CAT CAY MEDICAL CLINIC FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: CAT CAY MEDICAL CLINIC FOUNDATION (EIN 20-5221502)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-07-14
IRS object ID: 202011969349100221
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-PF
Schedule B
Depreciation Schedule
Land Etc Schedule2
Legal Fees Schedule
Other Expenses Schedule
Other Income Schedule2
Other Liabilities Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-14T08:55:36-05:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	141744374	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	LAVELLE & FINN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	29 BRITISH AMERICAN BLVD	AddressLine1Txt
City	LATHAM	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12110	ZIPCd

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	205221502	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CAT CAY MEDICAL CLINIC FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CATC	BusinessNameControlTxt
Phone	9543599575	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1050 LEE WAGENER BLVD 106	AddressLine1Txt
City	FT LAUDERDALE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33315	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFFREY J HICKS	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Signature	2020-07-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOHN H LAVELLE CPA LLM	PreparerPersonNm
PTIN	P00063169	PTIN
Phone	5188696227	PhoneNum
Preparation	2020-07-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	72.0.132.250	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-07-14	IPDt
IP Tm	08:55:36	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	4C478B549ECF4F0F65A8AB02891287EC79149AA2	AtSubmissionCreationDeviceId
At Submission Filing Device Id	FD4DB29CE3FECA26FCF4D8B07B220204A47F1CB8	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-04-22 16:20:28Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
FMV Assets EOY	$1,308,411	FMVAssetsEOYAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Contri Rcvd Rev And Expnss	$779,505	ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss	$9,422	InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm	$9,422	InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm	$9,422	InterestOnSavingsAdjNetIncmAmt
Other Income Rev And Expnss	$152,000	OtherIncomeRevAndExpnssAmt
Other Income Adj Net Incm	$152,000	OtherIncomeAdjNetIncmAmt
Total Rev And Expnss	$940,927	TotalRevAndExpnssAmt
Total Net Invst Incm	$9,422	TotalNetInvstIncmAmt
Total Adj Net Incm	$161,422	TotalAdjNetIncmAmt
Oth Empl Slrs Wgs Rev And Expnss	$12,004	OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl	$12,004	OthEmplSlrsWgsDsbrsChrtblAmt
Legal Fees Rev And Expnss	$2,244	LegalFeesRevAndExpnssAmt
Legal Fees Dsbrs Chrtbl	$2,244	LegalFeesDsbrsChrtblAmt
Taxes Rev And Expnss	$1,341	TaxesRevAndExpnssAmt
Deprec And Dpltn Rev And Expnss	$21,359	DeprecAndDpltnRevAndExpnssAmt
Other Expenses Rev And Expnss	$240,165	OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl	$240,165	OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss	$277,113	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$0	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$254,413	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$0	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$0	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$277,113	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$0	TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl	$254,413	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	$663,814	ExcessRevenueOverExpensesAmt
Net Investment Income	$9,422	NetInvestmentIncomeAmt
Adjusted Net Income	$161,422	AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Cash BOY	$326,425	CashBOYAmt
Cash EOY	$998,739	CashEOYAmt
Cash EOYFMV	$998,741	CashEOYFMVAmt
Sav And Temp Cash Invst BOY	$228,538	SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY	$233,757	SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV	$233,757	SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl	$5,016	AcctRcvblAmt
Acct Rcvbl EOY	$5,016	AcctRcvblEOYAmt
Acct Rcvbl EOYFMV	$5,016	AcctRcvblEOYFMVAmt
Prepaid Expenses BOY	$2,850	PrepaidExpensesBOYAmt
Prepaid Expenses EOY	$2,850	PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV	$2,850	PrepaidExpensesEOYFMVAmt
Land Bldg Equip Cost Or Other Bss	$200,825	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$154,137	LandBldgEquipAccumDeprecAmt
Land BOY	$64,762	LandBOYAmt
Land EOY	$46,688	LandEOYAmt
Land EOYFMV	$68,047	LandEOYFMVAmt
Total Assets BOY	$622,575	TotalAssetsBOYAmt
Total Assets EOY	$1,287,050	TotalAssetsEOYAmt
Total Assets EOYFMV	$1,308,411	TotalAssetsEOYFMVAmt
Other Liabilities BOY	$28,058	OtherLiabilitiesBOYAmt
Other Liabilities EOY	$28,719	OtherLiabilitiesEOYAmt
Total Liabilities BOY	$28,058	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$28,719	TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind
Capital Stock BOY	$594,517	CapitalStockBOYAmt
Capital Stock EOY	$1,258,331	CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY	$594,517	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	$1,258,331	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$622,575	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$1,287,050	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	$594,517	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	$663,814	ExcessRevenueOverExpensesAmt
Subtotal	$1,258,331	SubtotalAmt
Tot Net Ast Or Fund Balances EOY	$1,258,331	TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Field	Value	IRS element (for citing)
Investment Income Excise Tax	$188	InvestmentIncomeExciseTaxAmt
Subtotal	$188	SubtotalAmt
Tax Based On Investment Income	$188	TaxBasedOnInvestmentIncomeAmt
Tax Due	$188	TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

