CAT CAY MEDICAL CLINIC FOUNDATION: Form 990PF, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CAT CAY MEDICAL CLINIC FOUNDATION (EIN 20-5221502)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-05-15
- IRS object ID
- 201501359349102285
- Schema version
- 2014v5.0
- 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
- General Explanation Attachment
- Land Etc Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Liabilities Schedule
- Substantial Contributors Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T13:55:03-07:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | 2014-01-01 | 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 | 2015-05-11 | 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 | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $434,045 | 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 | $264,753 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $1,508 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $1,508 | InterestOnSavNetInvstIncmAmt |
| Interest On Savings Adj Net Incm | $1,508 | InterestOnSavingsAdjNetIncmAmt |
| Total Rev And Expnss | $266,261 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,508 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $1,508 | TotalAdjNetIncmAmt |
| Legal Fees Rev And Expnss | $1,588 | LegalFeesRevAndExpnssAmt |
| Legal Fees Dsbrs Chrtbl | $1,588 | LegalFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $3,154 | TaxesRevAndExpnssAmt |
| Taxes Dsbrs Chrtbl | $3,154 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $14,112 | DeprecAndDpltnRevAndExpnssAmt |
| Trav Conf Meeting Rev And Expnss | $47,405 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $47,405 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $134,674 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $134,674 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $200,933 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $186,821 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $200,933 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $186,821 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $65,328 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,508 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $1,508 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $298,447 | CashBOYAmt |
| Cash EOY | $396,655 | CashEOYAmt |
| Cash EOYFMV | $396,655 | CashEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $76,496 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,107 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $47,272 | LandBOYAmt |
| Land EOY | $37,389 | LandEOYAmt |
| Land EOYFMV | $37,390 | LandEOYFMVAmt |
| Total Assets BOY | $345,719 | TotalAssetsBOYAmt |
| Total Assets EOY | $434,044 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $434,045 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $7,820 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $30,817 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $7,820 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $30,817 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $337,899 | CapitalStockBOYAmt |
| Capital Stock EOY | $403,227 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $337,899 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $403,227 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $345,719 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $434,044 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $337,899 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $65,328 | ExcessRevenueOverExpensesAmt |
| Subtotal | $403,227 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $403,227 | TotNetAstOrFundBalancesEOYAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $30 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $30 | SubtotalAmt |
| Tax Based On Investment Income | $30 | TaxBasedOnInvestmentIncomeAmt |
| Tax Due | $30 | 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 (7 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/Treas | 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 |
| 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 | $359,004 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $359,004 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $359,004 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $5,385 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $353,619 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $17,681 | 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 | $186,821 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $186,821 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $186,821 | 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 | $1,508 | CurrentYearAmt |
