CAT CAY MEDICAL CLINIC FOUNDATION: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CAT CAY MEDICAL CLINIC FOUNDATION (EIN 20-5221502)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-05-16
- IRS object ID
- 201631379349101118
- Schema version
- 2015v2.0
- 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
- Substantial Contributors Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T07:37:57-07:00 | ReturnTs |
| Tax Period End | 2015-12-31 | 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 | 2015-01-01 | 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 | 2016-05-16 | 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 | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $599,276 | 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 | $391,850 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $2,277 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $2,277 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $2,277 | InterestOnSavingsAdjNetIncmAmt |
| Total Rev And Expnss | $394,127 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $2,277 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $2,277 | TotalAdjNetIncmAmt |
| Legal Fees Rev And Expnss | $2,065 | LegalFeesRevAndExpnssAmt |
| Legal Fees Dsbrs Chrtbl | $2,065 | LegalFeesDsbrsChrtblAmt |
| Other Prof Fees Rev And Expnss | $15,672 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Dsbrs Chrtbl | $15,672 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $101 | TaxesRevAndExpnssAmt |
| Taxes Dsbrs Chrtbl | $101 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $21,464 | DeprecAndDpltnRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $180,892 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $180,892 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $220,194 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $198,730 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $220,194 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $198,730 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $173,933 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $2,277 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $2,277 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $396,655 | CashBOYAmt |
| Cash EOY | $509,494 | CashEOYAmt |
| Cash EOYFMV | $509,494 | CashEOYFMVAmt |
| Prepaid Expenses EOY | $2,850 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $2,850 | PrepaidExpensesEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $147,503 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $60,571 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $37,389 | LandBOYAmt |
| Land EOY | $86,932 | LandEOYAmt |
| Land EOYFMV | $86,932 | LandEOYFMVAmt |
| Other Assets BOY | $1 | OtherAssetsBOYAmt |
| Total Assets BOY | $434,045 | TotalAssetsBOYAmt |
| Total Assets EOY | $599,276 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $599,276 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $30,817 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $22,115 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $30,817 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,115 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $403,228 | CapitalStockBOYAmt |
| Capital Stock EOY | $577,161 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $403,228 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $577,161 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $434,045 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $599,276 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $403,228 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $173,933 | ExcessRevenueOverExpensesAmt |
| Subtotal | $577,161 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $577,161 | TotNetAstOrFundBalancesEOYAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $46 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $46 | SubtotalAmt |
