GOOD SAMARITAN FOUNDATION OF TEXAS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GOOD SAMARITAN FOUNDATION OF TEXAS INC (EIN 74-1235398)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201233199349302833
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)
Timestamp2012-11-14T11:13:55-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN741695589EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HARPER & PEARSON COMPANY PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE RIVERWAY SUITE 1000AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN741235398EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN FOUNDATION OF TEXAS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGOODNameControl
Phone7135294646Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13355 W ALABAMA STREET SUITE 1025AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77098ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHELLE HILDRETHName
TitleEXECUTIVE DIRECTORTitle
Phone7135294646Phone
Date Signed2012-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGUY T TABOR CPAName
PTINP00171798PTIN
Phone7136222310Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHELLE HILDRETHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13355 W ALABAMA STREET SUITE 1025AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77098ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1317074GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GSFTX.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO INCREASE THE QUANTITY OF NURSES DEDICATED TO CLINICAL CARE AND TO IMPROVE THE QUALITY OF NURSE EDUCATION AND TRAINING.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year593162ContributionsGrantsPriorYear
Contributions Grants Current Year765403ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year18154InvestmentIncomePriorYear
Investment Income Current Year13026InvestmentIncomeCurrentYear
Other Revenue Prior Year92697OtherRevenuePriorYear
Other Revenue Current Year91921OtherRevenueCurrentYear
Total Revenue Prior Year704013TotalRevenuePriorYear
Total Revenue Current Year870350TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year392000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY425000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year287939SalariesEtcPriorYear
Salaries Etc Current Year237561SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year107736TotalFundrsngExpCurrentYear
Other Expense Prior Year232949OtherExpensePriorYear
Other Expenses Current Year234569OtherExpensesCurrentYear
Total Expenses Prior Year912888TotalExpensesPriorYear
Total Expenses Current Year897130TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-208875RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-26780RevenuesLessExpensesCY
Total Assets BOY1643530TotalAssetsBOY
Total Assets EOY1555761TotalAssetsEOY
Total Liabilities BOY22875TotalLiabilitiesBOY
Total Liabilities EOY23062TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1620655NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1532699NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionGOOD SAMARITAN FOUNDATION (GSF) IS A FUNDRAISING AND GRANT-MAKING ORGANIZATION DEDICATED SOLELY TO TEXAS NURSING. ITS MISSION IS TO INCREASE THE QUANTITY OF NURSES DEDICATED TO CLINICAL CARE AND TO IMPROVE THE QUALITY OF NURSE EDUCATION AND TRAINING. GSF GRANT PROGRAMS ADDRESS SEVERAL COMPLEX ISSUES AFFECTING THE PRACTICE OF NURSING, INCLUDING WORKFORCE SHORTAGES, THE SKILLS GAP BETWEEN NURSING EDUCATION AND PRACTICE, LIMITS TO ENROLLMENT IN NURSING SCHOOLS, A RAPIDLY CHANGING PRACTICE ENVIRONMENT, AND AN AGING POPULATION AND ITS SPECIAL HEALTHCARE NEEDS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense619004Expense
Grants415000Grants
DescriptionNURSING SCHOLARSHIPS. GOOD SAMARITAN FOUNDATION MADE GRANTS TO 250 STUDENTS ATTENDING 53 DIFFERENT SCHOOLS OF NURSING IN THE HOUSTON AND GULF COAST REGION IN 2011. OF THOSE, 71 STUDENTS WERE ENROLLED IN LVN OR ADN PROGRAMS, 77 WERE PURSUING BACHELOR'S DEGREES IN NURSING, 75 WERE PURSUING MASTER'S DEGREES, AND 27 WERE ENROLLED IN DOCTORIAL STUDIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense10000Expense
Grants10000Grants
DescriptionGRANT TO COLLEGES OF NURSING AND OTHER ORGANIZATIONS. IN FULFILLIMENT OF A FIVE-YEAR COMMITMENT TO TEXAS WOMAN'S UNIVERSITY, GOOD SAMARITAN GRANTED $10,000 IN 2011 TO TWU NELDA STARK COLLEGE OF NURSING IN HOUSTON TO ASSIST IT IN PRESENTING A LECTURE SERIES TO PROFESSIONAL NURSES. THE SERIES WAS APPROVED FOR CONTINUING NURSING EDUCATION CREDITS. IN 2011 NANCY DUNTON, PHD, RN PRESENTED "PREVENTING NEVER EVENTS: HOW TO USE NURSING DATA TO ENSURE QUALITY PATIENT CARE;" THERE WERE 127 ATTENDEES.Description
