CAT CAY MEDICAL CLINIC FOUNDATION: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CAT CAY MEDICAL CLINIC FOUNDATION (EIN 20-5221502)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-05-14
- IRS object ID
- 201901349349103180
- Schema version
- 2018v3.1
- 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
- Form 990-PF
- Schedule B
- Depreciation Schedule
- Land Etc Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T14:35:24-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 121101405 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | 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 | 2019-05-14 | 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 | 2019-05-14 | 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 | 2019-05-14 | IPDt |
| IP Tm | 14:35:24 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 4C478B549ECF4F0F65A8AB02891287EC79149AA2 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B5FCE2BA8F34481D5F8DA95892EB282F0EF12A78 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $649,816 | 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 | $48,850 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $9,815 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $9,815 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $9,815 | InterestOnSavingsAdjNetIncmAmt |
| Other Income Rev And Expnss | $145,350 | OtherIncomeRevAndExpnssAmt |
| Other Income Adj Net Incm | $145,350 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $204,015 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $9,815 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $155,165 | TotalAdjNetIncmAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $9,010 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $9,010 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $2,213 | LegalFeesRevAndExpnssAmt |
| Legal Fees Dsbrs Chrtbl | $2,213 | LegalFeesDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $6,600 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Dsbrs Chrtbl | $6,600 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $183 | InterestRevAndExpnssAmt |
| Interest Dsbrs Chrtbl | $183 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $4,353 | TaxesRevAndExpnssAmt |
| Deprec And Dpltn Rev And Expnss | $27,241 | DeprecAndDpltnRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $227,115 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $227,115 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $276,715 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $245,121 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $276,715 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $245,121 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$72,700 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $9,815 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $155,165 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $656,905 | CashBOYAmt |
| Cash EOY | $326,425 | CashEOYAmt |
| Cash EOYFMV | $326,425 | CashEOYFMVAmt |
| Sav And Temp Cash Invst EOY | $228,538 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $228,538 | SavAndTempCashInvstEOYFMVAmt |
| 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 | $197,540 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $132,778 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $71,800 | LandBOYAmt |
| Land EOY | $64,762 | LandEOYAmt |
| Land EOYFMV | $92,003 | LandEOYFMVAmt |
| Total Assets BOY | $731,555 | TotalAssetsBOYAmt |
| Total Assets EOY | $622,575 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $649,816 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $64,338 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $28,058 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $64,338 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,058 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $667,217 | CapitalStockBOYAmt |
| Capital Stock EOY | $594,517 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $667,217 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $594,517 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $731,555 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $622,575 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $667,217 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$72,700 | ExcessRevenueOverExpensesAmt |
| Subtotal | $594,517 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $594,517 | TotNetAstOrFundBalancesEOYAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $196 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $196 | SubtotalAmt |
| Tax Based On Investment Income | $196 | TaxBasedOnInvestmentIncomeAmt |
| Tax Due | $196 | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VICKI L SMITH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9543599575 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1050 LEE WAGNER BLVD 106 | AddressLine1Txt |
| City | FORT 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 (7 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 |
| DR KEVIN HUTTON | ||||||||
| 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 |
| ROCHELLE HIGGS | ||||||||
| 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 |
| VICKI L SMITH | ||||||||
