EMERALD COAST COMMUNITY WELLNESS FOUNDATION: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- EMERALD COAST COMMUNITY WELLNESS FOUNDATION (EIN 46-2773334)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-06-23
- IRS object ID
- 202231749349200733
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-06-23T16:06:51-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454084437 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WARREN AVERETT LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36474C EMERALD COAST PKWY SUITE | AddressLine1Txt |
| Address Line2 | 3301 | AddressLine2Txt |
| City | DESTIN | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32541 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462773334 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITE-WILSON COMMUNITY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WHIT | BusinessNameControlTxt |
| Phone | 8508638100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1005 MAR WALT DRIVE | AddressLine1Txt |
| City | FORT WALTON BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32547 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALAN GIESEMAN | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 8508638207 | PhoneNum |
| Signature | 2022-06-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ALAN | PersonFirstNm |
| Person Last | GIESEMAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI K KELLEY CPA | PreparerPersonNm |
| PTIN | P00111278 | PTIN |
| Phone | 8508370398 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | WHITEWILSONCOMMUNITYFOUNDATION.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $813 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $813 | ContributionsGiftsGrantsEtcAmt |
| Total Revenue | $813 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $1,400 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $1,043 | OtherExpensesTotalAmt |
| Total Expenses | $2,443 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$1,630 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $265,978 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $264,348 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,849 | BOYAmt |
| EOY | $264,432 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,849 | BOYAmt |
| EOY | $264,432 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,871 | BOYAmt |
| EOY | $84 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,978 | BOYAmt |
| EOY | $264,348 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO ENGAGE OUR COMMUNITY IN IMPROVING HEALTH AND WELLNESS. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | COMMUNITY FUNDRAISING EVENTS TO RAISE AWARENESS OF HEALTH ISSUES AND EDUCATE THE COMMUNITY ON THE IMPORTANCE OF PREVENTIVE HEALTHCARE IN IMPROVING OVERALL HEALTH AND SUPPORTING OTHER 501(C)(3) CHARITIES IN THE COMMUNITY THAT PROVIDE HEALTHCARE SERVICES TO INDIVIDUALS IN NEED. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $0 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
| Info In Schedule O Part IV | Yes (X) | InfoInScheduleOPartIVInd |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| BOB PERRY | ||||
| CHAIRMAN OF THE BOARD | 2.00 | $0 | $0 | $0 |
| ALAN GIESEMAN | ||||
| VICE PRESIDENT | 2.00 | $0 | $0 | $0 |
| KENNETH HASKIN MD | ||||
| TREASURER | 2.00 | $0 | $0 | $0 |
| TERESA HALVERSON | ||||
| SECRETARY | 2.00 | $0 | $0 | $0 |
| MARK DUTRAM | ||||
| DIRECTOR | 2.00 | $0 | $0 | $0 |
| DR ROBERT KISKADDON | ||||
| DIRECTOR | 2.00 | $0 | $0 | $0 |
| RAY MCGOVERN | ||||
| DIRECTOR | 2.00 | $0 | $0 | $0 |
| NEKO STUBBLEFIELD | ||||
| DIRECTOR | 2.00 | $0 | $0 | $0 |
| MARA CLARK | ||||
| DIRECTOR | 2.00 | $0 | $0 | $0 |
| BILL ROBERTS | ||||
| DIRECTOR | 2.00 | $0 | $0 | $0 |
| EWA RUYAN | ||||
| DIRECTOR | 2.00 | $0 | $0 | $0 |
| DR JACK AZZARETTO | ||||
| DIRECTOR | 2.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1005 MAR WALT DRIVE | AddressLine1Txt |
| City | FORT WALTON BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32547 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8508638207 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $84,498 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $73,526 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,296 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,800 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $813 | CurrentTaxYearAmt |
| Total | $170,933 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $84,498 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $73,526 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,296 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,800 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $813 | CurrentTaxYearAmt |
| Total | $170,933 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $170,933 | PublicSupportTotal170Amt |
| Total Support | $170,933 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $282,556 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: TAX AND LICENSES. AMOUNT: 61. DESCRIPTION: MEETING EXPENSE. AMOUNT: 799. DESCRIPTION: BANK/CREDIT CARD CHARGES. AMOUNT: 181. DESCRIPTION: INTEREST EXPENSE. AMOUNT: 2. TOTAL TO FORM 990-EZ, LINE 16: 1,043. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 1,871. END OF YEAR AMOUNT: 84. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |