COPLEY HOSPITAL AUXILIARY INC: Form 990EZ, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: COPLEY HOSPITAL AUXILIARY INC (EIN 03-0269278)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-02-10
IRS object ID: 202110419349200111
Schema version: 2019v5.0
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
Form 990-EZ
Schedule A
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-02-10T10:24:28-06:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	030322133	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MARCKRES NORDER AND COMPANY INC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 732	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05661	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990EZ	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	030269278	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COPLEY HOSPITAL AUXILIARY INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COPL	BusinessNameControlTxt
Phone	8028884231	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	528 WASHINGTON HIGHWAY	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	056618973	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JUDY SHANLEY	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	8028884231	PhoneNum
Signature	2020-01-25	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DEBORAH L VERZILLI CPA	PreparerPersonNm
PTIN	P00295703	PTIN
Phone	8028887781	PhoneNum
Preparation	2021-02-10	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	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	N/A	WebsiteAddressTxt
Organization501c3	Yes (X)	Organization501c3Ind
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Gross Receipts	$114,363	GrossReceiptsAmt
Info In Schedule O Part I	Yes (X)	InfoInScheduleOPartIInd
Contributions Gifts Grants Etc	$905	ContributionsGiftsGrantsEtcAmt
Program Service Revenue	$105,829	ProgramServiceRevenueAmt
Membership Dues	$985	MembershipDuesAmt
Investment Income	$25	InvestmentIncomeAmt
Gross Sales Of Inventory	$6,619	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,467	CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry	$4,152	GrossProfitLossSlsOfInvntryAmt
Total Revenue	$111,896	TotalRevenueAmt
Grants And Similar Amounts Paid	$32,697	GrantsAndSimilarAmountsPaidAmt
Salaries Other Comp Empl Bnft	$36,973	SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct	$650	FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint	$9,701	OccupancyRentUtltsAndMaintAmt
Printing Publications Postage	$174	PrintingPublicationsPostageAmt
Other Expenses Total	$41,000	OtherExpensesTotalAmt
Total Expenses	$121,195	TotalExpensesAmt
Excess Or Deficit For Year	-$9,299	ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY	$34,743	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$25,444	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part II	Yes (X)	InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

Field	Value	IRS element (for citing)
BOY	$31,524	BOYAmt
EOY	$29,308	EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

Field	Value	IRS element (for citing)
BOY	$4,893	BOYAmt
EOY	$4,893	EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,417	BOYAmt
EOY	$34,201	EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,674	BOYAmt
EOY	$8,757	EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

Field	Value	IRS element (for citing)
BOY	$34,743	BOYAmt
EOY	$25,444	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Primary Exempt Purpose	COPLEY HOSPITAL AUXILIARY, INC. PROVIDES SUPPORT AND VOLUNTEERS FOR COPLEY HOSPITAL, INC. AND COPLEY HEALTH SYSTEMS.	PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

Field	Value	IRS element (for citing)
Description Program Srvc Accom	SECOND CHANCE SELLS USED CLOTHING ON A CONSIGNMENT BASIS TO A COMMUNITY OF 15,000 PEOPLE. THE CLOTHING IS SOLD AT A REASONABLE PRICE. THE GIFT SHOP AT COPLEY HOSPITAL, INC SELLS CANDY, FLOWERS, CARDS, AND GIFTS TO PATIENTS, VISITORS, AND EMPLOYEES. NET PROCEEDS ARE DONATED TO COPLEY HEALTH SYSTEMS,INC AND COPLEY HOSPITAL, INC FOR CAPITAL PURCHASES, FUNDING OF ENDOWMENT, EDUCATIONAL EXPENSES FOR HOSPITAL EMPLOYEES, AND SPECIAL PROGRAMS THE HOSPITAL PROVIDES TO THE MEMBERS OF THE COMMUNITY.	DescriptionProgramSrvcAccomTxt
Grants And Allocations	$32,697	GrantsAndAllocationsAmt
Program Service Expenses	$97,590	ProgramServiceExpensesAmt

Field	Value	IRS element (for citing)
Total Program Service Expenses	$97,590	TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)

TitleTitleTxt	Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt	CompensationCompensationAmt
JUDY SHANLEY
PRESIDENT	1.00	$0
NANCY BANDS
SECRETARY	1.00	$0
CAROL LOYSON
TREASURER	1.00	$0
LOIS KEITH
DIRECTOR	1.00	$0
EDNA SNOW
DIRECTOR	1.00	$0
JUDY GROSVENOR
DIRECTOR	1.00	$0
BARBARA PFITZENMAYER
DIRECTOR	1.00	$0
JUDY WARD
DIRECTOR	1.00	$0
LUCY CALLENDER
DIRECTOR	1.00	$0
ROBIN PUGH
MANAGER	40.00	$37,769

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
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Organization Dissolved Etc	false	OrganizationDissolvedEtcInd
Form1120 Pol Filed	false	Form1120PolFiledInd
Made Loans To From Officers	false	MadeLoansToFromOfficersInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOYCE EMERSON	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	799 GARFIELD ROAD	AddressLine1Txt
City	HYDE PARK	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05655	ZIPCd

Field	Value	IRS element (for citing)
Phone	8023717038	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
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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$437	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$286	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$197	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,523	CurrentTaxYearMinus1YearAmt
Current Tax Year	$905	CurrentTaxYearAmt
Total	$3,348	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$142,615	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$155,527	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$150,282	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$146,910	CurrentTaxYearMinus1YearAmt
Current Tax Year	$113,433	CurrentTaxYearAmt
Total	$708,767	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$143,052	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$155,813	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$150,479	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$148,433	CurrentTaxYearMinus1YearAmt
Current Tax Year	$114,338	CurrentTaxYearAmt
Total	$712,115	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$712,115	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$49	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$44	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$22	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18	CurrentTaxYearMinus1YearAmt
Current Tax Year	$25	CurrentTaxYearAmt
Total	$158	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$49	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$44	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$22	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18	CurrentTaxYearMinus1YearAmt
Current Tax Year	$25	CurrentTaxYearAmt
Total	$158	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$143,101	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$155,857	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$150,501	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$148,451	CurrentTaxYearMinus1YearAmt
Current Tax Year	$114,363	CurrentTaxYearAmt
Total	$712,273	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99980	PublicSupportCY509Pct
Public Support PY509	0.99980	PublicSupportPY509Pct
Investment Income CY	0.00000	InvestmentIncomeCYPct
Investment Income PY	0.00000	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 10	NAME: COPLEY HOSPITAL FOUNDATION ADDRESS: 528 WASHINGTON HWY MORRISVILLE, VT 05661 CASH CONTRIBUTION: 32,697
FORM 990-EZ, PART I, LINE 16	EXPENSES ADVERTISING EXP 953 MEETING EXPENSE 564 INSURANCE 1,305 BANK SERVICE CHARGE 2,165 BOOKKEEPING 4,468 CLEANING SERVICE 4,959 CONSIGNORS EXPENSE 18,229 INTERNET FEES 529 NON-CASH CONTRIBUTIONS 3,047 OTHER CONTRIBUTIONS 45 REPAIRS & MAINTENENCE 2,387 SUPPLIES 1,800 TELEPHONE 549 TOTAL 41,000
FORM 990-EZ, PART II, LINE 24	INVENTORIES FOR SALE OR USE 4,893 4,893 EQUIPMENT 965 965 LESS ACCUMULATED DEPRECIATION 965 965 TOTAL 4,893 4,893
FORM 990-EZ, PART II, LINE 26	UNSECURED NOTES AND LOANS PAYABLE 0 7,800 PAYROLL LIABILITIES 1,340 691 SALES TAX PAYABLE 334 266
FORM 990-EZ, PART III	COPLEY HOSPITAL AUXILIARY, INC. PROVIDES SUPPORT AND VOLUNTEERS FOR COPLEY HOSPITAL, INC. AND COPLEY HEALTH SYSTEMS.
FORM 990-EZ, PART III, LINE 28	SECOND CHANCE SELLS USED CLOTHING ON A CONSIGNMENT BASIS TO A COMMUNITY OF 15,000 PEOPLE. THE CLOTHING IS SOLD AT A REASONABLE PRICE. THE GIFT SHOP AT COPLEY HOSPITAL, INC SELLS CANDY, FLOWERS, CARDS, AND GIFTS TO PATIENTS, VISITORS, AND EMPLOYEES. NET PROCEEDS ARE DONATED TO COPLEY HEALTH SYSTEMS,INC AND COPLEY HOSPITAL, INC FOR CAPITAL PURCHASES, FUNDING OF ENDOWMENT, EDUCATIONAL EXPENSES FOR HOSPITAL EMPLOYEES, AND SPECIAL PROGRAMS THE HOSPITAL PROVIDES TO THE MEMBERS OF THE COMMUNITY.