| Tax Based On Investment Income | $46 | TaxBasedOnInvestmentIncomeAmt |
| Tax Due | $46 | 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 | Yes (true) | 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 | Chairman | 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 | $451,454 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $451,454 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $451,454 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $6,772 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $444,682 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $22,234 | 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 | $198,730 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $198,730 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $198,730 | 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 | $2,277 | CurrentYearAmt |
| Year1 | $1,508 | Year1Amt |
| Year2 | $21 | Year2Amt |
| Year3 | $4 | Year3Amt |
| Total | $3,810 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $1,935 | CurrentYearAmt |
| Year1 | $1,282 | Year1Amt |
| Year2 | $18 | Year2Amt |
| Year3 | $3 | Year3Amt |
| Total | $3,238 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $198,730 | CurrentYearAmt |
| Year1 | $186,820 | Year1Amt |
| Year2 | $86,988 | Year2Amt |
| Year3 | $9,539 | Year3Amt |
| Total | $482,077 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $198,730 | CurrentYearAmt |
| Year1 | $186,820 | Year1Amt |
| Year2 | $86,988 | Year2Amt |
| Year3 | $9,539 | Year3Amt |
| Total | $482,077 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $599,276 | CurrentYearAmt |
| Year1 | $434,045 | Year1Amt |
| Year2 | $345,719 | Year2Amt |
| Year3 | $65,223 | Year3Amt |
| Total | $1,444,263 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $599,276 | CurrentYearAmt |
| Year1 | $434,045 | Year1Amt |
| Year2 | $345,719 | Year2Amt |
| Year3 | $65,223 | Year3Amt |
| Total | $1,444,263 | 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 | $2,277 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $2,277 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $2,277 | 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 (39 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| Mike Aixala | ||||||
| 1 | 931 Harbor Drive | Key Biscayne | FL | 33149 | $5,000 | Yes (X) |
| Rita Case | ||||||
| 2 | 991 Hillsboro Mile | Hillsboro Beach | FL | 33062 | $5,000 | Yes (X) |
| Charles Davis | ||||||
| 3 | PO Box 8218 | Jacksonville | FL | 32239 | $12,200 | Yes (X) |
| John Devaney | ||||||
| 4 | 240 Crandon Blvd Ste 167 | Key Biscayne | FL | 33149 | $57,850 | Yes (X) |
| Victor Gruodis | ||||||
| 5 | 14 Monadnock Road | Wellesley | MA | 02481 | $5,000 | Yes (X) |
| Kelly Foundation | ||||||
| 6 | 17225 SW 77th Court | Miami | FL | 33157 | $5,000 | Yes (X) |
| Mauricio Quirch Family | ||||||
| 7 | 4685 San Servando Ave | Coral Gables | FL | 33143 | $5,250 | Yes (X) |
| Peter Romanelli | ||||||
| 8 | 5751 Peppertree Circle East | Davie | FL | 33314 | $5,000 | Yes (X) |
| David Topping | ||||||
| 9 | 10 Edgewater Dr 13 A/C | Coral Gables | FL | 33133 | $5,000 | Yes (X) |
| Jimmy Whited | ||||||
| 10 | 5835 Blue Lagood Dr Ste 401 | Miami | FL | 33126 | $6,500 | Yes (X) |
| Tom Cabrerizo | ||||||
| 11 | 355 Arvida Parkway | Coral Gables | FL | 33156 | $6,100 | Yes (X) |
| Marc Iacovelli | ||||||
| 12 | 46 Star Island Drive | Miami Beach | FL | 33139 | $5,000 | Yes (X) |
| Yvonne Gibb | ||||||
| 13 | 516 N Parkway | Golden Beach | FL | 33160 | $5,000 | Yes (X) |
| Mike Bender | ||||||
| 14 | 401 E Las Olas Blvd 130-161 | Fort Lauderdale | FL | 33301 | $10,000 | Yes (X) |
| Jimmy Buffet | ||||||
| 15 | 1880 Century Park East 1600 | Los Angeles | CA | 90067 | $5,000 | Yes (X) |
| Rodolfo Hernandez | ||||||
| 16 | 11250 SW 60th Court | Pinecrest | FL | 33156 | $5,000 | Yes (X) |
