SAMARITAN CAREGIVERS INCORPORATED: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN CAREGIVERS INCORPORATED (EIN 35-1999781)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-13
IRS object ID
201141339349302669
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)
Timestamp2011-05-13T11:58:25-04:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1T&C TAX SERVICE INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11722 E HOFFER STAddressLine1
CityKOKOMOCity
StateINState
ZIP Code46902ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351999781EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAMARITAN CAREGIVERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAMANameControl
Phone7654537611Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12705 S BERKLEY RD 3CAddressLine1
CityKokomoCity
StateINState
ZIP Code46902ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMEY HENDERSONName
TitleEXECUTIVE DIRECTORTitle
Date Signed2011-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICHARD A COMOGLIOName
Phone7654521500Phone
Date Prepared2011-05-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMEY HENDERSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12705 S BERKLEY RD 3CAddressLine1
CityKokomoCity
StateINState
ZIP Code46902ZIPCode
FieldValueIRS element (for citing)
Gross Receipts130509GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionSAMARITAN CAREGIVER VOLUNTEERS PROVIDE FREE HELP WITH NONMEDICAL EVERYDAY ACTIVITIES TO HOWARD COUNTY RESIDENTS, 50 AND OVER, STILL LIVING AT HOME, TO SUPPORT INDEPENDENCEActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers367TotalNbrVolunteers
Total Gross UBI35324TotalGrossUBI
Contributions Grants Prior Year107705ContributionsGrantsPriorYear
Contributions Grants Current Year78621ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year11058InvestmentIncomePriorYear
Investment Income Current Year4957InvestmentIncomeCurrentYear
Other Revenue Prior Year9168OtherRevenuePriorYear
Other Revenue Current Year35324OtherRevenueCurrentYear
Total Revenue Prior Year127931TotalRevenuePriorYear
Total Revenue Current Year118902TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year87432SalariesEtcPriorYear
Salaries Etc Current Year89609SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year24950TotalFundrsngExpCurrentYear
Other Expense Prior Year43182OtherExpensePriorYear
Other Expenses Current Year30698OtherExpensesCurrentYear
Total Expenses Prior Year130614TotalExpensesPriorYear
Total Expenses Current Year120307TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2683RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1405RevenuesLessExpensesCY
Total Assets BOY193854TotalAssetsBOY
Total Assets EOY193559TotalAssetsEOY
Total Liabilities BOY9249TotalLiabilitiesBOY
Total Liabilities EOY10359TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY184605NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY183200NetAssetsOrFundBalancesEOY
Mission DescriptionVOLUNTEER ELDERLY CAREGIVERSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense63806Expense
DescriptionA SOCIAL SERVICE ORGANIZATION COMMITTED TO IMPROVING/MAINTAIN THEDescription
Total Program Service Expense63806TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
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 Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required0ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Form990-T Filed0Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Name Of Foreign CountryINNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Form8886 T Filed0Form8886TFiled
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Quid Pro Quo Contributions0QuidProQuoContributions
Quid Pro Quo Disclosure0QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Filed Lieu10410FiledLieu1041
Indoor Tanning Services0IndoorTanningServices
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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
Policies Reference Chapters0PoliciesReferenceChapters
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
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMEY HENDERSONNamePerson
Telephone Number7654537611TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12705 S BERKLEYAddressLine1
CityKOKOMOCity
StateINState
ZIP Code46902ZIPCode

Form990 Part VII Section A Form990PartVIISectionA

FieldValueIRS element (for citing)
Name PersonJAMEY HENDERSONamePerson
TitleEXECUTIVETitle
Average Hours Per Week40AverageHoursPerWeek
OfficerXOfficer
Reportable Comp From Organization42658ReportableCompFromOrganization
Reportable Comp From Related Orgs0ReportableCompFromRelatedOrgs
Other Compensation0OtherCompensation
FieldValueIRS element (for citing)
Total Reportable Comp From Org42658TotalReportableCompFromOrg
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Related Organizations23932RelatedOrganizations
Government Grants1580GovernmentGrants
All Other Contributions53109AllOtherContributions
Total Contributions78621TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4957TotalRevenueColumn
Related Or Exempt Function Income4957RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events46931GrossIncomeFundraisingEvents
Fundraising Direct Expenses11607FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column35324TotalRevenueColumn
Unrelated Business Revenue35324UnrelatedBusinessRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column118902TotalRevenueColumn
Related Or Exempt Function Income4957RelatedOrExemptFunctionIncome
Unrelated Business Revenue35324UnrelatedBusinessRevenue

