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GREAT MINES HEALTH CENTER FOUNDATION: Form 990EZ, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
GREAT MINES HEALTH CENTER FOUNDATION (EIN 46-2016304)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202013219349206886
Schema version
2019v5.1
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)
Return2020-11-16T15:49:01-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Begin2019-01-01TaxPeriodBeginDt

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
Signature2020-11-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMBER HALSTEADPreparerPersonNm
PTINP01343727PTIN
Phone6189938724PhoneNum
Preparation2020-11-16PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.220.95.27IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-16IPDt
IP Tm10:09:53IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id2B596217D46A1DF02F7DFC32C28E45542AFB7B54AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

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$13,702GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$13,053ContributionsGiftsGrantsEtcAmt
Investment Income$649InvestmentIncomeAmt
Total Revenue$13,702TotalRevenueAmt
Total Expenses$0TotalExpensesAmt
Excess Or Deficit For Year$13,702ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$52,314NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$66,016NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$27,165BOYAmt
EOY$40,219EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$25,149BOYAmt
EOY$25,797EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$52,314BOYAmt
EOY$66,016EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

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

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$52,314BOYAmt
EOY$66,016EOYAmt
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
CHAIRMAN1.00$0$0$0
ANGELLA KING
VICE CHARIMAN1.00$0$0$0
DEBBY BUST
SECRETARY1.00$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$5,775CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,234CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,637CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,812CurrentTaxYearMinus1YearAmt
Current Tax Year$13,053CurrentTaxYearAmt
Total$44,511TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,775CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,234CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,637CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,812CurrentTaxYearMinus1YearAmt
Current Tax Year$13,053CurrentTaxYearAmt
Total$44,511TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$44,511PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,603CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$149CurrentTaxYearMinus1YearAmt
Current Tax Year$649CurrentTaxYearAmt
Total$13,401TotalAmt
FieldValueIRS element (for citing)
Total Support$57,912TotalSupportAmt
Public Support CY1700.76860PublicSupportCY170Pct
Public Support PY1700.59280PublicSupportPY170Pct
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: 649.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: UNCATEGORIZED ASSET. BEG. OF YEAR AMOUNT: 25,149. END OF YEAR AMOUNT: 25,797.

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