FieldValueIRS element (for citing)
Total Program Service Expense629004TotalProgramServiceExpense
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 Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
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 Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 Committees1MinutesOfCommittees
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 Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MELISSA SCHMIDTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7135294646TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13355 W ALABAMA STREET SUITE 1025AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77098ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JASON FERTITTA
CHAIRMAN2.00XX000
MELBERN G GLASSCOCK
TRUSTEE0.50X000
L PROCTOR THOMAS III
TRUSTEE0.10X000
THOMAS C LIVENGOOD
TREASURER1.00XX000
WILLIAM V CONOVER II
LIFE TRUSTEE0.10X000
LEE LD TUTTLE MD
LIFE TRUSTEE0.10X000
J VIRGIL WAGGONER
LIFE TRUSTEE0.10X000
JACK APPLE
LIFE TRUSTEE0.10X000
MARY LOU CHAPMAN
LIFE TRUSTEE0.10X000
ROSEMARY PEARSON CREASEY
LIFE TRUSTEE0.10X000
SUSAN P STASNEY
TRUSTEE, EX COMM, SECRETARY0.50XX000
JUANITA F ROMANS
TRUSTEE, EX COMM0.30X000
THURMAN ANDRESS
TRUSTEE0.10X000
ERIC F BERKMAN MD
TRUSTEE0.10X000
MOLLIE CASTANEDA
TRUSTEE, EX COMM0.30X000
LARRY S LEWIS
TRUSTEE0.10X000
ANN SCANLON-MCGINITY PHD RN
TRUSTEE0.10X000
CHARLES A WILLIAMS
TRUSTEE, EX COMM0.10X000
HARRIET HART WALLACE
TRUSTEE0.10X000
CHARLES H MCCOLLUM MD
TRUSTEE0.10X000
JAMES T WILLERSON MD
TRUSTEE, EX COMM0.10X000
STEVEN P MACH
TRUSTEE0.10X000
EDUARDO A SANCHEZ
TRUSTEE0.10X000
RICHARD E WAINERDI PHD
TRUSTEE0.10X000
CHRISTOPHER DEWHURST
TRUSTEE0.10X000
WARREN HARRIS
TRUSTEE0.10X000
CLARK P WHITESIDE
EXECUTIVE DIRECTOR & ASST45.00X4280800
MICHELLE HILDRETH
EXECUTIVE DIRECTOR & ASST45.00X4807700
FieldValueIRS element (for citing)
Total Reportable Comp From Org90885TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events431760FundraisingEvents
Related Organizations27500RelatedOrganizations
All Other Contributions306143AllOtherContributions
Noncash Contributions25000NoncashContributions
Total Contributions765403TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21440TotalRevenueColumn
Exclusion$21,440ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column91921TotalRevenueColumn
Exclusion$91,921ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities315100Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities323514Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-8414Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-8414TotalRevenueColumn
Exclusion-$8,414ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events123210GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events431760CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses123210FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column870350TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$104,947ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10000Total
Program Services10000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total415000Total
Program Services415000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total96604Total
Program Services16810ProgramServices
Management And General33811ManagementAndGeneral
Fundraising45983Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total103452Total
Program Services58147ProgramServices
Management And General32622ManagementAndGeneral
Fundraising12683Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total21706Total
Program Services8453ProgramServices
Management And General9653ManagementAndGeneral
Fundraising3600Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total15799Total
Program Services5920ProgramServices
Management And General5246ManagementAndGeneral
Fundraising4633Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total51Total
Management And General51ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30871Total
Management And General30871ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10000Total
Management And General10000ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6805Total
Fundraising6805Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total18204Total
Program Services12743ProgramServices
Management And General3641ManagementAndGeneral
Fundraising1820Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total37196Total
Program Services26037ProgramServices
Management And General7439ManagementAndGeneral
Fundraising3720Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1959Total
Program Services921ProgramServices
Fundraising1038Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total645Total
Program Services129ProgramServices
Management And General258ManagementAndGeneral
Fundraising258Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total678Total
Management And General678ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4903Total
Program Services2353ProgramServices
Management And General1079ManagementAndGeneral
Fundraising1471Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
SPECIAL EVENTS EXPENSES900126531224700
BAD DEBT EXPENSE1700017000
ROYALTY TAXES59905990
TELEPHONE48573400486971

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5398Total
Program Services3779ProgramServices
Management And General1080ManagementAndGeneral
Fundraising539Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total897130Total
Program Services629004ProgramServices
Management And General160390ManagementAndGeneral
Fundraising107736Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY162997BOY
EOY187398EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY69500BOY
EOY162665EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY31833BOY
EOY29926EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14677BOY
EOY18500EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49468LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec48267LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1879BOY
EOY1201EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY765882BOY
EOY589764EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY596762BOY
EOY566307EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1643530BOY
EOY1555761EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12875BOY
EOY10497EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY10000BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY12565EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22875BOY
EOY23062EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY480558BOY
EOY383224EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1140097BOY
EOY1149475EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1620655BOY
EOY1532699EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1643530BOY
EOY1555761EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-26780ReconcilationRevenueExpenses
Reconcilation Other Changes-61176ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years744583CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years544988CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years541336CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year593162CurrentTaxYearMinus1Year
Current Tax Year765403CurrentTaxYear
Total3189472Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years168991CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years157185CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years190212CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year150240CurrentTaxYearMinus1Year
Current Tax Year123210CurrentTaxYear
Total789838Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years913574CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years702173CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years731548CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year743402CurrentTaxYearMinus1Year
Current Tax Year888613CurrentTaxYear
Total3979310Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years154454CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years333900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year334350CurrentTaxYearMinus1Year
Current Tax Year398885CurrentTaxYear
Total1337809Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years154454CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years333900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year334350CurrentTaxYearMinus1Year
Current Tax Year398885CurrentTaxYear
Total1337809Total
FieldValueIRS element (for citing)
Public Support Total5092641501PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years139162CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years223663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years144515CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year111865CurrentTaxYearMinus1Year
Current Tax Year113361CurrentTaxYear
Total732566Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years139162CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years223663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years144515CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year111865CurrentTaxYearMinus1Year
Current Tax Year113361CurrentTaxYear
Total732566Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1052736CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years925836CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years876063CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year855267CurrentTaxYearMinus1Year