Field	Value	IRS element (for citing)
Legislative Political Acty	false	LegislativePoliticalActyInd
More Than100 Spent	false	MoreThan100SpentInd
Form1120 POL Filed	false	Form1120POLFiledInd
Activities Not Previously Rpt	false	ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws	false	ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc	false	OrganizationDissolvedEtcInd
Section508e Rqr Satisfied	Yes (true)	Section508eRqrSatisfiedInd
At Least5000 In Assets	Yes (true)	AtLeast5000InAssetsInd
Form990 PF Filed With Atty Gen	Yes (true)	Form990PFFiledWithAttyGenInd
Private Operating Foundation	Yes (true)	PrivateOperatingFoundationInd
New Substantial Contributors	false	NewSubstantialContributorsInd
Own Controlled Entity	false	OwnControlledEntityInd
Donor Advised Fund	false	DonorAdvisedFundInd
Comply With Public Insp Rqr	Yes (true)	ComplyWithPublicInspRqrInd
Website Address	N/A	WebsiteAddressTxt
Individual With Books	VICKI SMITH	IndividualWithBooksNm
Phone	9543599575	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	1050 LEE WAGENER BLVD 106	AddressLine1Txt
City	FT LAUDERDALE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33315	ZIPCd

Field	Value	IRS element (for citing)
Foreign Accounts Question	false	ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

Field	Value	IRS element (for citing)
Sale Or Exch Disqualified Prsn	false	SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn	false	BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn	false	FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn	false	PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn	false	TransferAstDisqualifiedPrsnInd
Payment To Government Official	false	PaymentToGovernmentOfficialInd
Undistributed Income PY	false	UndistributedIncomePYInd
Business Holdings	false	BusinessHoldingsInd
Jeopardy Investments	false	JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst	false	UncorrectedPYJeopardyInvstInd
Influence Legislation	false	InfluenceLegislationInd
Influence Election	false	InfluenceElectionInd
Grants To Individuals	false	GrantsToIndividualsInd
Grants To Organizations	false	GrantsToOrganizationsInd
Noncharitable Purpose	false	NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	TitleTitleTxt	Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt	CompensationCompensationAmt	Employee Benefit ProgramEmployeeBenefitProgramAmt	Expense Account Other AllwncExpenseAccountOtherAllwncAmt
JEFFREY J HICKS
1040 ALFONSO AVENUE	CORAL GABLES	FL	33146	PRESIDENT	000.00	$0	$0	$0
KEVIN HUTTON MD
312 SOUTH CEDROS AVENUE 322	SOLANA BEACH	CA	920751981	DIRECTOR	000.00	$0	$0	$0
FERNANDO ROIG
1050 LEE WAGNER BLVD SUITE 106	FT LAUDERDALE	FL	33315	SECRETARY	000.00	$0	$0	$0
JOHN MCCRANIE
1050 LEE WAGENER BLVD 106	FT LAUDERDALE	FL	33315	DIRECTOR	000.00	$0	$0	$0
MARC KAISER
1S OCEAN BLVD SUITE 300	BOCA RATON	FL	33432	DIRECTOR	000.00	$0	$0	$0
LUIS MACHADO
1050 LEE WAGENER BLVD 106	FORT LAUDERDALE	FL	33315	TREASURER	000.00	$0	$0	$0
ANAMARIE MOREIRAS
1050 LEE WAGENER BLVD 106	FORT LAUDERDALE	FL	33315	DIRECTOR	000.00	$0	$0	$0
ALBERTO ARAN
1050 LEE WAGNER BLVD 106	FT LAUDERDALE	FL	33315	DIRECTOR	000.00	$0	$0	$0
VICKI SMITH
1050 LEE WAGENER BLVD 106	FT LAUDERDALE	FL	33315	COMPTROLLER	000.00	$0	$0	$0

