ASERACARE HOSPICE FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ASERACARE HOSPICE FOUNDATION (EIN 31-1476580)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-07
- IRS object ID
- 201403119349300615
- Schema version
- 2013v3.0
- 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 | 2014-11-07T08:26:27-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 710355269 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEALL BARCLAY & COMPANY PLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 10148 | AddressLine1 |
| City | FORT SMITH | City |
| State | AR | State |
| ZIP Code | 729170148 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311476580 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASERACARE HOSPICE FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASER | BusinessNameControlTxt |
| Phone | 4794945762 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 180427 | AddressLine1 |
| City | FORT SMITH | City |
| State | AR | State |
| ZIP Code | 72913 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD HOLLAND | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4797933181 | PhoneNum |
| Signature | 2014-10-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LETITIA S TALKINGTON | PreparerPersonNm |
| PTIN | P00082380 | PTIN |
| Phone | 4794845740 | PhoneNum |
| Preparation | 2014-10-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD HOLLAND | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 17004 | AddressLine1 |
| City | FORT SMITH | City |
| State | AR | State |
| ZIP Code | 729177004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $192,602 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | TO HELP NEEDY INDIVIDUALS OBTAIN HOSPICE CARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $229,357 | PYContributionsGrantsAmt |
| CY Contributions Grants | $183,319 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,722 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,283 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $236,079 | PYTotalRevenueAmt |
| CY Total Revenue | $192,602 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $203,305 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $120,751 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,000 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,000 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $4,748 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,255 | PYOtherExpensesAmt |
| CY Other Expenses | $28,654 | CYOtherExpensesAmt |
| PY Total Expenses | $228,560 | PYTotalExpensesAmt |
| CY Total Expenses | $155,405 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,519 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $37,197 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $604,602 | TotalAssetsBOYAmt |
| Total Assets EOY | $641,799 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $604,602 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $641,799 | NetAssetsOrFundBalancesEOYAmt |
| Mission | NONE | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $150,657 | ExpenseAmt |
| Grant | $120,751 | GrantAmt |
| Desc | TO ASSIST HOSPICE ORGANIZATIONS, HEALTHCARE AGENCIES, AND OTHER CHARITABLE ORGANIZATIONS THAT PROVIDE SERVICES AND RELATED ACTIVITIES TO INDIGENT PATIENTS AND THEIR FAMILIES OR PROVIDE COMMUNITY EDUCATION OF HOSPICE SERVICES. | Desc |
| Total Program Service Expenses | $150,657 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEALL BARCLAY & COMPANY PLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4794845740 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3101 SOUTH 70TH STREET | AddressLine1 |
| City | FORT SMITH | City |
| State | AR | State |
| ZIP Code | 72903 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JIM PETRUS | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LINDA COLE | ||||||
| EXECUTIVE DIRECTOR | 10.00 | Yes (X) | $6,000 | $0 | $0 | |
| RICHARD HOLLAND | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHERI EDWARDS | ||||||
| VICE-PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RANDY JAY | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DEBBIE MORRIS | ||||||
| FINANCIAL DIRECTOR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ZENA MARSHALL | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BONNIE LOUGHNER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,000 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $183,319 | AllOtherContributionsAmt |
| Total Contributions | $183,319 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,283 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,283 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $192,602 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,283 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,751 | TotalAmt |
| Program Services | $120,751 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000 | TotalAmt |
| Program Services | $6,000 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,743 | TotalAmt |
| Program Services | $16,743 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,875 | TotalAmt |
| Program Services | $3,875 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| FUNDRAISING | $4,748 | $4,748 | |
| MISCELLANEOUS | $3,288 | $3,288 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,405 | TotalAmt |
| Program Services | $150,657 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $4,748 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $604,602 | BOYAmt |
| EOY | $641,799 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $604,602 | BOYAmt |
| EOY | $641,799 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $604,602 | BOYAmt |
| EOY | $641,799 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $604,602 | BOYAmt |
