CAT CAY MEDICAL CLINIC FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CAT CAY MEDICAL CLINIC FOUNDATION (EIN 20-5221502)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-04
- IRS object ID
- 201741249349101309
- 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
- Form 990-PF
- Schedule B
- Depreciation Schedule
- Land Etc Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-04T10:10:20-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lavelle & Finn LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29 British American Boulevard | AddressLine1Txt |
| City | Latham | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 121101405 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205221502 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAT CAY MEDICAL CLINIC FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CATC | BusinessNameControlTxt |
| Phone | 9543599575 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1050 LEE WAGENER BLVD | AddressLine1Txt |
| City | FT LAUDERDALE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33315 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY J HICKS | PersonNm |
| Person Title | President | PersonTitleTxt |
| Signature | 2017-05-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN H LAVELLE CPA LLM | PreparerPersonNm |
| PTIN | P00063169 | PTIN |
| Phone | 5188696227 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $621,102 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $240,321 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $2,825 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $2,825 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $2,825 | InterestOnSavingsAdjNetIncmAmt |
| Total Rev And Expnss | $243,146 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $2,825 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $2,825 | TotalAdjNetIncmAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $7,043 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $7,043 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $1,565 | LegalFeesRevAndExpnssAmt |
| Legal Fees Dsbrs Chrtbl | $1,565 | LegalFeesDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $22,200 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Dsbrs Chrtbl | $22,200 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $73 | InterestRevAndExpnssAmt |
| Interest Dsbrs Chrtbl | $73 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $440 | TaxesRevAndExpnssAmt |
| Taxes Dsbrs Chrtbl | $440 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $26,243 | DeprecAndDpltnRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $200,366 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $200,366 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $257,930 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $231,687 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $257,930 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $231,687 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$14,784 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $2,825 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $2,825 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $509,494 | CashBOYAmt |
| Cash EOY | $557,023 | CashEOYAmt |
| Cash EOYFMV | $557,023 | CashEOYFMVAmt |
| Prepaid Expenses BOY | $2,850 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $2,850 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $2,850 | PrepaidExpensesEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $148,043 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $86,814 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $86,932 | LandBOYAmt |
| Land EOY | $61,229 | LandEOYAmt |
| Land EOYFMV | $61,229 | LandEOYFMVAmt |
| Total Assets BOY | $599,276 | TotalAssetsBOYAmt |
| Total Assets EOY | $621,102 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $621,102 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $22,115 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $58,725 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $22,115 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $58,725 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $577,161 | CapitalStockBOYAmt |
| Capital Stock EOY | $562,377 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $577,161 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $562,377 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $599,276 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $621,102 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $577,161 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$14,784 | ExcessRevenueOverExpensesAmt |
| Subtotal | $562,377 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $562,377 | TotNetAstOrFundBalancesEOYAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $57 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $57 | SubtotalAmt |
| Tax Based On Investment Income | $57 | TaxBasedOnInvestmentIncomeAmt |
| Tax Due | $57 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | FL | OrgReportOrRegisterStateCd |
