COPLEY HOSPITAL AUXILIARY INC: Form 990EZ, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COPLEY HOSPITAL AUXILIARY INC (EIN 03-0269278)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-01-10
- IRS object ID
- 201800109349200500
- Schema version
- 2016v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-01-10T07:21:58-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 030322133 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCKRES NORDER AND COMPANY INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 732 | AddressLine1Txt |
| City | MORRISVILLE | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030269278 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COPLEY HOSPITAL AUXILIARY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COPL | BusinessNameControlTxt |
| Phone | 8028884231 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 528 WASHINGTON HIGHWAY | AddressLine1Txt |
| City | MORRISVILLE | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 056618973 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JUDY SHANLEY | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8028884231 | PhoneNum |
| Signature | 2017-11-28 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBORAH L VERZILLI CPA | PreparerPersonNm |
| PTIN | P00295703 | PTIN |
| Phone | 8028887781 | PhoneNum |
| Preparation | 2018-01-10 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 6683A1DF2154502390D9291976A4AB7096CE918A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 786A574BE48432AE86BFAC9E5BED5A4AD34D6E05 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $155,857 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $286 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $142,073 | ProgramServiceRevenueAmt |
| Membership Dues | $1,899 | MembershipDuesAmt |
| Investment Income | $44 | InvestmentIncomeAmt |
| Gross Sales Of Inventory | $11,555 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $9,218 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $2,337 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $146,639 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $78,000 | GrantsAndSimilarAmountsPaidAmt |
| Salaries Other Comp Empl Bnft | $38,692 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $520 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $8,756 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $445 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $50,767 | OtherExpensesTotalAmt |
| Total Expenses | $177,180 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$30,541 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $79,613 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $49,072 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,242 | BOYAmt |
| EOY | $45,381 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,360 | BOYAmt |
| EOY | $5,167 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,602 | BOYAmt |
| EOY | $50,548 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $989 | BOYAmt |
| EOY | $1,476 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,613 | BOYAmt |
| EOY | $49,072 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | COPLEY HOSPITAL AUXILIARY, INC. PROVIDES SUPPORT AND VOLUNTEERS FOR COPLEY HOSPITAL, INC. AND COPLEY HEALTH SYSTEMS. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | SECOND CHANCE SELLS USED CLOTHING ON A CONSIGNMENT BASIS TO A COMMUNITY OF 15,000 PEOPLE. THE CLOTHING IS SOLD AT A REASONABLE PRICE. THE GIFT SHOP AT COPLEY HOSPITAL, INC SELLS CANDY, FLOWERS, CARDS, AND GIFTS TO PATIENTS, VISITORS, AND EMPLOYEES. NET PROCEEDS ARE DONATED TO COPLEY HEALTH SYSTEMS,INC AND COPLEY HOSPITAL, INC FOR CAPITAL PURCHASES, FUNDING OF ENDOWMENT, EDUCATIONAL EXPENSES FOR HOSPITAL EMPLOYEES, AND SPECIAL PROGRAMS THE HOSPITAL PROVIDES TO THE MEMBERS OF THE COMMUNITY. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $78,000 | GrantsAndAllocationsAmt |
| Program Service Expenses | $152,327 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $152,327 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (11 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| LUCY CALLENDER | ||
| DIRECTOR | 1.00 | $0 |
| EDNA SNOW | ||
| SECRETARY | 1.00 | $0 |
| IRENE WILKENS | ||
| DIRECTOR | 1.00 | $0 |
| BARBARA PFITZENMAYER | ||
| DIRECTOR | 1.00 | $0 |
| JUDY GROSVENOR | ||
| DIRECTOR | 1.00 | $0 |
| JUDY SHANLEY | ||
| PRESIDENT | 1.00 | $0 |
| JUDY WARD | ||
| DIRECTOR | 1.00 | $0 |
| LOIS KEITH | ||
| TREASURER | 1.00 | $0 |
| CAROL CHANANIA | ||
| DIRECTOR | 1.00 | $0 |
| DEBBIE WHEELER | ||
| DIRECTOR | 1.00 | $0 |
| ROBIN PUGH | ||
| MANAGER | 40.00 | $33,949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOYCE EMERSON | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 799 GARFIELD ROAD | AddressLine1Txt |
| City | HYDE PARK | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05655 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8023717038 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $250 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,346 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $544 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $437 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $286 | CurrentTaxYearAmt |
| Total | $2,863 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $120,186 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $137,367 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $142,151 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $142,615 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $155,527 | CurrentTaxYearAmt |
| Total | $697,846 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $120,436 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $138,713 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $142,695 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $143,052 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $155,813 | CurrentTaxYearAmt |
| Total | $700,709 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $700,709 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44 | CurrentTaxYearAmt |
| Total | $151 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44 | CurrentTaxYearAmt |
| Total | $151 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $120,449 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $138,729 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $142,724 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $143,101 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $155,857 | CurrentTaxYearAmt |
| Total | $700,860 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99980 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 10 | COPLEY HOSPITAL FOUNDATION 528 WASHINGTON HWY MORRISVILLE, VT 05661 78,000 0 0 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES ADVERTISING EXP 1,022 MEETING EXPENSE 1,175 INSURANCE 1,189 BANK SERVICE CHARGE 2,445 BOOKKEEPING 3,612 CLEANING SERVICE 6,490 CONSIGNORS EXPENSE 26,032 INTERNET FEES 376 MISCELLANEOUS 425 REPAIRS & MAINTENENCE 578 SUPPLIES 2,451 TELEPHONE 662 EXPENDABLE EQUIPMENT 2,617 NON-CASH CONTRIBUTIONS 1,500 NON-INVESTMENT DEPRECIATION 193 TOTAL 50,767 |
| FORM 990-EZ, PART II, LINE 24 | INVENTORIES FOR SALE OR USE 4,893 4,893 EQUIPMENT 965 965 LESS ACCUMULATED DEPRECIATION 498 691 TOTAL 5,360 5,167 |
| FORM 990-EZ, PART II, LINE 26 | PAYROLL LIABILITIES 636 993 SALES TAX PAYABLE 353 483 |
| FORM 990-EZ, PART III | COPLEY HOSPITAL AUXILIARY, INC. PROVIDES SUPPORT AND VOLUNTEERS FOR COPLEY HOSPITAL, INC. AND COPLEY HEALTH SYSTEMS. |
| FORM 990-EZ, PART III, LINE 28 | SECOND CHANCE SELLS USED CLOTHING ON A CONSIGNMENT BASIS TO A COMMUNITY OF 15,000 PEOPLE. THE CLOTHING IS SOLD AT A REASONABLE PRICE. THE GIFT SHOP AT COPLEY HOSPITAL, INC SELLS CANDY, FLOWERS, CARDS, AND GIFTS TO PATIENTS, VISITORS, AND EMPLOYEES. NET PROCEEDS ARE DONATED TO COPLEY HEALTH SYSTEMS,INC AND COPLEY HOSPITAL, INC FOR CAPITAL PURCHASES, FUNDING OF ENDOWMENT, EDUCATIONAL EXPENSES FOR HOSPITAL EMPLOYEES, AND SPECIAL PROGRAMS THE HOSPITAL PROVIDES TO THE MEMBERS OF THE COMMUNITY. |