Field	Value	IRS element (for citing)
Comp Of Hghst Pd Empl Or NONE	NONE	CompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONE	NONE	CompOfHghstPdCntrctOrNONETxt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

Field	Value	IRS element (for citing)
Description1	OPERATE A SMALL MEDICAL CLINIC THAT PROVIDES PRIMARY CARE AND EMERGENCY STABILIZATION CARE TO A REMOTE CAY IN THE NORTHERN BAHAMAS.	Description1Txt
Expenses1	$254,413	Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

Field	Value	IRS element (for citing)
Description1	N/A	Description1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

Field	Value	IRS element (for citing)
Average Monthly FMV Of Sec	$0	AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances	$391,837	AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast	$0	FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets	$391,837	TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast	$391,837	AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable	$5,878	CashDeemedCharitableAmt
Net Vl Noncharitable Assets	$385,959	NetVlNoncharitableAssetsAmt
Minimum Investment Return	$19,298	MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Sect4942j3j5 Fndtn And Frgn Org	Yes (X)	Sect4942j3j5FndtnAndFrgnOrgInd

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$254,413	ExpensesAndContributionsAmt
Qualifying Distributions	$254,413	QualifyingDistributionsAmt
Adjusted Qualifying Distri	$254,413	AdjustedQualifyingDistriAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

Field	Value	IRS element (for citing)
Private Operating Fndtn Ruling	2010-07-20	PrivateOperatingFndtnRulingDt
Section4942j3	Yes (X)	Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

Field	Value	IRS element (for citing)
Current Year	$19,298	CurrentYearAmt
Year1	$21,460	Year1Amt
Year2	$31,633	Year2Amt
Year3	$2,825	Year3Amt
Total	$75,216	TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

Field	Value	IRS element (for citing)
Current Year	$16,403	CurrentYearAmt
Year1	$18,241	Year1Amt
Year2	$26,888	Year2Amt
Year3	$2,401	Year3Amt
Total	$63,933	TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

Field	Value	IRS element (for citing)
Current Year	$254,413	CurrentYearAmt
Year1	$245,121	Year1Amt
Year2	$247,372	Year2Amt
Year3	$231,687	Year3Amt
Total	$978,593	TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

Field	Value	IRS element (for citing)
Current Year	$254,413	CurrentYearAmt
Year1	$245,121	Year1Amt
Year2	$247,372	Year2Amt
Year3	$231,687	Year3Amt
Total	$978,593	TotalAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
Current Year	$1,308,411	CurrentYearAmt
Year1	$649,816	Year1Amt
Year2	$731,556	Year2Amt
Year3	$621,102	Year3Amt
Total	$3,310,885	TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

Field	Value	IRS element (for citing)
Current Year	$1,308,411	CurrentYearAmt
Year1	$649,816	Year1Amt
Year2	$731,556	Year2Amt
Year3	$621,102	Year3Amt
Total	$3,310,885	TotalAmt

Supplementary Information SupplementaryInformationGrp

Field	Value	IRS element (for citing)
Only Contri To Preselected	Yes (X)	OnlyContriToPreselectedInd