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total81535Total
Program Services41551ProgramServices
Management And General20610ManagementAndGeneral
Fundraising19374Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1631Total
Program Services831ProgramServices
Management And General412ManagementAndGeneral
Fundraising388Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6443Total
Program Services3283ProgramServices
Management And General1531ManagementAndGeneral
Fundraising1629Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1625Total
Program Services1086ProgramServices
Management And General539ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2106Total
Program Services1073ProgramServices
Management And General532ManagementAndGeneral
Fundraising501Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1550Total
Program Services790ProgramServices
Management And General392ManagementAndGeneral
Fundraising368Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2199Total
Program Services1470ProgramServices
Management And General729ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total531Total
Program Services355ProgramServices
Management And General176ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4744Total
Program Services3171ProgramServices
Management And General1573ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2346Total
Program Services1196ProgramServices
Management And General593ManagementAndGeneral
Fundraising557Fundraising

Other Expenses OtherExpenses (5 entries)

TotalTotal
2698
2657
1787
598
3311

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4546Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total120307Total
Program Services63806ProgramServices
Management And General31551ManagementAndGeneral
Fundraising24950Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY38305BOY
EOY37662EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY34202BOY
EOY38385EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY414BOY
EOY733EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis137201LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec26825LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY115120BOY
EOY110376EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5813BOY
EOY6403EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY193854BOY
EOY193559EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9249BOY
EOY10359EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9249BOY
EOY10359EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY184605BOY
EOY183200EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY184605BOY
EOY183200EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY193854BOY
EOY193559EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1405ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited0FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Private Foundation170XPrivateFoundation170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years81145CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years92072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years170109CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107705CurrentTaxYearMinus1Year
Current Tax Year78621CurrentTaxYear
Total529652Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32984CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41684CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35096CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44643CurrentTaxYearMinus1Year
Current Tax Year46931CurrentTaxYear
Total201338Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years114129CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years133756CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years205205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year152348CurrentTaxYearMinus1Year
Current Tax Year125552CurrentTaxYear
Total730990Total
FieldValueIRS element (for citing)
Public Support Total509730990PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years380CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2169CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-10715CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11058CurrentTaxYearMinus1Year
Current Tax Year4957CurrentTaxYear
Total7849Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years380CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2169CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-10715CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11058CurrentTaxYearMinus1Year
Current Tax Year4957CurrentTaxYear
Total7849Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years114509CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years135925CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years194490CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year163406CurrentTaxYearMinus1Year
Current Tax Year130509CurrentTaxYear
Total738839Total
FieldValueIRS element (for citing)
Public Support Percentage5090.9894PublicSupportPercentage509
Prior Year Support Percentage0.9958PriorYearSupportPercentage
Investment Income Percentage0.0106InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.0042PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal Control1DisclosedOrgsLegalControl
Disclosed For Charitable Purposes1DisclosedForCharitablePurposes
Written Policy Monitoring1WrittenPolicyMonitoring
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis112993InvestmentCostOrOtherBasis
Depreciation5150Depreciation
Book Value107843BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis24208InvestmentCostOrOtherBasis
Depreciation21675Depreciation
Book Value2533BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings110376TotalOfBookValueLandBuildings
Total Revenue118902TotalRevenue
Total Expenses120307TotalExpenses
Excess Or Deficit For Year-1405ExcessOrDeficitForYear
Excess Or Deficit Per FS-1405ExcessOrDeficitPerFS

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DUCK DERBYNameOfEvent1
Gross Receipts Event146931GrossReceiptsEvent1
Gross Revenue Event146931GrossRevenueEvent1
Other Direct Expenses Event111607OtherDirectExpensesEvent1
Gross Receipts Total46931GrossReceiptsTotal
Gross Revenue Total Events46931GrossRevenueTotalEvents
Other Direct Expenses Total Events11607OtherDirectExpensesTotalEvents
Direct Expense Summary Events11607DirectExpenseSummaryEvents
Net Income Summary35324NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

ExplanationExplanation
THE TAX RETURN IS REVIEWED BY THE GOVERNING BOARD IN COMPLIANCE WITH
THE APPLICABLE BYLAWS IN WHICH THE FINANCIALS ARE RECONCILED WITH THE
TAX RETURN.
CONFLICT OF INTEREST DISCLOSURES ARE MADE BY EACH BOARD MEMBER/OFFICER
EACH YEAR UPON REVIEW OF THE TAX RETURN AND FINANCIALS.

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