STRATEGY STUDIO / PUBLIC DATA EXPLORER

OVERDOSE-LIFELINE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
OVERDOSE-LIFELINE INC (EIN 47-1333720)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-19
IRS object ID
201733239349300003
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

FieldValueIRS element (for citing)
Return2017-11-19T16:59:00-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN471333720EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Overdose Lifeline IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Justin PhillipsInCareOfNm
Business Name ControlOVERBusinessNameControlTxt
Phone8445543354PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17331 Lakeside DrAddressLine1Txt
CityIndianapolisCityNm
State AbbreviationINStateAbbreviationCd
ZIP46278ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJUSTIN PHILLIPSPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone8445543354PhoneNum
Signature2017-11-19SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address76.219.159.28IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id21010520173238890179FederalOriginalSubmissionId
Federal Original Submission Id2017-11-19FederalOriginalSubmissionIdDt
Filing License TypeOFilingLicenseTypeCd
At Submission Creation Device Id8B1E3623335BFB450B4E00DB9B88BB776127A2A5AtSubmissionCreationDeviceId
At Submission Filing Device IdCE9735F05007AE2D4CF0700FB0ED10C8D9ACB3C8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerJUSTIN PHILLIPSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 West 42nd Street Ste 375AddressLine1Txt
CityIndianpolisCityNm
State AbbreviationINStateAbbreviationCd
ZIP46208ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$960,968GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressoverdose-lifeline.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionProvide resources and referrals to families and individuals affected by the chronic disease of addictionActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$953,772CYContributionsGrantsAmt
CY Program Service Revenue$2,477CYProgramServiceRevenueAmt
CY Investment Income$4,719CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
CY Total Revenue$960,968CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$82,647CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$8,095CYTotalFundraisingExpenseAmt
CY Other Expenses$370,519CYOtherExpensesAmt
CY Total Expenses$453,166CYTotalExpensesAmt
CY Revenues Less Expenses$507,802CYRevenuesLessExpensesAmt
Total Assets BOY$29,294TotalAssetsBOYAmt
Total Assets EOY$532,867TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,294NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$532,867NetAssetsOrFundBalancesEOYAmt
MissionTo carry the message of HOPE to individuals, families, and communities affected by the disease of addictionMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$331,594ExpenseAmt
Revenue$435,370RevenueAmt
DescThis program purchases and distributes Narcan to first responders and the public. Seventy five percent of the funds received from the Attorney General are allocated to purchasing Narcan kits that are used to revive opioid related overdoses.Desc
Total Program Service Expenses$331,594TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee1EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJUSTIN PHILLIPSPersonNm
Phone8445543354PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17331 Lakeside DrAddressLine1Txt
CityIndianapolisCityNm
State AbbreviationINStateAbbreviationCd
ZIP46278ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndKey EmployeeKeyEmployeeInd
RYAN V KLITZSCH
President4.000Yes (X)$0$0$0
MEGAN K WRIGHT
Vice President4.000Yes (X)$0$0$0
E M ROOB JR
Treasurer4.000Yes (X)$10,000$0$0
CARL ROCHELLE III
Secretary4.000$0$0$0Yes (X)
AARON KOCHAR
Board Member4.000$0$0$0Yes (X)
ANNIE ROONEY
Board Member4.000$0$0$0Yes (X)
ALEX BOUTSELIS MD
Board Member5.000$0$0$0Yes (X)
KOURTNAYE STURGEON
Board Member4.000$0$0$0Yes (X)
JUSTIN K PHILLIPS
Executive Director40.00$70,000$0$0Yes (X)
ALLISON BORDEAUX
Board MemberYes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$80,000TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$17,601FundraisingAmt
Government Grants$883,660GovernmentGrantsAmt
All Other Contributions$52,511AllOtherContributionsAmt
Total Contributions$953,772TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescEducation ProgramDesc
Business611710BusinessCd
Total Revenue Column$2,477TotalRevenueColumnAmt
Related Or Exempt Func Income$2,477RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,477TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,719TotalRevenueColumnAmt
Related Or Exempt Func Income$4,719RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$960,968TotalRevenueColumnAmt
Related Or Exempt Func Income$7,196RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$40,156TotalAmt
Management And General$40,156ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,513TotalAmt
Program Services$27,513ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,978TotalAmt
Management And General$14,978ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,665TotalAmt
Management And General$4,570ManagementAndGeneralAmt
Fundraising$8,095FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,041TotalAmt
Program Services$231ProgramServicesAmt
Management And General$9,810ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$379TotalAmt
Management And General$379ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Management And General$500ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,808TotalAmt
Program Services$1,106ProgramServicesAmt
Management And General$5,702ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$862TotalAmt
Management And General$862ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Narcan Distribution$322,883$322,883
Program Supplies$16,381$16,381

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$453,166TotalAmt
Program Services$368,114ProgramServicesAmt
Management And General$76,957ManagementAndGeneralAmt
Fundraising$8,095FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$25,066BOYAmt
EOY$527,148EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$1,000EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,228BOYAmt
EOY$4,719EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$29,294BOYAmt
EOY$532,867EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$29,294BOYAmt
EOY$532,867EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,294BOYAmt
EOY$532,867EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,294BOYAmt
EOY$532,867EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$507,802ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$25,066CurrentTaxYearMinus1YearAmt
Current Tax Year$870,112CurrentTaxYearAmt
Total$895,178TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$25,066CurrentTaxYearMinus1YearAmt
Current Tax Year$870,112CurrentTaxYearAmt
Total$895,178TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$895,178PublicSupportTotal170Amt
Total Support$895,178TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Investment Income CY0.00000InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HeroEvent1Nm
Gross Receipts Event1$6,604GrossReceiptsEvent1Amt
Gross Revenue Event1$6,604GrossRevenueEvent1Amt
Event2GolfEvent2Nm
Gross Receipts Event2$10,997GrossReceiptsEvent2Amt
Gross Revenue Event2$10,997GrossRevenueEvent2Amt
Other Direct Expenses Event2$8,095OtherDirectExpensesEvent2Amt
Gross Receipts Total$17,601GrossReceiptsTotalAmt
Gross Revenue Total Events$17,601GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$8,095OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$8,095DirectExpenseSummaryEventsAmt
Net Income Summary$9,506NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI Line 1aThe non independant voting member does not vote in conflicts of interest.
Part VI Line 1aThe executive director can make financial decisions to a certain dollar
Part VI Line 1aamount and the Executive Committee has authority to make certain decisons
Part VI Line 11bPresented to Board of Directors and reviewed and approved annually and
Part VI Line 11brecorded in the minutes.
Part VI Line 12cRequire conflict of interest disclosure annually
Part VI Line 15a or bExecutive Director
Part VI Line 19Upon request