| 1050 LEE WAGENER BLVD 106 | FORT LAUDERDALE | FL | 33315 | CONTROLLER | 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 | $245,121 | 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 | $435,744 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $435,744 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $435,744 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $6,536 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $429,208 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $21,460 | 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 | $245,121 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $245,121 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $245,121 | 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 | $21,460 | CurrentYearAmt |
| Year1 | $31,633 | Year1Amt |
| Year2 | $2,825 | Year2Amt |
| Year3 | $2,277 | Year3Amt |
| Total | $58,195 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $18,241 | CurrentYearAmt |
| Year1 | $26,888 | Year1Amt |
| Year2 | $2,401 | Year2Amt |
| Year3 | $1,935 | Year3Amt |
| Total | $49,465 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $245,121 | CurrentYearAmt |
| Year1 | $247,372 | Year1Amt |
| Year2 | $231,687 | Year2Amt |
| Year3 | $198,730 | Year3Amt |
| Total | $922,910 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $245,121 | CurrentYearAmt |
| Year1 | $247,372 | Year1Amt |
| Year2 | $231,687 | Year2Amt |
| Year3 | $198,730 | Year3Amt |
| Total | $922,910 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $649,816 | CurrentYearAmt |
| Year1 | $731,556 | Year1Amt |
| Year2 | $621,102 | Year2Amt |
| Year3 | $599,276 | Year3Amt |
| Total | $2,601,750 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $649,816 | CurrentYearAmt |
| Year1 | $731,556 | Year1Amt |
| Year2 | $621,102 | Year2Amt |
| Year3 | $599,276 | Year3Amt |
| Total | $2,601,750 | 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 | $145,350 | ExclusionAmt |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $9,815 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $155,165 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $155,165 | 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 (4 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd | Address Line2ContributorUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|
| IVY FOUNDATION | |||||||
| 1 | PO BOX 5628 DEPT 28 | MINNEAPOLIS | MN | 55440 | $5,000 | Yes (X) | |
| LIFE'S REQUITE INC (TOM SANSONE) | |||||||
| 2 | 2201 4TH ST N SUITE 201 | ST PETERSBURG | FL | 33704 | $5,000 | Yes (X) | |
| GREGG FAMILY FUND | |||||||
| 3 | C/O GOLDMAN SACHS PHILANTHROPY FUND | ALBANY | NY | 12212 | $10,000 | Yes (X) | PO BOX 15203 |
| SHARON SHUMAKER | |||||||
| 4 | 1 CAMERON PLACE | GROSSE POINTE | MI | 48230 | $10,000 | Yes (X) | |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (14 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 | $5,360 | 200DB | 7.0000 | $552 |
| DEFIBRILLATOR | 2013-08-26 | $35,995 | $27,964 | 200DB | 7.0000 | $3,011 |
| GOLF CART | 2013-08-28 | $4,907 | $3,812 | 200DB | 7.0000 | $411 |
| GENERATOR | 2014-08-19 | $4,229 | $2,908 | 200DB | 7.0000 | $378 |
| DIGITAL IMAGING SYSTEM | 2015-04-27 | $40,968 | $23,053 | 200DB | 7.0000 | $5,119 |
| BODY COMPOSITION ANALYZOR | 2015-07-31 | $5,760 | $3,241 | 200DB | 7.0000 | $720 |
| 2013 PRECEDENT GOLF CART | 2015-11-24 | $7,750 | $4,306 | 200DB | 7.0000 | $984 |
| 2006 TOSHIBA ULTRASOUND | 2015-12-31 | $17,070 | $9,605 | 200DB | 7.0000 | $2,133 |
| FURNITURE & MATTRESSES | 2017-12-20 | $22,119 | 200DB | 7.0000 | $6,320 | |
| FUJIFILM ULTRASOUND TRA | 2017-10-19 | $7,174 | $342 | 200DB | 7.0000 | $1,952 |
| FURNITURE & APPLIANCES | 2018-01-31 | $15,573 | 200DB | 7.0000 | $4,079 | |
| FURNITURE & APPLIANCES | 2018-02-28 | $899 | 200DB | 7.0000 | $214 | |
| MEDICAL EQUIPMENT | 2018-01-31 | $3,732 | 200DB | 5.0000 | $1,368 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | EQUIPMENT | CategoryOrItemTxt |
| Cost Or Other Basis | $197,540 | CostOrOtherBasisAmt |
| Accumulated Depreciation | $132,778 | AccumulatedDepreciationAmt |
| Book Value | $64,762 | BookValueAmt |
| EOYFMV | $92,003 | EOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $2,213 | LegalFeesAmt |
| Disbursements Charitable Prps | $2,213 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (21 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| EXPENSES | ||
| BANK SERVICE CHARGES | $351 | $351 |
| BUILDING MATERIALS | $1,226 | $1,226 |
| CABLE TV | $1,397 | $1,397 |
| SATELLITE SERVICE | $5,850 | $5,850 |
| CLINIC MANAGEMENT FEE | $12,000 | $12,000 |
| CONTRACT LABOR | $1,500 | $1,500 |
| EQUIPMENT REPAIRS | $380 | $380 |
| FREIGHT | $3,176 | $3,176 |
| FURNITURE & FIXTURES | $2,759 | $2,759 |
| INSURANCE | $5,674 | $5,674 |
| LICENSES, PERMITS & FEES | $270 | $270 |
| LP GAS | $942 | $942 |
| MAINTENANCE CONTRACTS | $1,200 | $1,200 |
| MEALS | $36,795 | $36,795 |
| MEDICAL SUPPLIES | $67,028 | $67,028 |
| OPERATING SUPPLIES | $1,448 | $1,448 |
| PAINTING & DECORATING | $1,444 | $1,444 |
| TELEPHONE | $1,949 | $1,949 |
| TRAVEL & DEPARTURE TAX | $58,699 | $58,699 |
| UTILITIES | $23,027 | $23,027 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEMBERSHIP DUES | Desc |
| Revenue And Expenses Per Books | $145,350 | RevenueAndExpensesPerBooksAmt |
| Adjusted Net Income | $145,350 | AdjustedNetIncomeAmt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (3 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| DUE TO CAT CAY YACHT CLUB | $35,600 | $20,826 |
| CLINIC CREDIT CARD | $28,738 | $3,982 |
| DUE TO KEVIN HUTTON | $3,250 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PROFESSIONAL FEES | CategoryTxt |
| Amt | $6,600 | Amt |
| Disbursements Charitable Prps | $6,600 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt |
|---|---|
| DUTY | $4,280 |
| EXCISE | $73 |