DAYSPRING PREGNANCY CARE CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DAYSPRING PREGNANCY CARE CENTER (EIN 22-2811483)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-06
IRS object ID
201242509349300039
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)
Timestamp2012-09-06T16:41:29-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222811483EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DAYSPRING PREGNANCY CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDAYSNameControl
Phone6032986123Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 MAIN STREETAddressLine1
CityWEST LEBANONCity
StateNHState
ZIP Code03784ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANNE M BURGEName
TitleEXECUTIVE DIRECTORTitle
Phone6032986123Phone
Date Signed2012-09-06DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANNE M BURGENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 MAIN STAddressLine1
CityW LEBANONCity
StateNHState
ZIP Code03784ZIPCode
FieldValueIRS element (for citing)
Gross Receipts386838GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitehttp://www.pregnancycenteruppervalley.com/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionThe Pregnancy Center of the Upper Valley is an information and education center for young adults facing unexpected pregnancy and/or other consequences of premature sexual activity.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees11TotalNbrEmployees
Total Nbr Volunteers60TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year374421ContributionsGrantsPriorYear
Contributions Grants Current Year382311ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year3InvestmentIncomePriorYear
Investment Income Current Year2InvestmentIncomeCurrentYear
Other Revenue Prior Year516OtherRevenuePriorYear
Other Revenue Current Year68OtherRevenueCurrentYear
Total Revenue Prior Year374940TotalRevenuePriorYear
Total Revenue Current Year382381TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year247533SalariesEtcPriorYear
Salaries Etc Current Year256844SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year47757TotalFundrsngExpCurrentYear
Other Expense Prior Year132169OtherExpensePriorYear
Other Expenses Current Year131272OtherExpensesCurrentYear
Total Expenses Prior Year379702TotalExpensesPriorYear
Total Expenses Current Year388116TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4762RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5735RevenuesLessExpensesCY
Total Assets BOY36169TotalAssetsBOY
Total Assets EOY34347TotalAssetsEOY
Total Liabilities BOY1688TotalLiabilitiesBOY
Total Liabilities EOY5601TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY34481NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY28746NetAssetsOrFundBalancesEOY
Mission DescriptionThe Pregnancy Center of the Upper Valley is an information andMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense282511Expense
DescriptionFREE PREGNANCY TESTS AND LIMITED OBSTETRICAL ULTRA- SOUNDS. CLOTHING AND OTHER FREE SUPPORT SERVICES FOR PREGNANT WOMEN.Description
Total Program Service Expense282511TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees11NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonANNE BURGE EXEC DIRECTORNamePerson
Telephone Number6032986123TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 MAIN STREETAddressLine1
CityWEST LEBANONCity
StateNHState
ZIP Code03784ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ROBERT BROCHU
TRUSTEE1.00X000
PETER GOODRICH
CHAIR/TREASURER3.00X000
ANNE BURGE
EXEC DIR40.00X4902600X
LYNN WENGER
TRUSTEE1.00X000
KATHARINE MCCRILLIS
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org49026TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events7708FundraisingEvents
All Other Contributions374603AllOtherContributions
Total Contributions382311TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2TotalRevenueColumn
Exclusion$2ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events4525GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events7708CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses4457FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column68TotalRevenueColumn
Exclusion$68ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column382381TotalRevenueColumn
Exclusion$70ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total49026Total
Program Services9805ProgramServices
Management And General24513ManagementAndGeneral
Fundraising14708Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total189565Total
Program Services171404ProgramServices
Management And General7478ManagementAndGeneral
Fundraising10683Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total18253Total
Program Services13863ProgramServices
Management And General2448ManagementAndGeneral
Fundraising1942Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total19786Total
Program Services11857ProgramServices
Management And General1089ManagementAndGeneral
Fundraising6840Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10714Total
Program Services4877ProgramServices
Management And General2036ManagementAndGeneral
Fundraising3801Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3484Total
Program Services1184ProgramServices
Management And General1150ManagementAndGeneral
Fundraising1150Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total63991Total
Program Services44794ProgramServices
Management And General12798ManagementAndGeneral
Fundraising6399Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total5022Total
Program Services5022ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2108Total
Program Services938ProgramServices
Management And General1170ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4182Total
Program Services2928ProgramServices
Management And General836ManagementAndGeneral
Fundraising418Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total7863Total
Program Services5058ProgramServices
Management And General2622ManagementAndGeneral
Fundraising183Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
REPAIRS/MAINTENANCE5077507700
CLIENT RESOURCES2431243100
DUES16661591750
TELEPHONE4948168216331633

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total388116Total
Program Services282511ProgramServices
Management And General57848ManagementAndGeneral
Fundraising47757Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12520BOY
EOY14229EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis108319LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec89445LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22407BOY
EOY18874EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1242BOY
EOY1244EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36169BOY
EOY34347EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1688BOY
EOY5601EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1688BOY
EOY5601EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY34481BOY
EOY28746EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34481BOY
EOY28746EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36169BOY
EOY34347EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-5735ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years358817CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years350461CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years357292CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year374421CurrentTaxYearMinus1Year
Current Tax Year382311CurrentTaxYear
Total1823302Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years358817CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years350461CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years357292CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year374421CurrentTaxYearMinus1Year
Current Tax Year382311CurrentTaxYear
Total1823302Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total332891AmountsSubstContributorsTotal
Public Support Total1701490411PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1687CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years350CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3CurrentTaxYearMinus1Year
Current Tax Year2CurrentTaxYear
Total2061Total
FieldValueIRS element (for citing)
Total Support1825363TotalSupport
Public Support Pertcentage1700.81650PublicSupportPertcentage170
Public Support Pertcent Prior Year0.78830PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis18831OtherCostOrOtherBasis
Depreciation10906Depreciation
Book Value7925BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis89488OtherCostOrOtherBasis
Depreciation78539Depreciation
Book Value10949BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18874TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionFederal & VT withholding payableDescription
Amount$5,601Amount
FieldValueIRS element (for citing)
Total Of Amounts5601TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 12cThe conflict of interest policy is reviewed at a
Board meeting at the beginning of each calendar year.
Pt VI, Line 15All members of the board of directors are independent
of one another and the executive director (ED). The
board assembled and reviewed infomation about com-
pensation for positions comparable to the ED before
setting the ED's compensation. The ED is not a
voting member of the board and did not participate in
this review or the determination of her compensation.
The deliberation and decision of the board were
recorded contemporaneously in the minutes.
Pt VI, Line 19The organization makes its governing documents
and conflict of interest policy available to the
public upon request.
Pt VI, Line 11aEach board member was provided with a copy of this
Form 990 and asked to review it. The board provided
for discussion of this Form 990 at a regularly
scheduled board meeting.
Form 990EZ, Part I, Line 16ADVERTISING CLIENT RESOURCES COMPUTER EXPENSES DUES SMALL EQUIPMENT OTHER FUNDRAISING EXPENSES INSURANCE MILEAGE/TRAVEL OFFICE SUPPLIES PUBLIC RELATIONS TRAINING
Form 990EZ, Part II, Line 24FURNITURE & EQUIPMENT LEASEHOLD IMRROVEMENTS ACCUMULATED DEPRECIATION SECURITY DEPOSIT
Form 990EZ, Part II, Line 26PAYROLL TAXES PAYABLE VT WITHHOLDING PAYABLE

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