Current Tax Year1001974CurrentTaxYear
Total4711876Total
FieldValueIRS element (for citing)
Public Support Percentage5090.56060PublicSupportPercentage509
Prior Year Support Percentage0.53510PriorYearSupportPercentage
Investment Income Percentage0.15550InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.14620PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance596762BeginningOfYearBalance
Investment Earnings Or Losses-690InvestmentEarningsOrLosses
Grants Or Scholarships27500GrantsOrScholarships
Administrative Expenses2265AdministrativeExpenses
End Of Year Balance566307EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance561991BeginningOfYearBalance
Investment Earnings Or Losses58965InvestmentEarningsOrLosses
Grants Or Scholarships20929GrantsOrScholarships
Administrative Expenses3265AdministrativeExpenses
End Of Year Balance596762EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance491283BeginningOfYearBalance
Investment Earnings Or Losses92199InvestmentEarningsOrLosses
Grants Or Scholarships19017GrantsOrScholarships
Administrative Expenses2474AdministrativeExpenses
End Of Year Balance561991EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49468OtherCostOrOtherBasis
Depreciation48267Depreciation
Book Value1201BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1201TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INTEREST IN GOOD SAMARITAN ENDOWMENTDescription
Book Value566307BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets566307TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLEASE LIABILITYDescription
Amount$12,565Amount
FieldValueIRS element (for citing)
Total Of Amounts12565TotalOfAmounts
Total Revenue870350TotalRevenue
Total Expenses897130TotalExpenses
Excess Or Deficit For Year-26780ExcessOrDeficitForYear
Net Unrealized GL On Investments-5721NetUnrealizedGLOnInvestments
Other-$55,455OtherAmount
Total Adjustments-61176TotalAdjustments
Excess Or Deficit Per FS-87956ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt976974TotRevenueEtcAuditedFinclStmt
Other Revenues123210OtherRevenues
Revenue Not Rptd F990123210RevenueNotRptdF990
Revenue Subtotal853764RevenueSubtotal
Other Revenues Not Included16586OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt16586RevenueNotRptdOnFinStmt
Total Revenue Per Form990870350TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1020340TotExpensesEtcAuditedFinclStmt
Other Expenses Included123210OtherExpensesIncluded
Expenses Not Rptd F990123210ExpensesNotRptdF990
Expenses Subtotal897130ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990897130TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:TO PROVIDE A SOURCE OF PERMANENT FUNDING FOR GOOD SAMARITAN FOUNDATION OF TEXAS, INC.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE FOUNDATION BELIEVES THAT ALL SIGNIFICANT TAX POSITIONS UTILIZED BY THE FOUNDATION WILL MORE LIKELY THAN NOT BE SUSTAINED UPON EXAMINATION. AS OF DECEMBER 31, 2011, THE TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY THE MAJOR TAX JURISDICTIONS UNDER THE STATUTE OF LIMITATION ARE FROM THE FISCAL YEAR 2008 FORWARD (WITH LIMITED EXCEPTIONS). TAX PENALTIES AND INTEREST, IF ANY, WOULD BE ACCRUED AS INCURRED AND WOULD BE CLASSIFIED AS ADMINISTRATION EXPENSE IN THE STATEMENT OF ACTIVITIES. AS OF DECEMBER 31, 2011, THERE WERE NO ACCRUALS RECORDED FOR ANY TAX CONTINGENCIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:NET CHANGE IN BENEFICIAL INTEREST IN GOOD SAMARITAN ENDOWMENT -30,455. NONCASH CONTRIBUTIONS RECEIVED -25,000. TOTAL TO SCHEDULE D, PART XI, LINE 8: -55,455.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS - DIRECT EXPENSE 123,210.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REALIZED LOSS ON SALE OF INVESTMENTS -8,414. NONCASH CONTRIBUTIONS RECEIVED 25,000.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS - DIRECT EXPENSE 123,210.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1PEARL BALLNameOfEvent1
Gross Receipts Event1251870GrossReceiptsEvent1
Charitable Contributions Event1201748CharitableContributionsEvent1
Gross Revenue Event150122GrossRevenueEvent1
Other Direct Expenses Event150122OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event2178500GrossReceiptsEvent2
Charitable Contributions Event2105412CharitableContributionsEvent2
Gross Revenue Event273088GrossRevenueEvent2
Other Direct Expenses Event273088OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events124600GrossReceiptsOtherEvents
Charitable Contrib Other Events124600CharitableContribOtherEvents
Other Direct Expenses Other Events0OtherDirectExpensesOtherEvents
Gross Receipts Total554970GrossReceiptsTotal
