GUARDIAN ANGEL HOSPICE FOUNDATION INC: Form 990EZ, tax year 2021
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- Organization
- GUARDIAN ANGEL HOSPICE FOUNDATION INC (EIN 35-2149057)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2022-12-21
- IRS object ID
- 202203559349200005
- 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 | 2022-12-21T09:50:37-06:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351724750 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUCHERI MCCARTY & METZ LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2147 | AddressLine1Txt |
| City | KOKOMO | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 469042147 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352149057 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUARDIAN ANGEL HOSPICE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GUAR | BusinessNameControlTxt |
| Phone | 7654522333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 513 W LINCOLN RD | AddressLine1Txt |
| City | KOKOMO | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46902 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOROTHY DEWITT | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7654522333 | PhoneNum |
| Signature | 2022-12-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DOROTHY | PersonFirstNm |
| Person Last | DEWITT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GREGORY A MCCARTY CPA | PreparerPersonNm |
| PTIN | P00040892 | PTIN |
| Phone | 7652362300 | 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 Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $87,702 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $31,957 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $6,170 | InvestmentIncomeAmt |
| Fundraising Gross Income | $23,975 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $609 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $23,366 | SpecialEventsNetIncomeLossAmt |
| Gross Sales Of Inventory | $25,600 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $24,165 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $1,435 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $62,928 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $22,136 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $1,521 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $990 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $3,609 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $14,430 | OtherExpensesTotalAmt |
| Total Expenses | $42,686 | TotalExpensesAmt |
| Excess Or Deficit For Year | $20,242 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $228,082 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $248,324 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,962 | BOYAmt |
| EOY | $143,627 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,490 | BOYAmt |
| EOY | $106,377 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,452 | BOYAmt |
| EOY | $250,004 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,370 | BOYAmt |
| EOY | $1,680 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,082 | BOYAmt |
| EOY | $248,324 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO EDUCATE COMMUNITY SERVED ABOUT END OF LIFE ISSUES. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| CAMP ANGEL | $0 | $0 |
| CHAPLAIN FUND | $0 | $0 |
| LIFELINE | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (11 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| OCEAN SHARP | ||||
| PRESIDENT | 5.00 | $0 | $0 | $0 |
| STEPHANIE GUINN | ||||
| VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| APRIL WYANT | ||||
| SECRETARY | 1.00 | $0 | $0 | $0 |
| JILL MERSCH | ||||
| TREASURER | 1.00 | $0 | $0 | $0 |
| PAM CHALLIS | ||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| BRIAN RUDE | ||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| LESLIE BEVER | ||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| LYN SALEM | ||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| JENNIFER WILLIAMS | ||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 |
| DOROTHY DEWITT | ||||
| NON BOARD MEMEBER | 5.00 | $0 | $0 | $0 |
| LAURA HILEMAN | ||||
| NON BOARD MEMEBER | 40.00 | $22,136 | $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 | IN | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOROTHY DEWITT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 513 W LINCOLN | AddressLine1Txt |
| City | KOKOMO | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7654522333 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,141 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,521 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,559 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $135,120 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,957 | CurrentTaxYearAmt |
| Total | $282,298 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,660 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,745 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,488 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,685 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,600 | CurrentTaxYearAmt |
| Total | $86,178 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $53,801 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,266 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $54,047 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $153,805 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $57,557 | CurrentTaxYearAmt |
| Total | $368,476 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,000 | CurrentTaxYearMinus3YearsAmt |
| Total | $10,000 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,000 | CurrentTaxYearMinus3YearsAmt |
| Total | $10,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $358,476 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,888 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $257 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,619 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $72 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,170 | CurrentTaxYearAmt |
| Total | $10,006 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,888 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $257 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,619 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $72 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,170 | CurrentTaxYearAmt |
| Total | $10,006 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,136 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,696 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,247 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,926 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,975 | CurrentTaxYearAmt |
| Total | $55,980 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,825 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,219 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $61,913 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $160,803 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $87,702 | CurrentTaxYearAmt |
| Total | $434,462 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.82510 | PublicSupportCY509Pct |
| Public Support PY509 | 0.75360 | PublicSupportPY509Pct |
| Investment Income CY | 0.02300 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01270 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | 0 | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BUTTERFLY RUN | Event1Nm |
| Gross Receipts Event1 | $23,975 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $23,975 | GrossRevenueEvent1Amt |
| Event2 | CAMP ANGEL | Event2Nm |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $23,975 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $23,975 | GrossRevenueTotalEventsAmt |
| Net Income Summary | $23,975 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST INCOME. AMOUNT: 6,170. |
| FORM 990-EZ, PART I, LINE 7 - SALES OF INVENTORY | INCOME: GROSS RECEIPTS: 25,600. RETURNS AND ALLOWANCES: 0. LESS COST OF GOODS SOLD: 24,165. GROSS PROFIT: 1,435. COST OF GOODS SOLD: INVENTORY AT BEGINNING OF YEAR: 11,072. MERCHANDISE PURCHASED: 17,930. COST OF LABOR: 0. MATERIALS AND SUPPLIES: 0. OTHER COSTS: 0. INVENTORY AT END OF YEAR: 4,837. COST OF GOODS SOLD: 24,165. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: PROGRAM SERVICE EXPENSE. AMOUNT: 6,950. DESCRIPTION: DUES AND SUBSCRIPTIONS. AMOUNT: 3,867. DESCRIPTION: BANK CHARGES. AMOUNT: 548. DESCRIPTION: MARKETING. AMOUNT: 246. DESCRIPTION: MISCELLANEOUS EXPENSE. AMOUNT: 267. DESCRIPTION: INSURANCE. AMOUNT: 2,550. DESCRIPTION: INTEREST. AMOUNT: 2. TOTAL TO FORM 990-EZ, LINE 16: 14,430. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: INVENTORIES. BEG. OF YEAR AMOUNT: 11,072. END OF YEAR AMOUNT: 4,837. DESCRIPTION: INVESTMENTS - RAYMOND JAMES. BEG. OF YEAR AMOUNT: 93,081. END OF YEAR AMOUNT: 99,199. DESCRIPTION: PREPAID INSURANCE. BEG. OF YEAR AMOUNT: 2,337. END OF YEAR AMOUNT: 2,341. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE AND ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 3,370. END OF YEAR AMOUNT: 1,680. |
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 |