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GREAT MINES HEALTH CENTER FOUNDATION: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
GREAT MINES HEALTH CENTER FOUNDATION (EIN 46-2016304)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201643209349201309
Schema version
2015v2.1
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)
Return2016-11-15T09:10:47-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN431076758PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1G K U P & R LLC CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line111861 WESTLINE IND DR STE 900AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63146ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN462016304EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREAT MINES HEALTH CENTER FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGREABusinessNameControlTxt
Phone5734389355PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 SOUTHTOWNE DRIVEAddressLine1Txt
CityPOTOSICityNm
State AbbreviationMOStateAbbreviationCd
ZIP63664ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTR DUDLEYPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone5734389355PhoneNum
Signature2016-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD RECHTIEN CPAPreparerPersonNm
PTINP00296674PTIN
Phone3145691133PhoneNum
Preparation2016-11-10PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$18,378GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$5,775ContributionsGiftsGrantsEtcAmt
Investment Income$12,600InvestmentIncomeAmt
Other Revenue Total$3OtherRevenueTotalAmt
Total Revenue$18,378TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$1,250FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$12,334OtherExpensesTotalAmt
Total Expenses$13,584TotalExpensesAmt
Excess Or Deficit For Year$4,794ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$42,432NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$47,226NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$12,316BOYAmt
EOY$17,879EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$30,116BOYAmt
EOY$29,347EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$42,432BOYAmt
EOY$47,226EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$42,432BOYAmt
EOY$47,226EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO IMPROVE THE HEALTH OF OUR WHOLE COMMUNITY THROUGH EXCELLENCE IN PATIENT CARE AND HEALTH EDUCAITON BY SERVICE AS A CHARITABLE ARM OF GREAT MINES HEALTH CENTERPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTO IMPROVE THE HEALTH OF OUR WHOLE COMMUNITY THROUGH EXCELLENCE IN PATIENT CARE AND HEALTH EDUCATION BY SERVICE AS A CHARITABLE ARM OF GREAT MINES HEALTH CENTERDescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$11,584ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$11,584TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (2 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
TR DUDLEY
CHAIRMAN1.00$0$0$0
DEBBIE BUST
SECRETARY1.00$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

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL JOHNSONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 SOUTHTOWNE DRIVEAddressLine1Txt
CityPOTOSICityNm
State AbbreviationMOStateAbbreviationCd
ZIP63664ZIPCd
FieldValueIRS element (for citing)
Phone5734389355PhoneNum
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$31,116CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,000CurrentTaxYearMinus1YearAmt
Current Tax Year$5,775CurrentTaxYearAmt
Total$40,891TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$31,116CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,000CurrentTaxYearMinus1YearAmt
Current Tax Year$5,775CurrentTaxYearAmt
Total$40,891TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$40,891PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$11,600CurrentTaxYearMinus1YearAmt
Current Tax Year$12,603CurrentTaxYearAmt
Total$24,203TotalAmt
FieldValueIRS element (for citing)
Total Support$65,094TotalSupportAmt
Public Support CY1700.62820PublicSupportCY170Pct
Public Support PY1700.75170PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - RENTAL INCOMEKIND AND LOCATION OF PROPERTY: 212 E JEFFERSON ST, POTOSI, MO 63664. AMOUNT: 12,600.
FORM 990-EZ, PART I, LINE 8 - OTHER REVENUEDESCRIPTION: INTEREST INCOME. AMOUNT: 3.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: DONATIONS. AMOUNT: 7,142. DESCRIPTION: LICENSES. AMOUNT: 750. DESCRIPTION: DEPRECIATION. AMOUNT: 769. DESCRIPTION: PROPERTY INSURANCE. AMOUNT: 3,673. TOTAL TO FORM 990-EZ, LINE 16: 12,334.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: PREPAID INCOME TAX. BEG. OF YEAR AMOUNT: 900. END OF YEAR AMOUNT: 900. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 29,216. END OF YEAR AMOUNT: 28,447.

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