2012-05-31T07:54:17-05:00 2011-12-31 561220683 POTTER & COMPANY PA 114 N CHURCH STREET MONROE NC 28112 990 2011-01-01 562117596 HEALTHQUEST OF UNION COUNTY HEAL 7042262050 415 EAST FRANKLIN STREET MONROE NC 28112 HEATHER HORNE 7042262050 2012-05-30 1 BAXTER W STARNES CPA P00350775 7042838189 2011 2016-02-24 21:20:13Z HEATHER HORNE 415 EAST FRANKLIN STREET MONROE NC 28112 421317 0 X WWW.HEALTHQUESTPHARMACY.ORG X 1998 NC PROVIDES PRESCRIPTION ASSISTANCE TO LOW-INCOME RESIDENTS THAT HAVE NO PRESCRIPTION INSURANCE. 20 20 0 45 0 0 356668 258283 132866 160129 5877 2905 0 0 495411 421317 0 0 0 0 318835 345916 0 0 47548 181784 190492 500619 536408 -5208 -115091 1012215 900835 32776 36487 979439 864348 X HEALTHQUEST OF UNION COUNTY IS A NONPROFIT ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING MEDICATIONS TO THOSE WHO CANNOT AFFORD THEM OTHERWISE. THE ORGANIZATION PROVIDES PRESCRIPTION ASSISTANCE TO LOW-INCOME RESIDENTS THAT HAVE NO PRESCRIPTION INSURANCE COVERAGE. 0 0 431979 258283 160129 PROVIDED PHARMACEUTICALS AND PRESCRIPTION MEDICATIONS TO INDIVIDUALS THAT HAVE NO PRESCRIPTION INSURANCE AND CANNOT AFFORD THEIR MEDICATIONS OTHERWISE. THE INDIVDUALS SERVED RESIDE IN UNION, ANSON, AND STANLY COUNTIES, NC AND CHESTERFIELD AND LANCASTER COUNTIES, SC. THE ORGANIZATION ASSISTED 1,547 CLIENTS IN 2011 AND FILLED 51,674 PRESCRIPTIONS. 431979 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 5 0 1 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 SC NC X JACKIE GASKINS 7042262050 415 E FRANKLIN ST MONROE NC 28112 X BRENT LAMMERS 2.00 X X 0 0 0 BILL ALSTON 1.00 X 0 0 0 JANE AUSTIN 1.00 X 0 0 0 BUDDY BREWER 1.00 X 0 0 0 RUTH DEASON 1.00 X 0 0 0 KATHY IPAPO 1.00 X 0 0 0 GARY JEWELL 1.00 X 0 0 0 RICHARD JONES 1.00 X 0 0 0 MARGARET MEACHEM 1.00 X 0 0 0 MAX MELTON 1.00 X 0 0 0 FRANK ELLIOTT 1.00 X X 0 0 0 DON RICHARDSON 1.00 X X 0 0 0 BILL NORWOOD 1.00 X 0 0 0 LYDIA LYON 1.00 X X 0 0 0 JACKY OLIN 1.00 X 0 0 0 PATTY PRESLAR 1.00 X 0 0 0 LYNN RAYE 1.00 X 0 0 0 LISA STARNES 1.00 X 0 0 0 DAVE VAN BLARCOM 1.00 X 0 0 0 JAIME WISE 1.00 X 0 0 0 0 0 0 0 0 0 0 0 258283 66000 258283 CLIENT FEES 446110 160129 160129 160129 2905 2905 421317 160129 0 2905 260513 198312 32797 29404 85403 65012 10752 9639 3500 3500 235 235 5169 1809 2585 775 1193 894 239 60 18116 16304 1812 PHARMACEUTICALS 94039 94039 INSURANCE - LIABILITY 7822 7822 UTILITIES 7219 6497 722 MAINTENANCE 6206 6206 46993 35084 4239 7670 536408 431979 56881 47548 38173 291759 255222 146094 53390 7597 7636 676995 128945 565129 548050 1012215 900835 32776 36487 32776 36487 X 833345 810958 146094 53390 979439 864348 1012215 900835 -115091 0 X 0 1 1 X 0 X 614854 389124 430799 356668 258283 2049728 102595 103620 118639 132866 160129 617849 717449 492744 549438 489534 418412 2667577 0 0 0 2667577 6375 6598 6506 5877 2905 28261 6375 6598 6506 5877 2905 28261 723824 499342 555944 495411 421317 2695838 0.98950 0.98960 0.01050 0.01040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 150000 150000 426648 62447 364201 48718 21389 27329 51629 45109 6520 548050 421317 536408 -115091 -115091 421317 0 421317 0 421317 536408 0 536408 0 536408 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. CURRENTLY, THE 2009, 2010 AND 2011 TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND NORTH CAROLINA DEPARTMENT OF REVENUE. HOWEVER, THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEAR END DECEMBER 31, 2011. X SALARIES AND BENEFITS 1 66000 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 EXECUTIVE DIRECTOR AND EXECUTIVE SECRETARY REVIEW FORM 990 WITH TAX PREPARER BEFORE RETURN IS FILED TO ENSURE CORRECTNESS OF INFORMATION PROVIDED. DRAFT OF FORM 990 IS ALSO REVIEWED BY THE ORGANIZATION'S EXECUTIVE AND FINANCE COMMITTEES BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C REVIEW POLICY WITH NEW BOARD MEMBERS. REVIEWED WITH FULL BOARD ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 REVIEWED ANNUALLY BY BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST