EMERALD COAST COMMUNITY WELLNESS FOUNDATION: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- EMERALD COAST COMMUNITY WELLNESS FOUNDATION (EIN 46-2773334)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-07-23
- IRS object ID
- 201842049349300609
- Schema version
- 2017v2.3
- 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 | 2018-07-23T09:42:14-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454084437 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WARREN AVERETT LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36474C EMERALD COAST PKWY SUITE | AddressLine1Txt |
| Address Line2 | 3301 | AddressLine2Txt |
| City | DESTIN | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32541 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462773334 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITE-WILSON COMMUNITY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WHIT | BusinessNameControlTxt |
| Phone | 8508638100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1005 MAR WALT DRIVE | AddressLine1Txt |
| City | FORT WALTON BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32547 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALAN GIESEMAN | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 8508638207 | PhoneNum |
| Signature | 2018-07-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI K KELLEY CPA | PreparerPersonNm |
| PTIN | P00111278 | PTIN |
| Phone | 8508370398 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALAN GIESEMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1005 MAR WALT DRIVE | AddressLine1Txt |
| City | FORT WALTON BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32548 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $165,592 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WHITEWILSONCOMMUNITYFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | WHITE-WILSON COMMUNITY FOUNDATION STRIVES TO MAKE ITS COMMUNITY THE HEALTHIEST ON EARTH. THE FOUNDATION SERVES INDIVIDUALS AND ORGANIZATIONS IN OKALOOSA, SANTA ROSA AND WALTON COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $37,639 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,716 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,598 | PYOtherRevenueAmt |
| CY Other Revenue | $48,221 | CYOtherRevenueAmt |
| PY Total Revenue | $55,237 | PYTotalRevenueAmt |
| CY Total Revenue | $63,937 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $22,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $41,414 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,373 | PYOtherExpensesAmt |
| CY Other Expenses | $5,524 | CYOtherExpensesAmt |
| PY Total Expenses | $26,373 | PYTotalExpensesAmt |
| CY Total Expenses | $46,938 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $28,864 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,999 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $249,748 | TotalAssetsBOYAmt |
| Total Assets EOY | $266,307 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $596 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $156 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $249,152 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $266,151 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE COMMUNITY'S HEALTH AND WELLNESS THROUGH SERVICE AND EDUCATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Desc | THE LITTLE BLACK DRESS PARTY WAS FORMED IN 2010 TO RAISE AWARENESS REGARDING THE IMPORTANCE OF PREVENTIVE HEALTHCARE, SPECIFICALLY IN REGARDS TO WOMEN'S HEALTH. THERE HAS BEEN A DRASTIC DECLINE IN PREVENTIVE HEALTHCARE NATIONWIDE AND WE BELIEVE THAT THE MOST EFFECTIVE WAY TO OFFSET DISEASES LIKE BREAST CANCER, HEART DISEASE AND OSTEOPOROSIS IS THROUGH EARLY DETECTION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $41,414 | ExpenseAmt |
| Grant | $41,414 | GrantAmt |
| Desc | RUN FOR THE HEALTH OF IT 5K & 8K RUN/WALK - ALL PROCEEDS FROM ALL EVENTS, BENEFIT THE WHITE-WILSON COMMUNITY FOUNDATION AND WILL HELP SUPPORT HEALTH EDUCATION AND SERVICES IN OUR COMMUNITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $41,414 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8508638207 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1005 MAR WALT DRIVE | AddressLine1Txt |
| City | FORT WALTON BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32547 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| MARJ CUMMINS CPA | ||||||
| PAST CHAIRMAN OF THE BOARD | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR JACK AZZARETTO | ||||||
| CHAIRMAN OF THE BOARD | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ALAN GIESEMAN | ||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KENNETH HASKIN MD | ||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GENE BARKER CPA | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RAY MCGOVERN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BRUCE MARSHALL | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR JANET NIEMI CHUBB | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR ANDREA LODER | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR TAMA VAN DECAR | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $11,876 | FundraisingAmt |
| All Other Contributions | $3,840 | AllOtherContributionsAmt |
| Total Contributions | $15,716 | TotalContributionsAmt |
| Fundraising Gross Income | $149,876 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $11,876 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $101,655 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,221 | TotalRevenueColumnAmt |
| Exclusion | $48,221 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,937 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $48,221 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,414 | TotalAmt |