| Org Report Or Register State | SC | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (true) | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vicki L Smith | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9543599575 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1050 LEE WAGENER BLVD | AddressLine1Txt |
| City | FT LAUDERDALE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33315 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | false | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | false | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Proceeds Or Net Income | false | ProceedsOrNetIncomeInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| JEFFREY J HICKS | ||||||
| 1040 ALFONSO AVENUE | CORAL GABLES | FL | 33146 | President | 0.00 | $0 |
| DR KEVIN HUTTON | ||||||
| 312 SOUTH CEDROS AVENUE 322 | SOLANA BEACH | CA | 920751981 | Director | 0.00 | $0 |
| JORGE FREELAND | ||||||
| 8901 HAMMOCK LAKE COURT | CORAL GABLES | FL | 33156 | Secretary | 0.00 | $0 |
| ROCHELLE HIGGS | ||||||
| 1050 LEE WAGENER BLVD 106 | FT LAUDERDALE | FL | 33315 | Director | 0.00 | $0 |
| John McCraine | ||||||
| 1050 LEE WAGENER BLVD 106 | FT LAUDERDALE | FL | 33315 | Director | 0.00 | $0 |
| Marc Kaiser | ||||||
| 1S Ocean Blvd Suite 300 | BOCA RATON | FL | 33432 | Director | 0.00 | $0 |
| Jane Herron | ||||||
| 5342 Fisher Island Drive | Fisher Island | FL | 33109 | Director | 0.00 | $0 |
| Luis Machado | ||||||
| 1050 LEE WAGENER BLVD 106 | Fort Lauderdale | FL | 33315 | Treasurer | 0.00 | $0 |
| Vicki L Smith | ||||||
| 1050 LEE WAGENER BLVD 106 | Fort Lauderdale | FL | 33315 | Controller | 0.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | OPERATE A SMALL MEDICAL CLINIC THAT PROVIDES PRIMARY CARE AND EMERGENCY STABILIZATION CARE TO A REMOTE CAY IN THE NORTHERN BAHAMAS. | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $563,338 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $563,338 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $563,338 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $8,450 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $554,888 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $27,744 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $231,687 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $231,687 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $231,687 | AdjustedQualifyingDistriAmt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Fndtn Ruling | 2010-07-20 | PrivateOperatingFndtnRulingDt |
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $2,825 | CurrentYearAmt |
| Year1 | $2,277 | Year1Amt |
| Year2 | $1,508 | Year2Amt |
| Year3 | $21 | Year3Amt |
| Total | $6,631 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $2,401 | CurrentYearAmt |
| Year1 | $1,935 | Year1Amt |
| Year2 | $1,282 | Year2Amt |
| Year3 | $18 | Year3Amt |
| Total | $5,636 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $231,687 | CurrentYearAmt |
| Year1 | $198,730 | Year1Amt |
| Year2 | $186,820 | Year2Amt |
| Year3 | $86,988 | Year3Amt |
| Total | $704,225 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $231,687 | CurrentYearAmt |
| Year1 | $198,730 | Year1Amt |
| Year2 | $186,820 | Year2Amt |
| Year3 | $86,988 | Year3Amt |
| Total | $704,225 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $621,102 | CurrentYearAmt |
| Year1 | $599,276 | Year1Amt |
| Year2 | $434,045 | Year2Amt |
| Year3 | $345,719 | Year3Amt |
| Total | $2,000,142 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $621,102 | CurrentYearAmt |
| Year1 | $599,276 | Year1Amt |
| Year2 | $434,045 | Year2Amt |
| Year3 | $345,719 | Year3Amt |
| Total | $2,000,142 | TotalAmt |
Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $2,825 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $2,825 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $2,825 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (32 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| Kazickas Family Foundation Inc | ||||||
| 1 | 120 East 38th Street | New York | NY | 10016 | $5,000 | Yes (X) |
| Life's Requite Inc Tom Sansone | ||||||
| 2 | 2201 4th St N Suite 201 | St Petersburg | FL | 33704 | $10,000 | Yes (X) |
| Victor Gruodis | ||||||
| 3 | 14 Monadnock Road | Wellesley | MA | 02481 | $5,000 | Yes (X) |
| Dionisio Gutierrez | ||||||
| 4 | 700 Harbor Drive | Biscayne | FL | 33149 | $5,000 | Yes (X) |
| David Topping | ||||||
| 5 | 10 Edgewater Dr 13 A/C | Coral Gables | FL | 33133 | $8,000 | Yes (X) |
| Jimmy Whited | ||||||
| 6 | 5835 Blue Lagood Dr Ste 401 | Miami | FL | 33126 | $10,500 | Yes (X) |
| Tom Cabrerizo | ||||||
| 7 | 355 Arvida Parkway | Coral Gables | FL | 33156 | $5,000 | Yes (X) |
| Yvonne Gibb | ||||||
| 8 | 516 N Parkway | Golden Beach | FL | 33160 | $5,000 | Yes (X) |
| James Buffet Trust | ||||||
| 9 | 1880 Century Park East 1600 | Los Angeles | CA | 90067 | $10,000 | Yes (X) |
| Guillermo Quirch III | ||||||
