MT HEALTHY ALLIANCE INC: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MT HEALTHY ALLIANCE INC (EIN 26-0247231)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-10-28
- IRS object ID
- 202223019349201002
- 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 | 2022-10-28T09:18:42-00:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 311288545 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AAMTAX | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 12729 | AddressLine1Txt |
| City | Cincinnati | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45212 | 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 | 260247231 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MT HEALTHY ALLIANCE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MTHE | BusinessNameControlTxt |
| Phone | 5133765859 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 31028 | AddressLine1Txt |
| City | MT HEALTHY | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45231 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL G UPCHURCH | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 5133765859 | PhoneNum |
| Signature | 2022-10-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHAEL | PersonFirstNm |
| Person Last | UPCHURCH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sam R Asmah | PreparerPersonNm |
| PTIN | P00576629 | PTIN |
| Phone | 5136802620 | PhoneNum |
| Preparation | 2022-10-28 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | 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 |
| Website Address | www.mthealthyalliance.org | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $155,587 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $90,815 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $63,527 | ProgramServiceRevenueAmt |
| Investment Income | $1,245 | InvestmentIncomeAmt |
| Total Revenue | $155,587 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $79,912 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $1,178 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $5,695 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $35,275 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $26,704 | OtherExpensesTotalAmt |
| Total Expenses | $148,764 | TotalExpensesAmt |
| Excess Or Deficit For Year | $6,823 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $147,278 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $154,101 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,949 | BOYAmt |
| EOY | $30,921 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,329 | BOYAmt |
| EOY | $125,689 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,278 | BOYAmt |
| EOY | $156,610 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,509 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,278 | BOYAmt |
| EOY | $154,101 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | FOOD PANTRY, AND EDUCATION TO YOUTH IN 45231 ZONE | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| ,1. FOOD PANTRY SERVED 3,552 FAMILIES, SERVED 10,310 PEOPLE, DISTRIBUTED ITEMS VALUED AT 618,585. VOLUNTEER HOURS 8,418 NUMBER OF VOLUNTEERS 85 | $63,527 | $40,085 |
| YOUTH OUTREACH AFTER SCHOOL PROGRAM FOR 30 YOUTH IN MATH, ENGLISH, AND COMMUNITY RELATIONS. SUMMER CAMPS, TRIPS TO PARKS STORY TELLING ETC. | $1,193 | $9,999 |
| ADMINISTRATION TO ADMINISTER THE PROGRAMS, WRITING GRANTS TO SUPPORT THE PROGRAMS | $100,851 | $98,680 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $148,764 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| ROBERT R KONKOL | ||
| EXECUTIVE DIRECTOR | 040.00 | $60,392 |
| MARILEE OLDSTONE-MOORE | ||
| YOUTH ASSISTANT | 010.00 | $5,641 |
| DESIRE M MOSLEY | ||
| SUPPORT | 010.00 | $3,875 |
| JACQUELINE D JOHNSON-WILKERSON | ||
| SUPPORT | 010.00 | $3,875 |
| SHANNON P BARNES | ||
| SUPPORT | 010.00 | $5,960 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Organization Filed990 T | false | OrganizationFiled990TInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL G UPCHURCH | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7612 PERRY STREET | AddressLine1Txt |
| City | MOUNT HEALTHY | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45231 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5133765859 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Related Org Sect527 Org | false | RelatedOrgSect527OrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $109,565 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $166,184 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $139,418 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $217,982 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $155,587 | CurrentTaxYearAmt |
| Total | $788,736 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $109,565 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $166,184 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $139,418 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $217,982 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $155,587 | CurrentTaxYearAmt |
| Total | $788,736 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $788,736 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $109,565 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $166,184 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $139,418 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $217,982 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $155,587 | CurrentTaxYearAmt |
| Total | $788,736 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990-EZ, Part I, Line 16, Other Expenses | Travel 1,206 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Supplies 3,772 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Telephone 749 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Food Purchases 20,505 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Banking Fees 472 |
| Form 990-EZ, Part II, Line 24, Other Assets | FREESTORE FOOD BANK Beginning of year 12,492, End of year 17,063 |
| Form 990-EZ, Part II, Line 24, Other Assets | MEIJERS GIFT CARDS Beginning of year 34,782, End of year 32,215 |
| Form 990-EZ, Part II, Line 24, Other Assets | NETWORK FOR GOOD - FACEBOOK Beginning of year 155, End of year 105 |
| Form 990-EZ, Part II, Line 24, Other Assets | PAYPAL Beginning of year 900, End of year 115 |
| Form 990-EZ, Part II, Line 24, Other Assets | CURRENT OTHER INVESTMENTS TD AMERITRADE Beginning of year 0, End of year 76,191 |
| Form 990-EZ, Part II, Line 26, Liabilities | PAYROLL LIABILITIES Beginning of year 0, End of year 2,509 |
| Form 990-EZ, Part I, Section REVENUE, Line LINE 9 | REVENUES DECREASED BY 28.6 FROM 217,982 TO 155,597. |
| Form 990-EZ, Part I, Section Expenses, Line 17 | TOTAL EXPENSES DECREASED BY 1.1 FROM 150,469 TO 148,764 |
| Form 990-EZ, Part I, Section Net Assets, Line LINE 18 | EXCESS REVENUE WAS 6,823. LINE 9 155,587 LESS LINE 17 148,764. |
| Form 990-EZ, Part I, Section Net Assets, Line LINE 21 | NET ASSETS INCREASED BY 4.4 FROM 147,278 TO 154,101 |