GOOD SAMARITAN NETWORK OF HAMILTONCOUNTY INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GOOD SAMARITAN NETWORK OF HAMILTONCOUNTY INC (EIN 20-4371453)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-16
IRS object ID
201121369349301727
Schema version
2010v3.2
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)
Timestamp2011-05-16T08:07:11-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WAGNERCPAGROUPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18335 BROOKS FARM LNAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code462379489ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN204371453EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN NETWORK OF HAMILTON COUNTY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGOODNameControl
Phone3177531293Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1382 WOODVIEW DRIVEAddressLine1
CityNOBLESVILLECity
StateINState
ZIP Code46060ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNANCY CHANCEName
TitleEXECUTIVE DIRECTORTitle
Phone3177531293Phone
Date Signed2011-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDEBORAH L WAGNERName
Phone3178891769Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNANCY CHANCENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112993 PARKSIDE DRAddressLine1
CityFISHERSCity
StateINState
ZIP Code46038ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3454972GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionFood and clothing distribtution and education to those in need.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees2TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2818978ContributionsGrantsPriorYear
Contributions Grants Current Year3454972ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2818978TotalRevenuePriorYear
Total Revenue Current Year3454972TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year174365GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY128705GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year37198SalariesEtcPriorYear
Salaries Etc Current Year49640SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3555TotalFundrsngExpCurrentYear
Other Expense Prior Year2595782OtherExpensePriorYear
Other Expenses Current Year3245102OtherExpensesCurrentYear
Total Expenses Prior Year2807345TotalExpensesPriorYear
Total Expenses Current Year3423447TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11633RevenuesLessExpensesPriorYear
Revenues Less Expenses CY31525RevenuesLessExpensesCY
Total Assets BOY53917TotalAssetsBOY
Total Assets EOY85442TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY53917NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY85442NetAssetsOrFundBalancesEOY
Mission DescriptionFood and clothing distribtution and education to those in needMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense128705Expense
Grants83579Grants
Revenue285662Revenue
DescriptionEDUCATION AND FINANCIAL SUPPORT - WORKSHOPS THAT FOCUES ON NEEDED LIFE SKILLS, SELF-ESTEEM, AND PROMOTES RELATIONSHIP BUILDING. ALSO PROVIDES TEMPORARY SUPPORT AND "EVERYDAY ASSISTANCE" TO FAMILIES IN NEED THROUGH PAYMENTS OF NECESSARY BASIC LIVING EXPENSES UNTIL FAMILIES CAN SUPPORT THEMSELVES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3197839Expense
Revenue3166967Revenue
DescriptionHOLIDAY PROGRAMS/SPECIAL PROJECTS - THE SOLICITATION, COLLECTION TEMPORARY STORAGE AND DISTRIBUTION OF DONATED FOOD TO HELP THE ILL, NEEDY, AND AT-RISK RESIDENTS OF HAMILTON COUNTY.Description
FieldValueIRS element (for citing)
Total Program Service Expense3326544TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 LiabilitiesfalseReportOtherLiabilities
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 IndividualstrueGrantsToIndividuals
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 ContributionstrueDeductibleNonCashContributions
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 With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonEDIE MILLERNamePerson
Telephone Number3178422603TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112993 PARKSIDE DRAddressLine1
CityFISHERSCity
StateINState
ZIP Code46038ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirector
RALPH MILLER
President5.00X000
MIKE THOMAS
Vice-president5.00X000
BRENT DOUTHIT
Vice-president alternate5.00X000
JUDI JOHNSON
Secretary5.00X000
CORY SPAULDING
Treasurer5.00X000
BRIDGETTE DAWSON-JONES
Member5.00X000
NIKE FINELLI
Member5.00000X
CYNTHIA GALLIEN
Member5.00000X
RACHEL MCDANELL
Member5.00000X
AMANDA TRESTRAIL
Member5.00000X
MARSHA TRESTRAIL
Member5.00000X
RYAN WILMERING
Member5.00000X
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events12918FundraisingEvents
All Other Contributions3442054AllOtherContributions
Noncash Contributions3183967NoncashContributions
Total Contributions3454972TotalContributions
Cntrbtns Rprtd Fundraising Events12918CntrbtnsRprtdFundraisingEvents

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3454972TotalRevenueColumn

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total128705Total
Program Services128705ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total49640Total
Program Services0ProgramServices
Management And General49640ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20Total
Program Services0ProgramServices
Management And General20ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total53Total
Program Services0ProgramServices
Management And General53ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5970Total
Program Services0ProgramServices
Management And General5970ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9Total
Program Services0ProgramServices
Management And General9ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17281Total
Program Services0ProgramServices
Management And General17281ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1403Total
Program Services0ProgramServices
Management And General1403ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2429Total
Program Services0ProgramServices
Management And General2429ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2530Total
Program Services0ProgramServices
Management And General2530ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Dues & Membership1167011670
Filing Fees49204920
Misc.79907990
Printing3772037720
Storage Fees2600026000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3206577Total
Program Services3197839ProgramServices
Management And General5183ManagementAndGeneral
Fundraising3555Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3423447Total
Program Services3326544ProgramServices
Management And General93348ManagementAndGeneral
Fundraising3555Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY53917BOY
EOY70871EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2429LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY14571EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY53917BOY
EOY85442EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY53917BOY
EOY85442EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY53917BOY
EOY85442EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY53917BOY
EOY85442EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses31525ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years3315564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5459088CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2818978CurrentTaxYearMinus1Year
Current Tax Year3326682CurrentTaxYear
Total14920312Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1492CurrentTaxYearMinus3Years
Total1492Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years3317056CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5459088CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2818978CurrentTaxYearMinus1Year
Current Tax Year3326682CurrentTaxYear
Total14921804Total
FieldValueIRS element (for citing)
Public Support Total50914921804PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years76CurrentTaxYearMinus2Years
Total487Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years76CurrentTaxYearMinus2Years
Total487Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total14922291Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage1.00000PriorYearSupportPercentage
Investment Income Percentage0InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00000PriorYrInvestIncomePercentage
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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17000OtherCostOrOtherBasis
Depreciation2429Depreciation
Book Value14571BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14571TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 2The board of directors review grant funds distributed on a periodic basis.
Pt I Line 2There is follow up with the recipients assessing receipts and needs.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-B, Line 11aBoard of Directors and Administrative Director review Form 990 before filing.
Pt VI-B, Line 12cBoard of Directors review conflict of interest policy on a periodic basis and are required to disclose any conflicts noted.
Pt VI-B, Line 15Compensation is reviewed and evaluated by the Board. Amounts are compared with industry averages.
Pt VI-C, Line 19Documents are available upon request.
Form 990, Part IX, Line 24fVEHICLE EXPENSES 1390. 1390. EQUIPMENT 1633. 1633. DISTRIBUTIONS - FOOD, CLOTHING, ETC. 3166967. 3166967. HOLIDAY PROJECT EXPENSES 30872. 30872. POSTAGE 2160. 2160. FUNDRAISING EXPENSE 3555. 3555.

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