MWANDI UNITED CHURCH OF ZAMBIA MISSION HOSPITAL BOARD OF TRUSTEE: Form 990EZ, tax year 2020
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- Organization
- MWANDI UNITED CHURCH OF ZAMBIA MISSION HOSPITAL BOARD OF TRUSTEE (EIN 45-5477482)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-07-28
- IRS object ID
- 202112099349200621
- Schema version
- 2020v4.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-07-28T10:39:42-07:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 561688300 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | C DeWitt Foard & Co PA CPAs | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 817 E Morehead Street Ste 100 | AddressLine1Txt |
| City | Charlotte | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455477482 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Mwandi United Church of Zambia | BusinessNameLine1Txt |
| Business Name Line2 | Mission Hospital Board of Trustees | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MWAN | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1642 | AddressLine1Txt |
| City | Blowing Rock | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28065 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Margaret Schrieber MD | PersonNm |
| Person Title | Chair | PersonTitleTxt |
| Signature | 2021-07-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Margaret Schrieber | PersonFirstNm |
| Person Last | MD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Phillip G Wilson | PreparerPersonNm |
| PTIN | P00096084 | PTIN |
| Phone | 7043721515 | PhoneNum |
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 |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | 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 | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $129,954 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $94,680 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $24,580 | ProgramServiceRevenueAmt |
| Investment Income | $10,694 | InvestmentIncomeAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $0 | SpecialEventsDirectExpensesAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Total Revenue | $129,954 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $2,000 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $107,919 | OtherExpensesTotalAmt |
| Total Expenses | $109,919 | TotalExpensesAmt |
| Excess Or Deficit For Year | $20,035 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $460,651 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $17,100 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $497,786 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,651 | BOYAmt |
| EOY | $497,786 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,651 | BOYAmt |
| EOY | $497,786 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,651 | BOYAmt |
| EOY | $497,786 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | To assist the United Church of Zambia (UCZ) to provide healthcare to the people of Mwandi, Zambia by providing resources for the UCZ Mission Hospital obtained through fund-raising in the United States of America. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt |
|---|---|
| Fund-raising for hospital infrastructure and programs and for maintaining facilities for mission staff and visitors. | $72,815 |
| Simba House - provision of funds for maintenance of lodge which provides housing (for a fee) to individuals and groups that volunteer at the Hospital | $28,335 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $101,150 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| David Klehm MD | ||
| Director | 1.00 | $0 |
| Verna Miller Case PhD | ||
| Secretary | 7.50 | $0 |
| Richard Walsh | ||
| Director | 1.00 | $0 |
| Laleh Lodhi | ||
| Director | 1.00 | $0 |
| Thomas G Irons MD | ||
| Treasurer | 2.00 | $0 |
| William A Crosland MD | ||
| Director | 1.00 | $0 |
| Tasha Samborski | ||
| Director | 1.00 | $0 |
| Margaret Schrieber MD | ||
| Chair | 2.00 | $0 |
| John Tarro MD | ||
| Director | 1.00 | $0 |
| Sarah Madrid | ||
| Director | 1.00 | $0 |
| 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 |
| 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 |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Cynthia Roy Heim | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 944 | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 280260944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7042025973 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $100,155 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $91,120 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $127,037 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $156,273 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $94,680 | CurrentTaxYearAmt |
| Total | $569,265 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $100,155 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $91,120 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $127,037 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $156,273 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $94,680 | CurrentTaxYearAmt |
| Total | $569,265 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $63,493 | SubstantialContributorsTotAmt |
| Public Support Total170 | $505,772 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,894 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,855 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,588 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,286 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,694 | CurrentTaxYearAmt |
| Total | $37,317 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $606,582 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $152,631 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.83380 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93360 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other Expenses.1012 | Insurance $1712 |
| Other Expenses.1 | Site Manager $35300 |
| Other Expenses.2 | Capital Projects $31800 |
| Other Expenses.3 | Simba/Kudu Expenses $23715 |
| Other Expenses.4 | Hospital Administrator $12000 |
| Other Expenses.5 | Site Manager Med Evac Insuran $1600 |
| Other Expenses.6 | PayPal & Global Giving $904 |
| Other Expenses.7 | Bank Fees $536 |
| Other Expenses.8 | Education Assistance $200 |
| Other Expenses.9 | Licenses $152 |