| 10 | 4886 SW 88th Street | Coral Gables | FL | 33156 | $5,000 | Yes (X) |
| Alberto Luz Aran | ||||||
| 11 | 570 Marquesa Drive | Key Biscayne | FL | 33156 | $5,000 | Yes (X) |
| Miller Family Foundation | ||||||
| 12 | 700 NW 107th Avenue | Miami | FL | 33172 | $10,000 | Yes (X) |
| Alberto Beeck Family | ||||||
| 13 | 6 Harbor Point | Key Biscayne | FL | 33149 | $5,000 | Yes (X) |
| Leon Medical Center | ||||||
| 14 | 8600 NW 41 St | Doral | FL | 33166 | $10,000 | Yes (X) |
| Frank Family Foundation | ||||||
| 15 | PO Box 566780 | Miami | FL | 33256 | $5,000 | Yes (X) |
| Kathy Ann Travis | ||||||
| 16 | 1063 Hillsboro Mile 201 | Hillsboro Mile | FL | 33062 | $5,000 | Yes (X) |
| Tom Sharon Shumaker | ||||||
| 17 | 1 Cameron Pl | Grosse Pointe | MI | 48230 | $10,000 | Yes (X) |
| Guillermo Quirch Jr | ||||||
| 18 | 225 Leucadendra | Coral Gables | FL | 33156 | $5,000 | Yes (X) |
| Ignacio Quirch | ||||||
| 19 | 8600 NW 82 Place | Miami | FL | 33166 | $5,005 | Yes (X) |
| Carlos A Saladrigas | ||||||
| 20 | 11000 SW 83rd Avenue | Miami | FL | 33156 | $5,000 | Yes (X) |
| Derek McDowell | ||||||
| 21 | 7333 Vistaimar Street | Coral Gables | FL | 33143 | $5,000 | Yes (X) |
| Douglas Fassler | ||||||
| 22 | 2658 Grandin Road | Cincinnati | OH | 45208 | $5,000 | Yes (X) |
| Elias Giannakopoulos | ||||||
| 23 | 7200 Lago Drive East | Coral Gables | FL | 33143 | $5,000 | Yes (X) |
| Fernando Roig | ||||||
| 24 | 2359 NE 29th Street | Lighthouse Point | FL | 33064 | $5,000 | Yes (X) |
| Joan Grasso | ||||||
| 25 | 1858 W Meadowbrook Drive | Santa Ana | CA | 92704 | $6,000 | Yes (X) |
| Bess Family Charitable Fund | ||||||
| 26 | 165 Township Line Road Suite | Jenkintown | PA | 19046 | $5,000 | Yes (X) |
| Lester Quam | ||||||
| 27 | 9229 White Tail Drive | Las Vegas | NV | 89134 | $5,000 | Yes (X) |
| Luis Machado | ||||||
| 28 | 305 Alcazar Avenue Suite 3 | Coral Gables | FL | 33143 | $5,000 | Yes (X) |
| Orlando Gomez | ||||||
| 29 | 7100 SW 44th Street | Miami | FL | 33155 | $5,000 | Yes (X) |
| Pietro Romanelli | ||||||
| 30 | 5751 Peppertree Circle East | Davie | FL | 33314 | $5,000 | Yes (X) |
| William Bachschmidt | ||||||
| 31 | PO Box 1589 | Inglis | FL | 34449 | $7,500 | Yes (X) |
| EAR Management | ||||||
| 32 | 3801 SW 58th Court | Miami | FL | 33155 | $13,000 | Yes (X) |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (9 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | RtRt | Current Year ExpenseCurrentYearExpenseAmt |
|---|---|---|---|---|---|---|
| SONOSITE MED. EQUIPMENT | 2010-03-15 | $24,946 | $21,606 | 200DB | 0.0893 | $2,228 |
| SAFETY EQUIPMENT | 2012-11-20 | $6,419 | $4,163 | 200DB | 0.1004 | $644 |
| Defibrillator | 2013-08-26 | $35,995 | $20,255 | 200DB | 0.1249 | $4,496 |
| Golf Cart | 2013-08-28 | $4,907 | $2,761 | 200DB | 0.1249 | $613 |
| Generator | 2014-08-19 | $4,229 | $1,640 | 200DB | 0.1749 | $740 |
| Digital Imaging System | 2015-04-27 | $40,968 | $5,854 | 200DB | 0.2449 | $10,033 |
| Body Composition Analyzor | 2015-07-31 | $5,760 | $823 | 200DB | 0.2449 | $1,411 |
| 2013 Precedent Golf Cart | 2015-11-24 | $7,750 | $1,030 | 200DB | 0.2449 | $1,898 |
| 2006 Toshiba Ultrasound | 2015-12-31 | $17,070 | $2,439 | 200DB | 0.2449 | $4,180 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | Machinery and Equipment | CategoryOrItemTxt |
| Cost Or Other Basis | $148,043 | CostOrOtherBasisAmt |
| Accumulated Depreciation | $86,814 | AccumulatedDepreciationAmt |
| Book Value | $61,229 | BookValueAmt |
| EOYFMV | $61,229 | EOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LAVELLE & FINN, LLP | CategoryTxt |
| Legal Fees | $1,565 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $1,565 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (22 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| A/C & Refrigeration Materials | $306 | $306 |
| BANK SERVICE CHARGES | $284 | $284 |
| Cable TV | $1,460 | $1,460 |
| Cart parts | $792 | $792 |
| Clinic Management Fee | $12,000 | $12,000 |
| Computer/Website Expenses | $61 | $61 |
| Contract Labor | $7,875 | $7,875 |
| Equipment - Non Capital | $8,144 | $8,144 |
| Freight | $2,518 | $2,518 |
| INSURANCE | $5,864 | $5,864 |
| Licenses, Permits & Fees | $396 | $396 |
| Meals | $30,428 | $30,428 |
| MEDICAL SUPPLIES | $31,794 | $31,794 |
| OFFICE SUPPLIES | $362 | $362 |
| Operating Supplies | $629 | $629 |
| POSTAGE | $29 | $29 |
| Satellite Service | $5,700 | $5,700 |
| Supplies - Doctor's apartment | $1,200 | $1,200 |
| TELEPHONE | $2,171 | $2,171 |
| Travel & Departure Tax | $70,451 | $70,451 |
| Uniforms | $103 | $103 |
| Utilities | $17,799 | $17,799 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to Cat Cay Yacht Club | Desc |
| BOY Book Value | $22,115 | BOYBookValueAmt |
| EOY Book Value | $58,725 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Other professional fees | CategoryTxt |
| Amt | $22,200 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $22,200 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| Duty | $394 | $394 |
| excise tax | $46 | $46 |