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GREAT MINES HEALTH CENTER FOUNDATION: Form 990EZ, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
GREAT MINES HEALTH CENTER FOUNDATION (EIN 46-2016304)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202143199349205354
Schema version
2020v4.1
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

FieldValueIRS element (for citing)
Return2021-11-15T12:16:50-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430352985PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KERBER ECK & BRAECKEL LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13401 OFFICE PARK DRIVEAddressLine1Txt
CityMARIONCityNm
State AbbreviationILStateAbbreviationCd
ZIP62959ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN462016304EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREAT MINES HEALTH CENTER FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGREABusinessNameControlTxt
Phone5734389355PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 SOUTHTOWNE DRIVEAddressLine1Txt
CityPOTOSICityNm
State AbbreviationMOStateAbbreviationCd
ZIP63664ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREG ROEBACKPersonNm
Person TitleCEOPersonTitleTxt
Phone5734389355PhoneNum
Signature2021-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGREGPersonFirstNm
Person LastROEBACKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMBER HALSTEADPreparerPersonNm
PTINP01343727PTIN
Phone6189938724PhoneNum
Preparation2021-11-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$1,862GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$1,473ContributionsGiftsGrantsEtcAmt
Investment Income$389InvestmentIncomeAmt
Total Revenue$1,862TotalRevenueAmt
Total Expenses$0TotalExpensesAmt
Excess Or Deficit For Year$1,862ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$66,016NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$67,878NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$40,219BOYAmt
EOY$41,692EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$25,797BOYAmt
EOY$26,186EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$66,016BOYAmt
EOY$67,878EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$66,016BOYAmt
EOY$67,878EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO IMPROVE THE HEALTH OF OUR WHOLE COMMUNITY THROUGH EXCELLENCE IN PATIENT CARE AND HEALTH EDUCATION BY SERVICE AS A CHARITABLE ARM OF GREAT MINES HEALTH CENTER.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTO IMPROVE THE HEALTH OF OUR WHOLE COMMUNITY THROUGH EXCELLENCE IN PATIENT CARE AND HEALTH EDUCATION BY SERVICE AS A CHARITABLE ARM OF GREAT MINES HEALTH CENTER.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$0ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
TR DUDLEY
CHAIRPERSON1.00$0$0$0
ANGELLA KING
VICE CHAIRPERSON1.00$0$0$0
DEBBY BUST
SECRETARY/TREASURER1.00$0$0$0
GREG ROEBACK
PRESIDENT1.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREG ROEBACKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 SOUTHTOWNE DRIVEAddressLine1Txt
CityPOTOSICityNm
State AbbreviationMOStateAbbreviationCd
ZIP63664ZIPCd
FieldValueIRS element (for citing)
Phone5734389355PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,234CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,637CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,812CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,053CurrentTaxYearMinus1YearAmt
Current Tax Year$1,473CurrentTaxYearAmt
Total$40,209TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,234CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,637CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,812CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,053CurrentTaxYearMinus1YearAmt
Current Tax Year$1,473CurrentTaxYearAmt
Total$40,209TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$40,209PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$149CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$649CurrentTaxYearMinus1YearAmt
Current Tax Year$389CurrentTaxYearAmt
Total$1,187TotalAmt
FieldValueIRS element (for citing)
Total Support$41,396TotalSupportAmt
Public Support CY1700.97130PublicSupportCY170Pct
Public Support PY1700.76860PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: INTEREST-SAVINGS, SHORT TERM CD. AMOUNT: 389.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: UNCATEGORIZED ASSET. BEG. OF YEAR AMOUNT: 25,797. END OF YEAR AMOUNT: 26,186.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE 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