| Year1 | $21 | Year1Amt |
| Year2 | $4 | Year2Amt |
| Total | $1,533 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $1,282 | CurrentYearAmt |
| Year1 | $18 | Year1Amt |
| Year2 | $3 | Year2Amt |
| Total | $1,303 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $186,821 | CurrentYearAmt |
| Year1 | $86,988 | Year1Amt |
| Year2 | $9,539 | Year2Amt |
| Year3 | $18,183 | Year3Amt |
| Total | $301,531 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $186,821 | CurrentYearAmt |
| Year1 | $86,988 | Year1Amt |
| Year2 | $9,539 | Year2Amt |
| Year3 | $18,183 | Year3Amt |
| Total | $301,531 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $434,045 | CurrentYearAmt |
| Year1 | $345,719 | Year1Amt |
| Year2 | $65,223 | Year2Amt |
| Year3 | $54,259 | Year3Amt |
| Total | $899,246 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $434,045 | CurrentYearAmt |
| Year1 | $345,719 | Year1Amt |
| Year2 | $65,223 | Year2Amt |
| Year3 | $54,259 | Year3Amt |
| Total | $899,246 | 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 | $1,508 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $1,508 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,508 | 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 (26 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| CARL D DOVERSPIKE | ||||||
| 1 | 2373 NE 28th Court | LIGHTHOUSE POINT | FL | 33064 | $5,000 | Yes (X) |
| Kazickas Family Foundation Inc | ||||||
| 2 | 120 East 38th Street | New York | NY | 10016 | $5,000 | Yes (X) |
| Life's Requite Inc | ||||||
| 3 | 2201 4th St N Suite 201 | St Petersburg | FL | 33704 | $10,000 | Yes (X) |
| Rita Case | ||||||
| 4 | 949 Hillsboro Mile | Hillsboro Beach | FL | 33062 | $5,000 | Yes (X) |
| Charles Davis | ||||||
| 5 | PO Box 8218 | Jacksonville | FL | 32239 | $16,650 | Yes (X) |
| John Devaney | ||||||
| 6 | 240 Crandon Blvd Ste 167 | Key Biscayne | FL | 33149 | $22,400 | Yes (X) |
| Tom Shumaker | ||||||
| 7 | 211 Main Street Fl 10 | San Francisco | CA | 94105 | $10,000 | Yes (X) |
| David Topping | ||||||
| 8 | 152 West 57th St 12th Fl | New York | NY | 10019 | $5,000 | Yes (X) |
| Charlie Martinzez | ||||||
| 9 | 1500 San Remo Ave Suite 290 | Coral Gables | FL | 33146 | $5,400 | Yes (X) |
| Clarke Dougan | ||||||
| 10 | 2801 Seminole Street | Coconut Grove | FL | 33133 | $17,000 | Yes (X) |
| Hicks Family Fund | ||||||
| 11 | PO Box 15203 | Albany | NY | 12212 | $6,450 | Yes (X) |
| Cat Cay Yacht Club | ||||||
| 12 | 1050 Lee Wagener Blvd Ste 106 | Fort Lauderdale | FL | 33315 | $38,387 | Yes (X) |
| Mike Bender | ||||||
| 13 | 401 E Las Olas Blvd 130-161 | Fort Lauderdale | FL | 33301 | $5,000 | Yes (X) |
| Jimmy Buffet | ||||||
| 14 | 1880 Century Park East 1600 | Los Angeles | CA | 90067 | $5,000 | Yes (X) |
| Mario Ferro | ||||||
| 15 | 22 Tahiti Beach Island Road | Coral Gables | FL | 33143 | $5,000 | Yes (X) |
| Rene Garcia - PPG LLC | ||||||
| 16 | 6990 NW 25th Street | Miami | FL | 33122 | $5,000 | Yes (X) |
| Rodolfo Hernandez | ||||||
| 17 | 11250 SW 89th Court | Pinecrest | FL | 33156 | $5,000 | Yes (X) |
| Marc Kaiser | ||||||
| 18 | 1 S Ocean Blvd Suite 300 | Boca Raton | FL | 33432 | $5,000 | Yes (X) |
| Jim McHugh | ||||||
| 19 | 24626 Diamond Lake Road | Long Grove | IL | 60047 | $5,000 | Yes (X) |
| Jeffrey Miller | ||||||
| 20 | 125 E San Marino Drive | Miami Beach | FL | 33139 | $5,000 | Yes (X) |
| Stuart Miller | ||||||
| 21 | 700 NW 107th Avenue | Miami | FL | 33172 | $5,000 | Yes (X) |
| Robert Mintz | ||||||
| 22 | 1869 Sabal Palm Drive | Boca Raton | FL | 33432 | $5,000 | Yes (X) |
| Enrique Murciano | ||||||
| 23 | 6285 Sunset Drive | Miami | FL | 33143 | $5,000 | Yes (X) |
| Luis Perez | ||||||
| 24 | 7320 SW 79th Court | Miami | FL | 33143 | $5,000 | Yes (X) |
| Guillermo Quirch III | ||||||
| 25 | 4886 SW 88th Street | Coral Gables | FL | 33156 | $5,000 | Yes (X) |
| Donald Strom | ||||||
| 26 | 723 Marble Way | Boca Raton | FL | 33432 | $5,000 | Yes (X) |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (5 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | RtRt | Current Year ExpenseCurrentYearExpenseAmt |
|---|---|---|---|---|---|---|
