TARAHUMARA CHILDRENS HOSPITAL FUND OF OREGON: Form 990EZ, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- TARAHUMARA CHILDRENS HOSPITAL FUND OF OREGON (EIN 26-1641869)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2016-02-10
- IRS object ID
- 201630419349200538
- Schema version
- 2013v4.0
- 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 | 2016-02-10T14:10:59-08:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOMPSON KESSLER WIEST & BORQUIST PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 SW COLUMBIA STREET SUITE 750 | AddressLine1 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 972015806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261641869 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TARAHUMARA CHILDRENS HOSPITAL FUND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TARA | BusinessNameControlTxt |
| Phone | 5036594342 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14009 SE MATILDA DR | AddressLine1 |
| City | MILWAUKIE | City |
| State | OR | State |
| ZIP Code | 97267 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Brockamp | PersonNm |
| Person Title | President | PersonTitleTxt |
| Signature | 2016-02-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Robert P Wiest | PreparerPersonNm |
| PTIN | P00678982 | PTIN |
| Phone | 5032251612 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | http://giveaminute.urself.org | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $187,772 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $151,461 | ContributionsGiftsGrantsEtcAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Fundraising Gross Income | $36,311 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $11,652 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $24,659 | SpecialEventsNetIncomeLossAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Total Revenue | $176,120 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $82,254 | GrantsAndSimilarAmountsPaidAmt |
| Salaries Other Comp Empl Bnft | $14,379 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $2,810 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $2,207 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $9,894 | OtherExpensesTotalAmt |
| Total Expenses | $111,544 | TotalExpensesAmt |
| Excess Or Deficit For Year | $64,576 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $8,749 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $73,325 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,749 | BOYAmt |
| EOY | $73,325 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,749 | BOYAmt |
| EOY | $73,325 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,749 | BOYAmt |
| EOY | $73,325 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | TO PROVIDE FINANCIAL ASSISTANCE TO UNDER-PRIVILEGED TARAHUMARA INDIANS. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | FUNDS ARE USED TO PURCHASE MEDICAL SUPPLIES AND EQUIPMENT, SCHOOL EQUIPMENT, FOOD AND WATER-WELL DRILLING FOR THE BENEFIT OF CHILDREN. ALL DONATIONS GO TO CLINICA SANTA TERESITA IN CREEL, MEXICO. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $82,254 | GrantsAndAllocationsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $82,254 | TotalProgramServiceExpensesAmt |
| Info In Schedule O Part IV | Yes (X) | InfoInScheduleOPartIVInd |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (28 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| John Brockamp | ||
| President | 0 | $0 |
| Rev Theodore Weber | ||
| Vice President | 1.00 | $0 |
| Paul D Kester | ||
| Treasurer | 0 | $0 |
| Peggy K Brockamp | ||
| Secretary | 10.00 | $0 |
| PAUL BAKER | ||
| Director | 0 | $0 |
| KATHY KESTER | ||
| Director | 0 | $0 |
| JERRY BETTENDORF | ||
| Director | 0 | $0 |
| CAROL BITZ | ||
| Director | 0 | $0 |
| CHRIS BOWDISH | ||
| Director | 0 | $0 |
| CLAIRE CARDER | ||
| Director | 0 | $0 |
| JIM FELTZ | ||
| Director | 0 | $0 |
| JULIE FLECK | ||
| Director | 0 | $0 |
| PAT KIRK | ||
| Director | 0 | $0 |
| NANCILEE BAKER | ||
| Director | 0 | $0 |
| LANA MCCULLOUGH | ||
| Director | 0 | $0 |
| Brad Miller | ||
| Director | 0 | $0 |
| JANICE PELSTER | ||
| Director | 0 | $0 |
| LESLEY TOWNSEND | ||
| Director | 0 | $0 |
| JOAN BETTENDORF | ||
| DIRECTOR | 0 | $0 |
| CAROL FELTZ | ||
| Director | 0 | $0 |
| Tammy Miller | ||
| Director | 0 | $0 |
| LINDA WEBER | ||
| Director | 0 | $0 |
| DAN RAMIREZ | ||
| Director | 0 | $0 |
| DAVID KLOSTERMAN | ||
| COO | 10.00 | $11,026 |
| Ken Troyer | ||
| Director | 0 | $0 |
| Valerie Troyer | ||
| Director | 0 | $0 |
| Meredith Weber | ||
| Director | 0 | $0 |
| David Weber | ||
| Director | 0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Organization Filed990 T | false | OrganizationFiled990TInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Initiation Fees And Cap Contri | $0 | InitiationFeesAndCapContriAmt |
| Gross Receipts For Public Use | $0 | GrossReceiptsForPublicUseAmt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN BROCKAMP | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14009 SE MATILDA DR | AddressLine1 |
| City | MILWAUKIE | City |
| State | OR | State |
| ZIP Code | 97267 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5036594342 | 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 |
| Form720 Filed | false | Form720FiledInd |
| 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 |
| Related Org Sect527 Org | false | RelatedOrgSect527OrgInd |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | AUCTION | NameOfEvent1Amt |
| Gross Receipts Event1 | $97,427 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $61,116 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $36,311 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $11,652 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $97,427 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $61,116 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $36,311 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,652 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $11,652 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $24,659 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Grants and Similar Amounts Paid In Excess of $5,000.1 | Class of Activity: GRANT | Donee's Name: CLINICA SANTA TERESITA | Relationship of Donee: N/A | Cash Amount Given: $82254 |
| Other Expenses.1 | ADMINISTRATIVE FEES $8670 |
| Other Expenses.2 | INTERNET $1190 |
| Other Expenses.5 | BANK CHARGES $34 |