| Miller Family Foundation | ||||||
| 17 | 700 NW 107th Avenue | Miami | FL | 33172 | $10,000 | Yes (X) |
| Alberto Beeck Family | ||||||
| 18 | 6 Harbor Point | Key Biscayne | FL | 33149 | $5,000 | Yes (X) |
| Olympia PlumbJimenez | ||||||
| 19 | 6650 NW 77th Court | Miami | FL | 33166 | $5,000 | Yes (X) |
| Leon Medical Centers | ||||||
| 20 | 8600 NW 41 St | Doral | FL | 33166 | $10,000 | Yes (X) |
| Robert W Rust Living Trust | ||||||
| 21 | 1430 S Dixie Hwy 315 | Coral Gables | FL | 33146 | $5,000 | Yes (X) |
| Frank Family Foundation | ||||||
| 22 | PO Box 566780 | Miami | FL | 33256 | $5,000 | Yes (X) |
| Kevin Kim Smith | ||||||
| 23 | 570 Arvida Pkwy | Coral Gables | FL | 33156 | $5,000 | Yes (X) |
| Kathy AnnTravis | ||||||
| 24 | 1063 Hillsboro Mile 201 | Hillsboro Mile | FL | 33062 | $5,000 | Yes (X) |
| Dennis White | ||||||
| 25 | 46 Club Drive E | Pittsburgh | PA | 15236 | $7,450 | Yes (X) |
| YanesLady Elyse | ||||||
| 26 | 1550 Salvatierra Dr | Coral Gables | FL | 33134 | $5,000 | Yes (X) |
| Tom Sharon Shumaker | ||||||
| 27 | 1 Cameron Pl | Grosse Pointe | MI | 48230 | $14,000 | Yes (X) |
| Kurt Graves | ||||||
| 28 | 14 Mondnock Road | Wellesley | MA | 02481 | $6,200 | Yes (X) |
| David Hicks | ||||||
| 29 | 4811 Orgega Blvd | Jacksonville | FL | 32210 | $5,000 | Yes (X) |
| Market America Ridinger | ||||||
| 30 | 1302 Pleasant Ridge Road | Grensboro | NC | 27409 | $5,000 | Yes (X) |
| Kenneth Reilly | ||||||
| 31 | 3926 Utopia Ct | Miami | FL | 33133 | $5,000 | Yes (X) |
| Baptist Health So FL | ||||||
| 32 | 8900 North Kendall Dr | Miami | FL | 33176 | $10,000 | Yes (X) |
| Hassan Kotob | ||||||
| 33 | 5024 Fisher Island | Fisher Island | FL | 33109 | $5,000 | Yes (X) |
| Investors Trust - John Zelaya | ||||||
| 34 | 1450 Brickell Ave 2500 | Miami | FL | 33131 | $5,000 | Yes (X) |
| Ivy Foundation | ||||||
| 35 | PO Box 5628 Dept 28 | Minneapolis | MN | 55440 | $20,000 | Yes (X) |
| Mark Mills | ||||||
| 36 | 13007 SW 87th Avenue | Miami | FL | 33176 | $6,000 | Yes (X) |
| Gullermo Quirch Jr | ||||||
| 37 | 225 Leucadendra | Coral Gables | FL | 33156 | $6,500 | Yes (X) |
| Richard Aldrich | ||||||
| 38 | PO Box 962049 | Boston | MA | 02196 | $9,000 | Yes (X) |
| Rodolfo Touzet | ||||||
| 39 | 4900 Lake Lane | Coral Gables | FL | 33156 | $5,000 | 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 | $19,381 | 200DB | 0.0892 | $2,225 |
| SAFETY EQUIPMENT | 2012-11-20 | $6,419 | $3,260 | 200DB | 0.1406 | $903 |
| Defibrillator | 2013-08-26 | $35,995 | $13,959 | 200DB | 0.1749 | $6,296 |
| Golf Cart | 2013-08-28 | $4,907 | $1,903 | 200DB | 0.1749 | $858 |
| Generator | 2014-08-19 | $4,229 | $604 | 200DB | 0.2449 | $1,036 |
| Digital Imaging System | 2015-04-27 | $40,968 | 200DB | 0.1429 | $5,854 | |
| Body Composition Analyzor | 2015-07-31 | $5,760 | 200DB | 0.1429 | $823 | |
| 2013 Precedent Golf Cart | 2015-11-24 | $7,209 | 200DB | 0.1429 | $1,030 | |
| 2006 Toshiba Ultrasound | 2015-12-31 | $17,070 | 200DB | 0.1429 | $2,439 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | Machinery and Equipment | CategoryOrItemTxt |
| Cost Or Other Basis | $147,503 | CostOrOtherBasisAmt |
| Accumulated Depreciation | $60,571 | AccumulatedDepreciationAmt |
| Book Value | $86,932 | BookValueAmt |
| EOYFMV | $86,932 | EOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LAVELLE & FINN, LLP | CategoryTxt |
| Legal Fees | $2,065 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $2,065 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (19 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| BANK SERVICE CHARGES | $76 | $76 |
| Cable TV | $410 | $410 |
| Clinic Management Fee | $12,000 | $12,000 |
| Computer/Website Expenses | $1,176 | $1,176 |
| Decorations | $2,000 | $2,000 |
| Equipment - Non Capital | $1,000 | $1,000 |
| Freight | $3,354 | $3,354 |
| INSURANCE | $5,834 | $5,834 |