| SONOSITE MED. EQUIPMENT | 2010-03-15 | $24,946 | $17,153 | 200DB | 0.0893 | $2,228 |
| SAFETY EQUIPMENT | 2012-11-20 | $6,419 | $1,997 | 200DB | 0.1968 | $1,263 |
| Defibrillator | 2013-08-26 | $35,995 | $5,144 | 200DB | 0.2449 | $8,815 |
| Golf Cart | 2013-08-28 | $4,907 | $701 | 200DB | 0.2449 | $1,202 |
| Generator | 2014-08-19 | $4,229 | 200DB | 0.1429 | $604 |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | General Explanation Supplemental Information for Form 990-PF | FormAndLineReferenceDesc |
| Medium Explanation | PAGE 1, LINE 23-OTHER EXPENSES-EQUIPMENT PURCHASESThe Clinic ordered medical equipment (XI-SCAN TRACK MOUNTED MINI C-ARM - 4" FIELD OF VIEW) from Mini C Sales in January 2014. The vendor required pre-payment of the total $16,000 before shipping, which the Clinic paid. The Clinic then decided that it no longer wanted the equipment and cancelled the order. The vendor has refused to refund the $16,000 and the Clinic did not receive the equipment. | MediumExplanationTxt |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | Machinery and Equipment | CategoryOrItemTxt |
| Cost Or Other Basis | $76,496 | CostOrOtherBasisAmt |
| Accumulated Depreciation | $39,107 | AccumulatedDepreciationAmt |
| Book Value | $37,389 | BookValueAmt |
| EOYFMV | $37,390 | EOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LAVELLE & FINN, LLP | CategoryTxt |
| Legal Fees | $1,588 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $1,588 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (15 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| Cable TV | $576 | $576 |
| Clinic Management Fee | $12,000 | $12,000 |
| Electric & Mechanical | $1,399 | $1,399 |
| Equipment - Non Capital | $2,811 | $2,811 |
| Equipment Expense - See Note | $16,000 | $16,000 |
| Equipment Repairs | $92 | $92 |
| Freight | $4,447 | $4,447 |
| INSURANCE | $5,836 | $5,836 |
| Licenses, Permits & Fees | $368 | $368 |
| LP Gas | $1,750 | $1,750 |
| Meals | $25,024 | $25,024 |
| Satellite Service | $1,000 | $1,000 |
| SUPPLIES | $39,354 | $39,354 |
| TELEPHONE | $819 | $819 |
| Utilities | $23,198 | $23,198 |
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 | $7,820 | BOYBookValueAmt |
| EOY Book Value | $30,817 | EOYBookValueAmt |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd |
|---|---|---|---|
| Kazickas Family Foundation Inc | |||
| 120 East 38th Street | New York | NY | 10016 |
| Carl D Doverspike | |||
| 2373 NE 28th Court | Lighthouse Point | FL | 33064 |
| Life's Requite Inc | |||
| 2201 4th St N Suite 201 | St Petersburg | FL | 33704 |
| Rita Case | |||
| 949 Hillsboro Mile | Hillsboro Beach | FL | 33062 |
| Charles Davis | |||
| PO Box 8218 | Jacksonville | FL | 32239 |
| John Devaney | |||
| 240 Crandon Blvd Ste 167 | Key Biscayne | FL | 33149 |
| Tom Shumaker | |||
| 211 Main Street Fl 10 | San Francisco | CA | 94105 |
| David Topping | |||
| 152 West 57th St 12th Fl | New York | NY | 10019 |
| Charlie Martinzez | |||
| 1500 San Remo Ave Suite 290 | Coral Gables | FL | 33146 |
| Clarke Dougan | |||
| 2801 Seminole Street | Coconut Grove | FL | 33133 |
| Hicks Family Fund | |||
| PO Box 15203 | Albany | NY | 12212 |
| Cat Cay Yacht Club | |||
| 1050 Lee Wagener Blvd Ste 106 | Fort Lauderdale | FL | 33315 |
| Mike Bender | |||
| 401 E Las Olas Blvd 130-161 | Fort Lauderdale | FL | 33301 |
| Jimmy Buffet | |||
| 1880 Century Park East 1600 | Los Angeles | CA | 90067 |
| Mario Ferro | |||
| 22 Tahiti Beach Island Road | Coral Gables | FL | 33143 |
| Rene Garcua- PPG LLC | |||
| 6990 NW 25th Street | Miami | FL | 33122 |
| Rodolfo Hernandez | |||
| 11250 SW 89th Court | Pinecrest | FL | 33156 |
| Marc Kaiser | |||
| 1 S Ocean Blve Suite 300 | Boca Raton | FL | 33432 |
| Jim McHugh | |||
| 34626 Diamond Lake Road | Long Grove | IL | 60047 |
| Jeffrey Miller | |||
| 125 E San Marino Drive | Miami Beach | FL | 33139 |
| Stuart Miller | |||
| 700 NW 107th Avenue | Miami | FL | 33172 |
| Robert Mintz | |||
| 1869 Sabal Palm Drive | Boca Raton | FL | 33432 |
| Enrique Murciano | |||
| 6285 Sunset Drive | Miami | FL | 33143 |
| Luis Perez | |||
| 7320 SW 79th Court | Miami | FL | 33143 |
| Guillermo Quirch III | |||
| 4886 SW 88th Street | Coral Gables | FL | 33156 |
| Donald Strom | |||
| 723 Marble Way | Boca Raton | FL | 33432 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Duty | CategoryTxt |
| Amt | $3,154 | Amt |
| Disbursements Charitable Prps | $3,154 | DisbursementsCharitablePrpsAmt |