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MWANDI UNITED CHURCH OF ZAMBIA MISSION HOSPITAL BOARD OF TRUSTEE: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MWANDI UNITED CHURCH OF ZAMBIA MISSION HOSPITAL BOARD OF TRUSTEE (EIN 45-5477482)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-03
IRS object ID
201702159349200400
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)
Return2017-08-03T04:46:18-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1C DeWitt Foard & Co PA CPAsBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1817 E Morehead Street Ste 100AddressLine1Txt
CityCharlotteCityNm
State AbbreviationNCStateAbbreviationCd
ZIP282022767ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN455477482EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Mwandi United Church of ZambiaBusinessNameLine1Txt
Business Name Line2Mission Hospital Board of TrusteesBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMWANBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line152 Union Street South Suite 28AddressLine1Txt
CityConcordCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28025ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas G Irons MDPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2017-08-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPhillip G WilsonPreparerPersonNm
PTINP00096084PTIN
Phone7043721515PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$141,568GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$100,155ContributionsGiftsGrantsEtcAmt
Program Service Revenue$35,519ProgramServiceRevenueAmt
Investment Income$5,894InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$141,568TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$6,301FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$115,442OtherExpensesTotalAmt
Total Expenses$121,743TotalExpensesAmt
Excess Or Deficit For Year$19,825ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$339,829NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$13,534OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$373,188NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$339,829BOYAmt
EOY$373,188EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$339,829BOYAmt
EOY$373,188EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$339,829BOYAmt
EOY$373,188EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTo assist the United Church of Zambia (UCZ) to provide healthcare to the people of Mwandi, Zambia by providing resources for the UCZ Mission Hospital obtained through fund-raising in the United States of America.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmt
Fund-raising for hospital infrastructure and programs and for maintaining facilities for mission staff and visitors.$43,215
Simba House - provision of funds for maintenance of lodge which provides housing (for a fee) to individuals and groups that volunteer at the Hospital$37,245
FieldValueIRS element (for citing)
Total Program Service Expenses$80,460TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
Madeline Allen
Director1.00$0
Verna Miller Case PhD
Chair7.50$0
Camille Suzanne Calderwood MD
Director2.00$0
Jean Dow EdM
Director1.00$0
Bruce J Eberhard
Director2.00$0
Thomas G Irons MD
Treasurer2.00$0
Greg Jeane PhD
Director2.00$0
William A Crosland MD
Director1.00$0
Tasha Samborski
Director1.00$0
Margaret Schrieber MD
Director2.00$0
John Tarro MD
Director1.00$0
Hannah Stadtler
Director1.00$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Organization Filed990 TfalseOrganizationFiled990TInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn R Barbee CPA PCPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line152 Union Street SouthAddressLine1Txt
CityConcordCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28025ZIPCd
FieldValueIRS element (for citing)
Phone7047922980PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Form720 FiledfalseForm720FiledInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Related Org Sect527 OrgfalseRelatedOrgSect527OrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$4,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$477,516CurrentTaxYearMinus1YearAmt
Current Tax Year$100,155CurrentTaxYearAmt
Total$582,171TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$4,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$477,516CurrentTaxYearMinus1YearAmt
Current Tax Year$100,155CurrentTaxYearAmt
Total$582,171TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$9,911SubstantialContributorsTotAmt
Public Support Total170$572,260PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$1,380CurrentTaxYearMinus1YearAmt
Current Tax Year$5,894CurrentTaxYearAmt
Total$7,274TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$589,445TotalSupportAmt
Gross Receipts Rltd Activities$40,739GrossReceiptsRltdActivitiesAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1003Information Technology $715
Other Expenses.1012Insurance $1885
Other Expenses.1Simba/Kudu Expenses $37245
Other Expenses.2Capital projects $32280
Other Expenses.3Site Manager $26500
Other Expenses.4Hospital Administrator $12000
Other Expenses.5Medical supplies $4000
Other Expenses.6Bank fees $617
Other Expenses.7Licenses $200