| Licenses, Permits & Fees | $508 | $508 |
| Maintenance Contracts | $625 | $625 |
| Meals | $23,440 | $23,440 |
| MEDICAL SUPPLIES | $32,546 | $32,546 |
| Music & Entertainment | $1,500 | $1,500 |
| OFFICE SUPPLIES | $889 | $889 |
| Operating Supplies | $1,678 | $1,678 |
| Satellite Service | $3,570 | $3,570 |
| TELEPHONE | $1,207 | $1,207 |
| Travel & Departure Tax | $66,091 | $66,091 |
| Utilities | $22,988 | $22,988 |
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 | $30,817 | BOYBookValueAmt |
| EOY Book Value | $22,115 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Professional Fees | CategoryTxt |
| Amt | $15,672 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $15,672 | DisbursementsCharitablePrpsAmt |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd |
|---|---|---|---|
| Mike Aixala | |||
| 931 Harbor Drive | Key Biscayne | FL | 33149 |
| Alberto Beeck Family | |||
| 6 Harbor Point | Key Biscayne | FL | 33149 |
| Baptist Health SO FL | |||
| 8900 North Kendall Drive | Miami | FL | 33176 |
| Mike Bender | |||
| 401 East Las Olas Blve | Fort Lauderdale | FL | 33301 |
| Jimmy Buffet | |||
| 1880 Century Park E 1600 | Los Angeles | CA | 90067 |
| David M Hicks | |||
| 4811 Ortega Blvd | Jacksonville | FL | 32239 |
| David Topping | |||
| 10 Edgewater Dr 12 A/C | Coral Gables | FL | 33133 |
| Charles Davis Sr | |||
| PO Box 8218 | Jacksonville | FL | 32239 |
| Dennis White | |||
| 46 Club Dr E | Pittsburgh | PA | 15236 |
| Frank Family Foundation | |||
| PO Box 566780 | Miami | FL | 33256 |
| Hassan Kotob | |||
| 4024 Fisher Island | Fisher Island | FL | 33109 |
| Investors Trust - John Zelaya | |||
| 1450 Brickell Ave 2500 | Miami | FL | 33131 |
| Ivy Foundation | |||
| PO Box 5628 Dept 28 | Minneapolis | MN | 55440 |
| Jimmy Whited | |||
| 3650 Klebba Ln | Miami | FL | 33133 |
| John Devaney | |||
| 485 West Matheson Drive | Key Biscayne | FL | 33149 |
| Kathy Ann Travis | |||
| 1063 Hillsboro Mile 201 | Hillsboro Mile | FL | 33062 |
| Kelly Foundation | |||
| 17225 SW 77th Court | Miami | FL | 33157 |
| Kenneith Reilly | |||
| 3926 Utopia Ct | Miami | FL | 33133 |
| Kevin Kim Smith | |||
| 570 Arvida Pkwy | Coral Gables | FL | 33156 |
| Kurt Graves | |||
| 14 Mondnock Road | Wellesley | MA | 02481 |
| Leon Medical Centers | |||
| 8600 NW 41 St | Doral | FL | 33166 |
| Marc Iacovelli | |||
| 46 Star Island Drive | Miami Beach | FL | 33139 |
| Mark Mills | |||
| 13007 SW 87th Avenue | Miami | FL | 33176 |
| Market America Ridinger | |||
| 1302 Pleasant Ridge Road | Greensboro | NC | 27409 |
| Mauricio Quirch | |||
| 4685 San Servando Ave | Coral Gables | FL | 33143 |
| Miller Family Foundation | |||
| 700 NW 107th Avenue | Miami | FL | 33172 |
| Olympia PlumbJimenez | |||
| 6650 NW 77th Court | Miami | FL | 33166 |
| Gullermo Quirch Jr | |||
| 225 Leucadendra Drive | Coral Gables | FL | 33156 |
| Richard Aldrich | |||
| PO Box 962049 | Boston | MA | 02196 |
| Rita Case | |||
| 991 Hillsboro Mile | Hillsboro Beach | FL | 33062 |
| Robert W Rust Living Trust | |||
| 1430 Dixie Hwy 315 | Coral Gables | FL | 33146 |
| Rodolfo Hernandez Family Foundation | |||
| 1250 SW 60th Court | Pinecrest | FL | 33156 |
| Peter Romanelli | |||
| 5751 Peppertree Cir East | Davie | FL | 33314 |
| Tom Sharon Shumaker | |||
| 1 Cameron Place | Grosse Pointe | MI | 48230 |
| Tomas Cabrerizo | |||
| 355 Arvida Parkway | Coral Gables | FL | 33156 |
| Rodolfo Touzet | |||
| 4900 Lake Lane | Coral Gables | FL | 33156 |
| Victor Gruodis | |||
| 14 Monadnock Road | Wellesely | MA | 02481 |
| YanesLady Elyse | |||
| 1550 Salvatierra Dr | Coral Gables | FL | 33134 |
| Yvonne Gibb | |||
| 516 N Parkway | Golden Beach | FL | 33160 |
| Dr John Fox | |||
| UC Irvine 101 The City Dr Rte 128 | Orange | CA | 92868 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| Duty | $71 | $71 |
| Income Tax | $30 | $30 |