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Membership Dues And Assmnt MembershipDuesAndAssmntGrp

Field	Value	IRS element (for citing)
Exclusion	25	ExclusionCd
Exclusion	$152,000	ExclusionAmt

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$9,422	ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

Field	Value	IRS element (for citing)
Exclusion	$161,422	ExclusionAmt

Field	Value	IRS element (for citing)
Total Income Producing Acty	$161,422	TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO	false	TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO	false	TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets	false	SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO	false	PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets	false	RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements	false	ReimbursementArrangementsInd
Loans Or Loan Guarantees	false	LoansOrLoanGuaranteesInd
Performance Of Services Etc	false	PerformanceOfServicesEtcInd
Sharing Of Facilities Etc	false	SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO	false	RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
General Rule	Yes (X)	GeneralRuleInd

Contributor Information ContributorInformationGrp (68 entries)

ContributorContributorNum	Address Line1ContributorUSAddress/AddressLine1Txt	CityContributorUSAddress/CityNm	State AbbreviationContributorUSAddress/StateAbbreviationCd	ZIPContributorUSAddress/ZIPCd	Total ContributionsTotalContributionsAmt	Person ContributionPersonContributionInd	Address Line2ContributorUSAddress/AddressLine2Txt	Noncash ContributionNoncashContributionInd	Address Line1ContributorForeignAddress/AddressLine1Txt	Address Line2ContributorForeignAddress/AddressLine2Txt	CityContributorForeignAddress/CityNm	CountryContributorForeignAddress/CountryCd
IVY FOUNDATION
1	PO BOX 5628 DEPT 28	MINNEAPOLIS	MN	55440	$20,000	Yes (X)
IGNACIO QUIRCH
7	8600 NW 82 PLACE	MIAMI	FL	33166	$5,000	Yes (X)
MORRISON FAMILY FOUNDATION
13	PO BOX 770001	CINCINNATI	OH	45277	$10,000	Yes (X)
KEVIN HUTTON
19	312 CEDROS AVENUE 322	SOLENA	CA	92075	$10,000	Yes (X)
JEFF ROBERTS
25	6105 GRANAD BLVD	CORAL GABLES	FL	33146	$5,000	Yes (X)
CHUCK DAVIS SR
31	PO BOX 600336	JACKSONVILLE	FL	32260	$5,000	Yes (X)
BILL QUIRCH III
37	4884 NORTH KENDALL DRIVE	CORAL GABLES	FL	33156	$10,000	Yes (X)
MCHUGH
43	24626 DIAMOND LAKE ROAD	LONG GROVE	IL	60047	$5,000	Yes (X)
PAMELA SKENIAN