| Program Services | $41,414 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,350 | TotalAmt |
| Management And General | $1,350 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,200 | TotalAmt |
| Management And General | $1,200 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105 | TotalAmt |
| Management And General | $105 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16 | TotalAmt |
| Management And General | $16 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,218 | TotalAmt |
| Management And General | $1,218 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $739 | TotalAmt |
| Management And General | $739 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| DUES AND SUBSCRIPTIONS | $325 | $325 |
| SUPPLIES | $262 | $262 |
| CREDIT CARD EXPENSES | $184 | $184 |
| MISCELLANEOUS EXPENSE | $64 | $64 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61 | TotalAmt |
| Management And General | $61 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,938 | TotalAmt |
| Program Services | $41,414 | ProgramServicesAmt |
| Management And General | $5,524 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,748 | BOYAmt |
| EOY | $266,307 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,748 | BOYAmt |
| EOY | $266,307 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $596 | BOYAmt |
| EOY | $156 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $596 | BOYAmt |
| EOY | $156 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,217 | BOYAmt |
| EOY | $263,216 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,540 | BOYAmt |
| EOY | $2,935 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $395 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,152 | BOYAmt |
| EOY | $266,151 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,748 | BOYAmt |
| EOY | $266,307 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $16,999 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $67,889 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $178,403 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $212,242 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $204,768 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $84,498 | CurrentTaxYearAmt |
| Total | $747,800 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,889 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $178,403 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $212,242 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $204,768 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $84,498 | CurrentTaxYearAmt |
| Total | $747,800 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $747,800 | PublicSupportTotal170Amt |
| Total Support | $747,800 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $193,520 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | 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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | LITTLE BLACK DRESS PARTY | Event1Nm |
| Gross Receipts Event1 | $139,897 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $6,206 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $133,691 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $20,977 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $75,363 | OtherDirectExpensesEvent1Amt |
| Event2 | RUN FOR THE HEALTH OF IT | Event2Nm |
| Gross Receipts Event2 | $7,130 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $7,130 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $2,100 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $14,725 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $5,670 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $9,055 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $3,215 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $161,752 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $11,876 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $149,876 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $20,977 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $80,678 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $101,655 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $48,221 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| MENTAL HEALTH ASSOCIATION OF OKALOOSA-WALTON COUNTIES INC | |||||||
| 571 MOONEY ROAD NE | FORT WALTON BEACH | FL | 32547 | 593282067 | 501(C)(3) | $7,000 | TO HELP IMPROVE COMMUNITY'S HEALTH AND WELLNESS. |
| SIGHT SAVERS AMERICA INC | |||||||
| 337 BUSINESS CIR | PELHAM | AL | 35124 | 300188234 | 501(C)(3) | $10,000 | TO HELP IMPROVE COMMUNITY'S HEALTH AND WELLNESS. |
| FOOD FOR THOUGHT OUTREACH INC | |||||||
| 174 WATERCOLOR WAY UNIT 103 386 | SANTA ROSA BEACH | FL | 32459 | 800734040 | 501(C)(3) | $10,014 | TO HELP IMPROVE COMMUNITY'S HEALTH AND WELLNESS. |
| BOYS & GIRLS CLUB OF THE EMERALD COAST INC | |||||||
| 923 DENTON BLVD | FORT WALTON BEACH | FL | 32547 | 591267050 | 501(C)(3) | $4,400 | TO HELP IMPROVE COMMUNITY'S HEALTH AND WELLNESS. |
| FLORIDA DEPARTMENT OF HEALTH - WALTON COUNTY | |||||||
| 362 FL 83 | DEFUNIAK SPRINGS | FL | 32433 | $10,000 | TO HELP IMPROVE COMMUNITY'S HEALTH AND WELLNESS. | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION HAS DELEGATED MANAGEMENT AND ADMINISTRATION FUNCTIONS TO LESLIE MOLAND AND ANDI MAHONEY, WHO ARE EMPLOYEES OF WHITE WILSON MEDICAL CENTER P.A. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION SENDS A DRAFT OF THE FORM 990 TO THE FINANCE COMMITTEE FOR REVIEW BEFORE FILING. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATIONS GOVERNING AND ORGANIZATIONAL DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE PUBLIC. |