Charitable Contributions Total431760CharitableContributionsTotal
Gross Revenue Total Events123210GrossRevenueTotalEvents
Other Direct Expenses Total Events123210OtherDirectExpensesTotalEvents
Direct Expense Summary Events123210DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1TEXAS WOMAN'S UNIVERSITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16700 FANNIN SUITE 7519AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77030ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient756002618EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant10000AmountOfCashGrant
Purpose Of GrantASSIST IN LECTURE SERIESPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantNURSING SCHOLARSHIPSTypeOfGrant
Number Of Recipients250NumberOfRecipients
Amount Of Cash Grant415000AmountOfCashGrant

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: GRANT REQUESTS ARE MADE ONLINE THROUGH THE FOUNDATION'S WEBSITE. APPLICATIONS ARE ACCEPTED THREE TIMES A YEAR: SPRING SEMESTER, JANUARY 1 - FEBRUARY 15, SUMMER SEMESTER MAY 15 - JUNE 30 AND FALL SEMESTER AUGUST 1 - SEPTEMBER 15. AT INITIAL APPLICATION TIME APPLICANTS MUST COMPLETELY FILL OUT APPLICATION, PROVIDE AN ESSAY ON WHY THEY ARE INTERESTED IN BECOMING A NURSE, PROVIDE A LETTER OF RECOMMENDATION, THEIR RESUME, PHOTO ID, THEIR W2 AND PROOF OF CITIZENSHIP. SCHOLARSHIP RECIPIENTS RECEIVE THEIR FUNDING AT THE END OF EACH SEMESTER. APPLICANTS RECEIVING FUNDING ARE REQUIRED TO PRODUCE THEIR FEE SCHEDULE, CLASS SCHEDULE AND GRADES, PROVIDE ALL EXPENSES INCLUDING BOOK FEES, TUITION AND LAB FEES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11AFTER PREPARATION AND REVIEW BY THE EXECUTIVE DIRECTOR AND HARPER AND PEARSON, A COPY OF THE FORM 990 IS SENT TO THE CHAIRMAN OF THE BOARD, MR. J.L. FERTITTA, A COPY IS SENT TO THE BOARD TREASURER, MR. T. LIVENGOOD AND THE BALANCE OF THE EXECUTIVE COMMITTEE BOARD OF TRUSTEES FOR FINAL REVIEW AND APPROVAL. AFTER CAREFUL REVIEW AND CONSIDERATION COMMENTS ARE COMPILED BY THE EXECUTIVE DIRECTOR. ALL COMMENTS AND QUESTIONS ARE ADDRESSED, DISCUSSED AND COMPARED TO THE ANNUAL AUDIT BEFORE FINAL SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CA COPY OF THE CONFLICT OF INTEREST POLICY IS FURNISHED TO EACH TRUSTEE, OFFICER AND STAFF MEMBER WHO SERVES THE GOOD SAMARITAN ORGANIZATION OR WHO MAY BECOME ASSOCIATED WITH IT (VOLUNTEERS). THE POLICY AND ITS APPLICATION IS REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF TRUSTEES, OFFICERS AND STAFF MEMBERS, EACH OF WHOM HAS A CONTINUING RESPONSIBILITY TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS OF INTEREST, AND MAKE SUCH DISCLOSURES AS DESCRIBED BY IN THE POLICY. ANNUALLY, THE BOARD CHAIR MEETS WITH EACH TRUSTEE AT THE ANNUAL BOARD MEETING, USUALLY IN EARLY NOVEMBER, AND ASKS FOR A COMPLETE A CERTIFICATION OF AGREEMENT WITH POLICY AND DISCLOSE OF ANY KNOW CONFLICTS OF INTEREST UPON HIS OR HER ELECTION OR RE-ELECTION TO THE BOARD. IN 2011, THERE WERE NO CONFLICTS OF INTEREST WITH THE TRUSTEES, OFFICERS OR STAFF. IN ADDITION THE EXECUTIVE DIRECTOR AND EACH STAFF MEMBER IS ASKED TO COMPLETE A CERTIFICATION ANNUALLY, THIS OCCURS BY THE END OF EACH CALENDAR YEAR.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS VARIOUS INDEPENDENT SOURCES OF NONPROFIT INDUSTRY DATA REGARDING THE LEVELS AND TYPES OF COMPENSATION BEING PAID TO PERSONS IN THE NONPROFIT SECTOR BY JOB FUNCTION. RECOMMENDATIONS OF THE EXECUTIVE COMMITTEE FOR INDIVIDUAL COMPENSATION AND BENEFITS PACKAGES ARE PRESENTED TO AND APPROVED BY THE FULL BOARD OF TRUSTEES AT THE ANNUAL MEETING HELD EVERY NOVEMBER.
FORM 990, PART VI, SECTION C, LINE 19ALL CORPORATE RECORDS ARE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW AT THE FOUNDATION'S MAIN OFFICE DURING NORMAL BUSINESS HOURS UPON WRITTEN REQUEST WITH REASONABLE NOTICE.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -5,721. NET CHANGE IN BENEFICIAL INTEREST IN GOOD SAMARITAN ENDOWMENT -30,455. NONCASH CONTRIBUTIONS RECEIVED -25,000. TOTAL TO FORM 990, PART XI, LINE 5: -61,176.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN ENDOWMENT INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13355 W ALABAMA STREET SUITE 1025AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77098ZIPCode
FieldValueIRS element (for citing)
EIN201930300EIN
Primary ActivitiesSOURCE OF PERMANENT FUNDING FOR GOOD SAMARITAN FOUNDATION OF TEXAS, INCPrimaryActivities
Legal Domicile StateTXLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11C, III-FIPublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN ENDOWMENT INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved27500AmountInvolved

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.