BREATH OF LIFE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BREATH OF LIFE INC (EIN 20-5120368)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-05
IRS object ID
201243109349300409
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)
Timestamp2012-11-05T07:59:15-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL E STEUER CPA PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1600 BYPASS DR STE 100AddressLine1
CityCLEARWATERCity
StateFLState
ZIP Code337645075ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN205120368EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BREATH OF LIFE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBREANameControl
Phone7272161402Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 EAST BAY DRIVEAddressLine1
CityLARGOCity
StateFLState
ZIP Code33771ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSOL PITCHONName
TitleCEOTitle
Phone7272161402Phone
Date Signed2012-11-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL E STEUER CPAName
Phone7277979000Phone
Date Prepared2012-11-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSOL PITCHONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11900 EAST BAY DRIVEAddressLine1
CityLARGOCity
StateFLState
ZIP Code33771ZIPCode
FieldValueIRS element (for citing)
Gross Receipts712975GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BREATHOFLIFE.CCWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2006YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES MEDICAL SUPPORT AND SERVICES TO WOMEN. THESE SERVICES INCLUDE BIRTHING, WELL WOMEN HEALTH CARE & OTHER MEDICAL RELATED SERVICES. THE ORGANIZATION IS AN AFFLILATE OF THE PINELLAS CRISIS PREGNANCY CENTER, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees14TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year26522ContributionsGrantsPriorYear
Contributions Grants Current Year107215ContributionsGrantsCurrentYear
Program Service Revenue Prior Year405086ProgramServiceRevenuePriorYear
Program Service Revenue CY604581ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year1179OtherRevenueCurrentYear
Total Revenue Prior Year431608TotalRevenuePriorYear
Total Revenue Current Year712975TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year290979SalariesEtcPriorYear
Salaries Etc Current Year311195SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year280399OtherExpensePriorYear
Other Expenses Current Year289083OtherExpensesCurrentYear
Total Expenses Prior Year571378TotalExpensesPriorYear
Total Expenses Current Year600278TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-139770RevenuesLessExpensesPriorYear
Revenues Less Expenses CY112697RevenuesLessExpensesCY
Total Assets BOY118064TotalAssetsBOY
Total Assets EOY170651TotalAssetsEOY
Total Liabilities BOY630868TotalLiabilitiesBOY
Total Liabilities EOY348787TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-512804NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-178136NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION PROVIDES MEDICAL SUPPORT AND SERVICES TO WOMEN. THESE SERVICES INCLUDE BIRTHING, WELL WOMEN HEALTH CARE & OTHER MEDICAL RELATED SERVICES. THE ORGANIZATION IS AN AFFLILATE OF THE PINELLAS CRISIS PREGNANCY CENTER, INC.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense600278Expense
Revenue604581Revenue
DescriptionBREATH OF LIFE, INC. WAS ESTABLISHED TO PROVIDE MEDICAL, CLINICAL, EDUCATIONAL & ROUTINE HEALTH SERVICES TO WOMEN. THE MEDICAL SERVICES INCLUDE ROUTINE HEALTH CARE EXAMINATIONS. IN ADDITION, WOMEN WHO DESIRE TO HAVE NATURAL CHILD BIRTH ARE ABLE TO DO SO IN THE CENTER'S STATE OF THE ART FACILITIES.Description
Total Program Service Expense600278TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 StmttrueConsolidatedAuditFinancialStmt
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 EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees14NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
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 OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARY MOLINANamePerson
Telephone Number7272161402TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11910 EAST BAY DRAddressLine1
CityLARGOCity
StateFLState
ZIP Code33771ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DR STEPHEN SHIELDS MD
DIRECTOR2.00X000
MILTON KING
VICE CHAIRMN2.00X000
RICK STUART CPA
TREASURER2.00X000
DAVID PILKINGTON
CHAIRMAN2.00X000
THOMAS CHAPMAN
DIRECTOR2.00X000
JOSEPH GRACE
DIRECTOR2.00X000
DR WILLIAM KONRAD PHD
DIRECTOR2.00X000
JULIE PELUSO
DIRECTOR2.00X000
MICHAEL HUTH
SECRETARY2.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions107215AllOtherContributions
Noncash Contributions9068NoncashContributions
Total Contributions107215TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionBIRTH CENTER FEESDescription
Total Revenue Column604581TotalRevenueColumn
Exclusion$604,581ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue604581TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total Revenue Column1179TotalRevenueColumn
Exclusion$1,179ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1179TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column712975TotalRevenueColumn
Exclusion$605,760ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total272321Total
Program Services272321ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16000Total
Program Services16000ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total22874Total
Program Services22874ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total8193Total
Program Services8193ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7207Total
Program Services7207ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total72269Total
Program Services72269ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3690Total
Program Services3690ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total259Total
Program Services259ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total39331Total
Program Services39331ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CONTRACT SERVICE9944499444
MATERIALS & SUPPLIES2113621136
IN-KIND EXPENSES90689068
EQUIPMENT68326832

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total21654Total
Program Services21654ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total600278Total
Program Services600278ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8176BOY
EOY23748EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY94527BOY
EOY131417EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY13617BOY
EOY14001EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3401LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2516LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1144BOY
EOY885EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY600BOY
EOY600EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY118064BOY
EOY170651EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY58466BOY
EOY51202EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY572402BOY
EOY297585EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY630868BOY
EOY348787EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-512909BOY
EOY-179739EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY105BOY
EOY1603EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-512804BOY
EOY-178136EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY118064BOY
EOY170651EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses112697ReconcilationRevenueExpenses
Reconcilation Other Changes221971ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1PINELLAS CRISIS PREGNANCY CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN592588366EIN
Type Of Organization7TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3401OtherCostOrOtherBasis
Depreciation2516Depreciation
Book Value885BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings885TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionLOAN FROM AFFILIATE, PREGNANCY CNTRDescription
Amount$297,585Amount
FieldValueIRS element (for citing)
Total Of Amounts297585TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTHE ORGANIZATION PROVIDES MEDICAL SUPPORT AND SERVICES TO WOMEN. THESE SERVICES INCLUDE BIRTHING, WELL WOMEN HEALTH CARE & OTHER MEDICAL RELATED SERVICES. THE ORGANIZATION IS AN AFFLILATE OF THE PINELLAS CRISIS PREGNANCY CENTER, INC.
