GUARDIAN ANGEL HOSPICE FOUNDATION INC: Form 990EZ, tax year 2016
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- Organization
- GUARDIAN ANGEL HOSPICE FOUNDATION INC (EIN 35-2149057)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2017-11-09
- IRS object ID
- 201713139349200736
- 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 | 2017-11-09T10:55:41-06:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351724750 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUCHERI MCCARTY & METZ LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2147 | AddressLine1Txt |
| City | KOKOMO | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 469042147 | 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 | 352149057 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUARDIAN ANGEL HOSPICE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GUAR | BusinessNameControlTxt |
| Phone | 7654522333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 513 W LINCOLN RD | AddressLine1Txt |
| City | KOKOMO | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOROTHY DEWITT | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7654522333 | PhoneNum |
| Signature | 2017-11-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | G A MCCARTY CPA | PreparerPersonNm |
| PTIN | P00040892 | PTIN |
| Phone | 7652362300 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.88.174.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-06 | IPDt |
| IP Tm | 07:57:15 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FD3A8BF5F0C8EB8A6042FCAA3402496A08D744CB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 75B61119C1014C9F5C90A6041E6E382AF28295A6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| 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 | $50,051 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $29,912 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $33 | InvestmentIncomeAmt |
| Fundraising Gross Income | $13,139 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $2,983 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $10,156 | SpecialEventsNetIncomeLossAmt |
| Gross Sales Of Inventory | $6,967 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $4,536 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $2,431 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $42,532 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $575 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $3,048 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $22,643 | OtherExpensesTotalAmt |
| Total Expenses | $26,266 | TotalExpensesAmt |
| Excess Or Deficit For Year | $16,266 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $61,313 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $77,579 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,974 | BOYAmt |
| EOY | $53,933 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,665 | BOYAmt |
| EOY | $27,298 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,639 | BOYAmt |
| EOY | $81,231 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,326 | BOYAmt |
| EOY | $3,652 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,313 | BOYAmt |
| EOY | $77,579 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO EDUCATE COMMUNITY SERVED ABOUT END OF LIFE ISSUES. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| CAMP ANGEL | $0 | $1,981 |
| CHAPLAIN FUND | $0 | $505 |
| LIFELINE | $0 | $9,996 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $12,482 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| DOROTHY DEWITT | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| LANA OSENBAUGH | ||||
| SECRETARY | 0.00 | $0 | $0 | $0 |
| DANA ISAACS | ||||
| BOARD MEMBER | 0.00 | $0 | $0 | $0 |
| MAGGIE LARRICK | ||||
| BOARD MEMBER | 0.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOROTHY DEWITT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 513 W LINCOLN | AddressLine1Txt |
| City | KOKOMO | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7654522333 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | 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 | $31,785 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,880 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,339 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,597 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,912 | CurrentTaxYearAmt |
| Total | $152,513 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,214 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,848 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,816 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,967 | CurrentTaxYearAmt |
| Total | $29,216 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $40,156 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,094 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,187 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,413 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,879 | CurrentTaxYearAmt |
| Total | $181,729 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,125 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,050 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $550 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $195 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,000 | CurrentTaxYearAmt |
| Total | $6,920 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,125 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,050 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $550 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $195 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,000 | CurrentTaxYearAmt |
| Total | $6,920 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $174,809 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $603 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $355 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $613 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $104 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33 | CurrentTaxYearAmt |
| Total | $1,708 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $603 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $355 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $613 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $104 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33 | CurrentTaxYearAmt |
| Total | $1,708 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,765 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,216 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,616 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,964 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,156 | CurrentTaxYearAmt |
| Total | $64,717 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $65,524 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47,665 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $44,416 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,481 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,068 | CurrentTaxYearAmt |
| Total | $248,154 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.70440 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96580 | PublicSupportPY509Pct |
| Investment Income CY | 0.00690 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00830 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST INCOME. AMOUNT: 33. |
| FORM 990-EZ, PART I, LINE 7 - SALES OF INVENTORY | INCOME: GROSS RECEIPTS: 6,967. RETURNS AND ALLOWANCES: 0. LESS COST OF GOODS SOLD: 4,536. GROSS PROFIT: 2,431. COST OF GOODS SOLD: INVENTORY AT BEGINNING OF YEAR: 7,197. MERCHANDISE PURCHASED: 2,568. COST OF LABOR: 0. MATERIALS AND SUPPLIES: 0. OTHER COSTS: 0. INVENTORY AT END OF YEAR: 5,229. COST OF GOODS SOLD: 4,536. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: PROGRAM SERVICE EXPENSE. AMOUNT: 19,955. DESCRIPTION: DUES AND SUBSCRIPTIONS. AMOUNT: 452. DESCRIPTION: BANK CHARGES. AMOUNT: 117. DESCRIPTION: MARKETING. AMOUNT: 823. DESCRIPTION: MISCELLANEOUS EXPENSE. AMOUNT: 453. DESCRIPTION: SEMINAR. AMOUNT: 640. DESCRIPTION: INSURANCE. AMOUNT: 203. TOTAL TO FORM 990-EZ, LINE 16: 22,643. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: INVENTORIES. BEG. OF YEAR AMOUNT: 7,411. END OF YEAR AMOUNT: 5,443. DESCRIPTION: INVESTMENTS - RAYMOND JAMES. BEG. OF YEAR AMOUNT: 15,254. END OF YEAR AMOUNT: 15,172. DESCRIPTION: PREPAID INSURANCE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 406. DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 6,277. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE AND ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 5,326. END OF YEAR AMOUNT: 3,652. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE 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 |