49	8619 SAWPINE ROAD	DELRAY BEACH	FL	33446	$5,000	Yes (X)
RICHARD SZELC
55	5532 PARK LANE	DALLAS	TX	75220	$10,000	Yes (X)
ROBERT CURY
61	RJC YACHT SALES INC	FT LAUDERDALE	FL	33316	$5,000	Yes (X)	399 SE 18TH COURT
PR STEINFURTH
67	2250 MARY STREET SUITE 306	MIAMI	FL	33133	$10,000	Yes (X)
LIFE'S REQUITE INC (TOM SANSONE)
2	2201 4TH ST N SUITE 201	ST PETERSBURG	FL	33704	$10,000	Yes (X)
DIONISIO GUITERREZ
8	700 HARBOR DRIVE	BISCAYNE	FL	33149	$5,000	Yes (X)
MM CASE
14	991 HILSBORO MIL	HILSBORO BEACH	FL	33062	$10,000	Yes (X)
BENDER
20	1050 LEE WAGENER BLVD 106	FT LAUDERDALE	FL	33315	$10,000	Yes (X)
BILL MILLER
26	101 SE 23RD AVENUE	FT LAUDERDALE	FL	33301	$5,000	Yes (X)
KENNEDY
32	5001 HAMMOCK LAKE DR	CORAL GABLES	FL	33146	$5,000	Yes (X)
ALEX CASTELLANOS
38	201 OCEAN REEF DRIVE E14	KEY LARGO	FL	33047	$20,000	Yes (X)
REILLY
44	3926 UTOPIA COURT	MIAMI	FL	33133	$5,000	Yes (X)
DAVID STOUT
50	2825 S RABBIT BRUSH LANE	JACKSON	WY	83001	$5,000	Yes (X)
LESTER QUAM FAMILY 1997 IRREVOCABLE
56	9229 WHITE TAIL DRIVE	LAS VEGAS	NV	89134	$10,000	Yes (X)
EDWARD EASTON
62	3250 SW THIRD AVENUE	MIAMI	FL	33129	$5,000	Yes (X)
FERNANDO ROIG
68	2359 NE 29TH ST	LIGHTHOUSE POINT	FL	33064	$7,000			Yes (X)
GREGG FAMILY FOUNDATION
3	C/O GOLDMAN SACHS PHILANTHROPY FUND	ALBANY	NY	12212	$13,000	Yes (X)	PO BOX 15203
FRANK FAMILY CHARITABLE FUND
9	PO BOX 566780	MIAMI	FL	33256	$12,500	Yes (X)
ALEX CASTELLANOS
15	201 OCEAN REEF DRIVE	KEY LARGO	FL	33037	$20,000	Yes (X)
LANE BESS
21	1928 SUNSET HARBOUR DR	MIAMI BEACH	FL	33139	$5,000	Yes (X)
TOUZET
27	4900 LAKE LANE	CORAL GABLES	FL	33156	$10,000	Yes (X)
BEECK FAMILY FOUNDATION
33	6 HARBOR POINT	KEY BISCAYNE	FL	33149	$10,000	Yes (X)
JR DUNN
39	JR DUNN JEWELERS SPD GROUP INC	LIGHTHOUSE POINT	FL	33064	$7,500	Yes (X)	4210 N FEDERAL HWY
ERNEST BACHRACH REVOCABLE TRUST
45	820 HARBOR DRIVE	KEY BISCAYNE	FL	33149	$5,000	Yes (X)
DR BOUTON
51	47 HIGH ROAD	NEWBURY	MA	01951	$5,000	Yes (X)
ROSE FOUNDATION
57	NORTHERN TRUST	CHICAGO	IL	60603	$5,000	Yes (X)	50 SOUTH LA SALLE STREET
DANIEL SHAMOON
63	2000 DANIEL ISLAND DRIVE	CHARLESTON	SC	29492	$27,303	Yes (X)
SHARON SHUMAKER
4	1 CAMERON PLACE	GROSSE POINTE	MI	48230	$12,000	Yes (X)
DAVID TOPPING
10	10 EDGEWATER DRIVE AP 12 A/C	CORAL GABLES	FL	33133	$20,000	Yes (X)
KELLY FOUNDATION
16	17225 SW 77TH CT	MIAMI	FL	33157	$5,000	Yes (X)
THOMAS CABRERIZO
22	355 AVIDA PARKWAY	CORAL GABLES	FL	33156	$5,000	Yes (X)
KT TRAVIS FOUNDATION
