HEALTHY SMILES FOR ME INC: Form 990EZ, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHY SMILES FOR ME INC (EIN 26-4349552)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-03-15
- IRS object ID
- 201720749349200202
- 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 | 2017-03-15T08:14:38-04:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 270210763 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHASSE & COMPANY LLC PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 31 COURT STREET SUITE 400 | AddressLine1Txt |
| City | AUBURN | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 042105903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264349552 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHY SMILES FOR ME INC | BusinessNameLine1Txt |
| Business Name Line2 | C/O CYNTHIA LEAVITT | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 2077541176 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 39 BRETON LANE | AddressLine1Txt |
| City | OXFORD | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04270 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CYNTHIA LEAVITT | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2077541176 | PhoneNum |
| Signature | 2017-02-10 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PETER FIELD | PreparerPersonNm |
| PTIN | P01991837 | PTIN |
| Phone | 2077826231 | PhoneNum |
| Preparation | 2017-02-16 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | A24A966B07CD15F34EA015177B97D59E0494A3C2 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0563237C889D911ABBD0C2485CC27A1B3876C6BE | 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 |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $18,123 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $18,104 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $19 | InvestmentIncomeAmt |
| Total Revenue | $18,123 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $850 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $12,839 | OtherExpensesTotalAmt |
| Total Expenses | $13,689 | TotalExpensesAmt |
| Excess Or Deficit For Year | $4,434 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $12,615 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,049 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,615 | BOYAmt |
| EOY | $17,049 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,615 | BOYAmt |
| EOY | $17,049 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,615 | BOYAmt |
| EOY | $17,049 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | THE CORPORATION'S MISSION IS TO ENSURE THAT EVERY MAINE CHILD HAS ACCESS TO EMERGENCY/RESTORATIVE DENTAL CARE. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | FUNDS ARE USED FOR CHILDREN WHO DO NOT HAVE DENTAL INSURANCE AND THE FAMILY IS EXPERIENCING FINANCIAL HARDSHIP, THE CORPORATION WILL ASSIST THE FAMILY IN ORDER FOR THE CHILD TO RECEIVE NEEDED DENTAL CARE. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $13,689 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $13,689 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| CYNTHIA LEAVITT | ||
| PRESIDENT | 000.00 | $0 |
| RODNEY LEAVITT | ||
| DIRECTOR | 000.00 | $0 |
| RHONDA ALLEN | ||
| TREASURER | 000.00 | $0 |
| JAMES ALLEN | ||
| DIRECTOR | 000.00 | $0 |
| ROBERT BELANGER | ||
| DIRECTOR | 000.00 | $0 |
| STEPHEN WELDON | ||
| DIRECTOR | 000.00 | $0 |
| 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 |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CYNTHIA LEAVITT | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 795 GARFIELD ROAD | AddressLine1Txt |
| City | AUBURN | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2077541176 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,825 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,362 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,595 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,070 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,104 | CurrentTaxYearAmt |
| Total | $83,956 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,825 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,362 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,595 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,070 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,104 | CurrentTaxYearAmt |
| Total | $83,956 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $83,956 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $423 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $292 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19 | CurrentTaxYearAmt |
| Total | $813 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $84,769 | TotalSupportAmt |
| Public Support CY170 | 0.99040 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98710 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES DENTAL FEES PAID 8,162 OFFICE SUPPLIES 766 LICENSING FEE 25 BANK FEES 3 WEBSITE 84 EQUIPMENT PURCHASES 3,799 TOTAL 12,839 |
| FORM 990-EZ, PART III | THE CORPORATION'S MISSION IS TO ENSURE THAT EVERY MAINE CHILD HAS ACCESS TO EMERGENCY/RESTORATIVE DENTAL CARE. |