STRATEGY STUDIO / PUBLIC DATA EXPLORER

GUARDIAN ANGEL HOSPICE FOUNDATION INC: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
GUARDIAN ANGEL HOSPICE FOUNDATION INC (EIN 35-2149057)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-01-12
IRS object ID
201710129349200701
Schema version
2015v3.0
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)
Return2017-01-12T08:37:29-06:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351724750PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BUCHERI MCCARTY & METZ LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2147AddressLine1Txt
CityKOKOMOCityNm
State AbbreviationINStateAbbreviationCd
ZIP469042147ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352149057EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GUARDIAN ANGEL HOSPICE FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGUARBusinessNameControlTxt
Phone7654522333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1513 W LINCOLN RDAddressLine1Txt
CityKOKOMOCityNm
State AbbreviationINStateAbbreviationCd
ZIP46901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOROTHY DEWITTPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7654522333PhoneNum
Signature2017-01-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonG A MCCARTY CPAPreparerPersonNm
PTINP00040892PTIN
Phone7652362300PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$46,561GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$26,597ContributionsGiftsGrantsEtcAmt
Investment Income$104InvestmentIncomeAmt
Fundraising Gross Income$12,044FundraisingGrossIncomeAmt
Special Events Direct Expenses$3,080SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$8,964SpecialEventsNetIncomeLossAmt
Gross Sales Of Inventory$7,816GrossSalesOfInventoryAmt
Cost Of Goods Sold$4,400CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$3,416GrossProfitLossSlsOfInvntryAmt
Total Revenue$39,081TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$575FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$937OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$934PrintingPublicationsPostageAmt
Other Expenses Total$27,516OtherExpensesTotalAmt
Total Expenses$29,962TotalExpensesAmt
Excess Or Deficit For Year$9,119ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$52,194NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$61,313NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$34,807BOYAmt
EOY$43,974EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$21,480BOYAmt
EOY$22,665EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$56,287BOYAmt
EOY$66,639EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,093BOYAmt
EOY$5,326EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$52,194BOYAmt
EOY$61,313EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO EDUCATE COMMUNITY SERVED ABOUT END OF LIFE ISSUES.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
CAMP ANGEL$0$7,326
CHAPLAIN FUND$0$250
LIFELINE$0$12,522
FieldValueIRS element (for citing)
Total Program Service Expenses$20,098TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DOROTHY DEWITT
DIRECTOR5.00$0$0$0
LANA OSENBAUGH
SECRETARY0.00$0$0$0
DANA ISAACS
BOARD MEMBER0.00$0$0$0
MAGGIE LARRICK
BOARD MEMBER0.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DOROTHY DEWITTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1513 W LINCOLNAddressLine1Txt
CityKOKOMOCityNm
State AbbreviationINStateAbbreviationCd
ZIP46901ZIPCd
FieldValueIRS element (for citing)
Phone7654522333PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,866CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,785CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,880CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,339CurrentTaxYearMinus1YearAmt
Current Tax Year$26,597CurrentTaxYearAmt
Total$173,467TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,145CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,667CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,201CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,610CurrentTaxYearMinus1YearAmt
Current Tax Year$12,044CurrentTaxYearAmt
Total$113,667TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$80,011CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,452CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,081CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,949CurrentTaxYearMinus1YearAmt
Current Tax Year$38,641CurrentTaxYearAmt
Total$287,134TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,125CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,050CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$550CurrentTaxYearMinus1YearAmt
Current Tax Year$195CurrentTaxYearAmt
Total$7,520TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,125CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,050CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$550CurrentTaxYearMinus1YearAmt
Current Tax Year$195CurrentTaxYearAmt
Total$7,520TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$279,614PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$717CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$603CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$355CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$613CurrentTaxYearMinus1YearAmt
Current Tax Year$104CurrentTaxYearAmt
Total$2,392TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$717CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$603CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$355CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$613CurrentTaxYearMinus1YearAmt
Current Tax Year$104CurrentTaxYearAmt
Total$2,392TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$80,728CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,055CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,436CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,562CurrentTaxYearMinus1YearAmt
Current Tax Year$38,745CurrentTaxYearAmt
Total$289,526TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96580PublicSupportCY509Pct
Public Support PY5090.95760PublicSupportPY509Pct
Investment Income CY0.00830InvestmentIncomeCYPct
Investment Income PY0.00600InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: INTEREST INCOME. AMOUNT: 104.
FORM 990-EZ, PART I, LINE 7 - SALES OF INVENTORYINCOME: GROSS RECEIPTS: 7,816. RETURNS AND ALLOWANCES: 0. LESS COST OF GOODS SOLD: 4,400. GROSS PROFIT: 3,416. COST OF GOODS SOLD: INVENTORY AT BEGINNING OF YEAR: 5,883. MERCHANDISE PURCHASED: 5,714. COST OF LABOR: 0. MATERIALS AND SUPPLIES: 0. OTHER COSTS: 0. INVENTORY AT END OF YEAR: 7,197. COST OF GOODS SOLD: 4,400.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: PROGRAM SERVICE EXPENSE. AMOUNT: 23,575. DESCRIPTION: DUES AND SUBSCRIPTIONS. AMOUNT: 452. DESCRIPTION: BANK CHARGES. AMOUNT: 58. DESCRIPTION: MARKETING. AMOUNT: 487. DESCRIPTION: MISCELLANEOUS EXPENSE. AMOUNT: 1,480. DESCRIPTION: LICENSES AND PERMITS. AMOUNT: 22. DESCRIPTION: SEMINAR. AMOUNT: 1,442. TOTAL TO FORM 990-EZ, LINE 16: 27,516.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: INVENTORIES. BEG. OF YEAR AMOUNT: 5,883. END OF YEAR AMOUNT: 7,411. DESCRIPTION: INVESTMENTS - RAYMOND JAMES. BEG. OF YEAR AMOUNT: 15,172. END OF YEAR AMOUNT: 15,254. DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 425. END OF YEAR AMOUNT: 0.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: ACCOUNTS PAYABLE AND ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 4,093. END OF YEAR AMOUNT: 5,326.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE 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