits. Samaritan Aviation-USA (SA-USA) finance committee tracks and monitors Samaritan Aviation - Papau New Guinea with a budget that is compared to their actual expenses.
Method Used to Acccount for Expenditures:Schedule F, Part I, Line 3: Expenses are accounted for based on the accrual method of accounting using expense reports, grant feedback and other appropriate documentation. Expenses consist of program expenses and travel to and around region.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Dinner/AuctionNameOfEvent1
Gross Receipts Event137192GrossReceiptsEvent1
Charitable Contributions Event118947CharitableContributionsEvent1
Gross Revenue Event118245GrossRevenueEvent1
Rent Facility Costs Event12728RentFacilityCostsEvent1
Food And Beverage Event15776FoodAndBeverageEvent1
Other Direct Expenses Event114544OtherDirectExpensesEvent1
Gross Receipts Total37192GrossReceiptsTotal
Charitable Contributions Total18947CharitableContributionsTotal
Gross Revenue Total Events18245GrossRevenueTotalEvents
Rent Facility Costs Total Events2728RentFacilityCostsTotalEvents
Food And Beverage Total Events5776FoodAndBeverageTotalEvents
Other Direct Expenses Total Events14544OtherDirectExpensesTotalEvents
Direct Expense Summary Events23048DirectExpenseSummaryEvents
Net Income Summary-4803NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Young LifeBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11009 E 13th StreetAddressLine1
CityDeltaCity
StateCOState
ZIP Code81416ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient840385934EINOfRecipient
IRC Section501 (c) 3IRCSection
Amount Of Cash Grant5839AmountOfCashGrant
Purpose Of GrantAssistance with youth programs.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Grants are given to other organizations with similar ministry purpose.Explanation

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99074239NoncashContribsRptdF990
Method Of Determining RevenuesFMV - Similar SalesMethodOfDeterminingRevenues

Boats And Planes BoatsAndPlanes

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990120000NoncashContribsRptdF990
Method Of Determining RevenuesAppraisal FMVMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F9902500NoncashContribsRptdF990
Method Of Determining RevenuesSelling costMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionAuction itemsDescription
Number Of Contributions56NumberOfContributions
Noncash Contribs Rptd F9909145NoncashContribsRptdF990
Method Of Determining RevenuesFMV-Similar SalesMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMethod for Determining Number of Contributors:Identifier
Return ReferencePart I, Column (b):ReturnReference
ExplanationThe number of contributors reported is the number of contributions received, not the numbers of items contributed.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2Board members Steven Mark Palm and Matthew Palm are brothers.
Form 990, Part VI, Section A, line 8bThere are no committees with the authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11The Form 990 is prepared by an independent CPA firm, reviewed by the executive and finance teams, and then made available to the board prior to being filed with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12cThe conflict of interest policy is enforced through oversight by the Board of Directors and Executive Committee.
Form 990, Part VI, Section B, line 15aIndependent members of Samaritan Aviation's Board of Directors decides on the salary of top management and bases it on what they see as fair compensation using management and aviation industry experience. The process and voting is documented in the board minutes.
Form 990, Part VI, Section C, line 19These documents are available upon request.
Form 990, Part XI, line 5:Exchange rate -6,532. Total to Form 990, Part XI, Line 5: -6,532.Changes in Net Assets or Fund Balances:

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