28	3130 WILSHIRE BLVD	SANTA MONICA	CA	90403	$5,000	Yes (X)
STEVEN HOLZMAN
34	1441 BRICKNELL AVENUE SUITE 1011	MIAMI	FL	33131	$5,000	Yes (X)
COBB FAMILY FOUNDATION INC
40	PO BOX 14-4200	CORAL GABLES	FL	33114	$7,050	Yes (X)
ANDREW GUMBERG
46	3200 N FEDERAL HIGHWAY	FT LAUDERDALE	FL	33306	$10,000	Yes (X)
JANET ROBERT TRUST
52	16527 LOCUST HILLS TER	WAYZATA	MN	55391	$5,000	Yes (X)
ALFONSO VON HOH
58					$5,355	Yes (X)			AL RIMA SA	BU PRINCIPE ALFONSON VON HOH	MARBELLA	ES
SFC CHARITABLE FOUNDATION INC
64	1880 CENTURY PARK EASTE	LOS ANGELES	CA	90067	$10,000	Yes (X)	SUITE 1600
JAMES BUFFETT
5	1880 CENTURY PARK EAST 1600	LOS ANGELES	CA	90067	$10,000	Yes (X)
LUIS MACHADO
11	305 ALCAZAR AVENUE SUITE 3	CORAL GABLES	FL	33143	$12,500	Yes (X)
KAZICKAS FAMILY FOUNDATION
17	120 EAST 38TH STREET	NEW YORK	NY	10016	$20,000	Yes (X)
KEVIN GRANT
23	2836 BLACKHAWK ROAD	WILMETTE	IL	60091	$6,000	Yes (X)
JIMMY WHITED
29	1050 LEE WAGENER BLVD 106	FR LAUDERDALE	FL	33315	$5,000	Yes (X)
SUZE ORMAN REVOCABLE TRUST
35	PROVIDENT FINANCIAL MANAGEMENT	SANTA MONICA	CA	90403	$25,000	Yes (X)	3130 WILSHIRE BLVD
DEREK MCDOWELL
41	7333 VISTAMAR ST	CORAL GABLES	FL	33143	$10,000	Yes (X)
JUDITH ROBERT
47	1739 RIVERSIDE DRIVE	SOUTHBEND	IN	46616	$5,000	Yes (X)
SALADRIGAS FAMILY LTD
53	11000 SW 83 AVENUE	MIAMI	FL	33156	$5,000	Yes (X)
JUST GIVING
59	2000 DANIEL ISLAND DRIVE	CHARLESTON	SC	29492	$13,172	Yes (X)
CAYON FAMILY FOUNDATION INC
65	7480 SW 40TH ST SUITE 1600	MIAMI	FL	33155	$25,000	Yes (X)
CAROL MARTIN GRUODIS MEMORIAL
6	99 GRAYSON DRIVE	BELLE MEAD	NJ	08502	$100,000	Yes (X)
MARK ZEITCHICK FOUNDATION
12	PO BOX 770001	CINCINNATI	OH	45277	$5,000	Yes (X)
ENRIQUE CUSCO
18	601 ARVIDA PARKWAY	CORAL GABLES	FL	33156	$10,000	Yes (X)
JOANNE DAVIS
24	11811 BRADY ROAD	JACKSONVILLE	FL	32223	$5,000	Yes (X)
JOHN ZELAYA
30	635 SUNSET CIRCLE	KEY BISCAYNE	FL	33149	$5,000	Yes (X)
ENRIQUE SOSA
36	1050 LEE WAGENER BLVD	FT LAUDERDALE	FL	33315	$5,000	Yes (X)
ALEX WARNER
42	4766 S LAKE DRIVE	BOYNTON BEACH	FL	33436	$5,000	Yes (X)
JT BELL FAMILY FOUNDATION
48	40 VALLEY ROAD NW	ATLANTA	GA	30305	$5,000	Yes (X)
CARLOS SALADRIGAS
54	11000 SW 83 AVENUE	MIAMI	FL	33156	$5,000	Yes (X)
NATIONAL CHRISTIAN FOUNDATION SO F
60	5110 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	$5,000	Yes (X)
PETER LYNNE BOORN FAMILY FOUNDATIO
66	3100 HABERSHAM ROAD NW	ATLANTA	GA	30305	$30,000	Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp

Field	Value	IRS element (for citing)
Contributor	68	ContributorNum
Noncash Property	HURRICANE DORIAN AUCTION-CHARTER	NoncashPropertyDesc
Fair Market Value	$7,000	FairMarketValueAmt
Received	2019-08-23	ReceivedDt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (15 entries)

PropertyPropertyDesc	AcquiredAcquiredDt	Cost Or Other BasisCostOrOtherBasisAmt	Prior Year DepreciationPriorYearDepreciationAmt	Computation MethodComputationMethodTxt	LifeLifeRt	Current Year ExpenseCurrentYearExpenseAmt
SONOSITE MED. EQUIPMENT	2010-03-15	$24,946	$24,946	200DB	7.0000
SAFETY EQUIPMENT	2012-11-20	$6,419	$5,912	200DB	7.0000	$507
DEFIBRILLATOR	2013-08-26	$35,995	$30,975	200DB	7.0000	$3,012
GOLF CART	2013-08-28	$4,907	$4,223	200DB	7.0000	$410
GENERATOR	2014-08-19	$4,229	$3,286	200DB	7.0000	$353
DIGITAL IMAGING SYSTEM	2015-04-27	$40,968	$28,172	200DB	7.0000	$3,839
BODY COMPOSITION ANALYZOR	2015-07-31	$5,760	$3,961	200DB	7.0000	$514
2013 PRECEDENT GOLF CART	2015-11-24	$7,750	$5,290	200DB	7.0000	$703
2006 TOSHIBA ULTRASOUND	2015-12-31	$17,070	$11,738	200DB	7.0000	$1,523
FURNITURE & MATTRESSES	2017-12-20	$22,119	$6,320	200DB	7.0000	$4,514
FUJIFILM ULTRASOUND TRA	2017-10-19	$7,174	$2,294	200DB	7.0000	$1,394
FURNITURE & APPLIANCES	2018-01-31	$15,573	$4,079	200DB	7.0000	$3,284
FURNITURE & APPLIANCES	2018-02-28	$899	$214	200DB	7.0000	$196
MEDICAL EQUIPMENT	2018-01-31	$3,732	$1,368	200DB	5.0000	$946
INFUSION PUMP	2019-12-23	$3,285		200DB	5.0000	$164

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

Field	Value	IRS element (for citing)
Category Or Item	EQUIPMENT	CategoryOrItemTxt
Cost Or Other Basis	$200,825	CostOrOtherBasisAmt
Accumulated Depreciation	$154,137	AccumulatedDepreciationAmt
Book Value	$46,688	BookValueAmt
EOYFMV	$68,047	EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

Field	Value	IRS element (for citing)
Category	LEGAL FEES	CategoryTxt
Legal Fees	$2,244	LegalFeesAmt
Disbursements Charitable Prps	$2,244	DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (21 entries)

DescDesc	Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt	Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXPENSES
BANK SERVICE CHARGES	$452	$452
BUILDING MATERIALS	$1,194	$1,194
CABLE TV	$2,142	$2,142
SATELLITE SERVICE	$5,700	$5,700
COMPLIMENTARY CLUB FUNCTIONS	$6,488	$6,488
CLINIC MANAGEMENT FEE	$12,000	$12,000
CONTRACT LABOR	$6,800	$6,800
EQUIPMENT REPAIRS	$3,574	$3,574
FREIGHT	$3,781	$3,781
INSURANCE	$5,704	$5,704
LICENSES, PERMITS & FEES	$325	$325
LP GAS	$345	$345
MEALS	$40,438	$40,438
MEDICAL SUPPLIES	$49,255	$49,255
OFFICE SUPPLIES	$635	$635
OPERATING SUPPLIES	$3,329	$3,329
TELEPHONE	$350	$350
TRAVEL & DEPARTURE TAX	$74,051	$74,051
UNIFORMS	$55	$55
UTILITIES	$23,547	$23,547

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

Field	Value	IRS element (for citing)
Desc	MEMBERSHIP DUES	Desc
Revenue And Expenses Per Books	$152,000	RevenueAndExpensesPerBooksAmt
Adjusted Net Income	$152,000	AdjustedNetIncomeAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (3 entries)

DescDesc	BOY Book ValueBOYBookValueAmt	EOY Book ValueEOYBookValueAmt
DUE TO CAT CAY YACHT CLUB	$20,826	$13,946
CLINIC CREDIT CARD	$3,982	$14,773
DUE TO KEVIN HUTTON	$3,250

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxt	AmtAmt
DUTY	$1,145
EXCISE	$196