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITSFORM 990, PAGE 1, PART I, LINE 6DURING THE YEAR, THERE WERE 6 VOLUNTEERS WHICH ASSISTED IN MEDICAL CARE, GROUNDS/BUILDING MAINTENANCE, AND OTHER FUNCTIONS.
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2SOUTHERN SENIOR LIVING, LLC SOUTHERN SENIOR LIVING, LLC BUSINESS PARTNERS
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BINFORMATION USED TO PREPARE THE 990 TAX RETURN WAS OBTAINED FROM THE ORGANIZATION'S ANNUAL AUDIT CONDUCTED BY INDEPENDENT CPAS. THE ORGANIZATION RETAINED THE VOLUNTEER SERVICES OF A LOCAL CPA TO PREPARE THE ANNUAL 990 TAX RETURN. THE RETURN WAS REVIEWED BY THE ORGANIZATION'S DIRECTOR OF ACCOUNTING AND BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CEACH BOARD MEMBER, ON AN ANNUAL BASIS DISCLOSES ANY CONFLICTS OF INTEREST SO THAT THEY MAY BE REVIEWED & EVALUATED BY THE BOARD OF DIRECTORS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AAT THIS POINT, THE CEO DOES NOT RECEIVE COMPENSATION FOR SERVICES PERFORMED. HIS COMPENSATION IS PAID DIRECTLY FROM THE SUPPORTED ORGANIZATION, PINELLAS CRISIS PREGNANCY CENTER.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE ORGANIZATION HAS SEVERAL KEY EMPLOYEES. ON AN ANNUAL BASIS, THE CEO CONDUCTS A PERFORMANCE EVALUATION OF THEIR WORK, GOALS OF THE ORGANIZATION & FUTURE GROWTH. THE BOARD OF DIRECTORS HAS GIVEN THE CEO THE AUTHORITY TO SET ALL SALARIES AND WAGES, WITH THE EXCEPTION OF HIS OWN. UNDER THE BUDGET CONSTRAINTS, THE CEO IS AUTHORIZED TO SET WAGES FOR KEY EMPLOYEES. DURING THE ANNUAL BUDGET PROCESS, THE GOVERNANCE COMMITTEE & THE BOARD OF DIRECTORS REVIEW THE SALARIES OF KEY EMPLOYEES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL GOVERNANCE DOCUMENTS ARE ON FILE IN THE ADMINISTRATIVE OFFICES. UPON WRITTEN REQUEST, THESE DOCUMENTS WOULD BE AVAILABLE FOR EXAMINATION.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5CONTRIBUTIONS MADE BY AFFILIATE, PINELLAS CRISIS PREGNANCY CENTER 221,971.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BREATH OF LIFE BIRTH CENTER LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11900 EAST BAY DRAddressLine1
CityLARGOCity
StateFLState
ZIP Code33771ZIPCode
FieldValueIRS element (for citing)
EIN261612730EIN
Primary ActivitiesFACILITIESPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
PINELLAS CRISIS PREGNANCY CENTER I
1910 EAST BAY DRLARGOFL33771592588366SUPP ORGFL501C37N/Afalse
SHEPHERD'S VILLAGE INC
1910 EAST BAY DRLARGOFL33771593096209SAME BOARDFL501C37N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
PINELLAS CRISIS PREGNANCY CNTR INC
E-6500
PINELLAS CRISIS PREGNANCY CNTR INC
J52271
PINELLAS CRISIS PREGNANCY CNTR INC
O9473
PINELLAS CRISIS PREGNANCY CNTR INC
P181
PINELLAS CRISIS PREGNANCY CNTR INC
R329880

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