| EOY | $641,799 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $604,602 | BOYAmt |
| EOY | $641,799 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $37,197 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $343,662 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $210,331 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $209,090 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $229,357 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $183,319 | CurrentTaxYearAmt |
| Total | $1,175,759 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $343,662 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $210,331 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $209,090 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $229,357 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $183,319 | CurrentTaxYearAmt |
| Total | $1,175,759 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,175,759 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,385 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $722 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,396 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,722 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,283 | CurrentTaxYearAmt |
| Total | $19,508 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,195,267 | TotalSupportAmt |
| Public Support CY170 | 0.98370 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99010 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (35 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ALZHEIMERS ASSOCIATION | |||||||
| 1500 S 70TH STE 201 | LINCOLN | NE | 68506 | 133039601 | 501(C)(3) | $7,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| ALZHEIMERS ASSOCIATION | |||||||
| 7900 W 78TH ST STE 100 | MINNEAPOLIS | MI | 55104 | 411361624 | 501(C)(3) | $3,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| ALZHEIMERS ASSOCIATION | |||||||
| 1128 STATE ST STE 301 | HARRISBURG | PA | 16501 | 251151069 | 501(C)(3) | $5,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| AMERICAN CANCER SOCIETY | |||||||
| 5733 S 34TH STREET | LINCOLN | NE | 68516 | 741185665 | 501(C)(3) | $1,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| AMERICAN CANCER SOCIETY | |||||||
| 1004 N JUNIATA ST | HOLLIDAYSBURG | PA | 16648 | 131788491 | 501(C)(3) | $10,100 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| AMERICAN CANCER SOCIETY | |||||||
| 250 WILLIAMS ST 4TH FL | ATLANTA | GA | 17201 | 042329151 | 501(C)(3) | $1,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| AMERICAN CANCER SOCIETY | |||||||
| 3054 MCGEHEE RD | MONTGOMERY | AL | 17201 | 640329009 | 501(C)(3) | $2,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| AMHERST H WILDER FOUNDATION | |||||||
| 650 MARSHALL AVE | ST PAUL | MN | 55104 | 410693889 | 501(C)(3) | $1,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| BROOKE'S PLACE | |||||||
| 50 E 91ST ST STE 103 | INDIANAPOLIS | IN | 46240 | 352045122 | 501(C)(3) | $1,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| CHILDREN'S LIGHTHOUSE OF MN | |||||||
| PO BOX 52088 | MINNEAPOLIS | MN | 68506 | 271035515 | 501(C)(3) | $5,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| COAST TO COAST FOR MS | |||||||
| 310 BERT COURT | YORK | PA | 17404 | 231583611 | 501(C)(3) | $3,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| DAVISVILLE BAPTIST CHURCH | |||||||
| 325 STREET RD | SOUTHHAMPTON | PA | 18966 | 236395734 | 501(C)(3) | $1,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| HOPE | |||||||
| 16580 GREEN VALLEY CT | STEWARTSTOWN | PA | 17363 | 232765683 | 501(C)(3) | $3,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| HEALTHY ADAMS COUNTY | |||||||
| PO BOX 2767 | YORK | PA | 17405 | 231352220 | 501(C)(3) | $1,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| HOSPICE EDUCATION INSTITUTE | |||||||
| PO BOX 98 | MICHIASPORT | MA | 04655 | 222701794 | 501(C)(3) | $1,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| HUNT OF A LIFETIME FOUNDATION | |||||||
| 5240 MILFAIR RD | FAIRVIEW | PA | 16415 | 251856277 | 501(C)(3) | $1,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| JEANNE EDMUNDSON FAMILY RESOURCE CENTER | |||||||
| 923 E PIERCE | COUNCIL BLUFFS | IA | 51503 | 420680355 | 501(C)(3) | $4,847 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| KIRTLAND CANCER FOUNDATION | |||||||
| PO BOX 108 | FRANKLIN | PA | 16323 | 200469406 | 501(C)(3) | $1,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| MAKE A WISH FOUNDATION | |||||||
| 11926 ARBOR ST 102 | OMAHA | NE | 68144 | 470671096 | 501(C)(3) | $2,900 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| MOMMY'S LIGHT | |||||||
| PO BOX 494 | LIONVILLE | PA | 19353 | 232929922 | 501(C)(3) | $1,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| NEBRASKA HOSPICE & PALLIATIVE CARE | |||||||
| 1200 LIBRA DR 100 | LINCOLN | NE | 68512 | 470673727 | 501(C)(3) | $10,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| NEBRASKA KIDNEY ASSOCIATION | |||||||
| 11725 ARBOR ST | OMAHA | NE | 68144 | 237225449 | 501(C)(3) | $2,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| NEW MORNING GRIEF CAMP | |||||||
| 611 E 4TH ST | BELLWOOD | PA | 16617 | 260188147 | 501(C)(3) | $1,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| NORTHEAST REGIONAL CANCER INSTITUTE | |||||||
| 334 JEFFERSON AVE | SCRANTON | PA | 18510 | 232662214 | 501(C)(3) | $1,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| OLIVIA'S HOUSE | |||||||
| 830 S GEORGE ST | YORK | PA | 17403 | 233100851 | 501(C)(3) | $6,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| SAVANNAH R-111 SCHOOL DISTRICT | |||||||
| 707 S 7TH | SAVANNAH | MO | 65840 | 126000075 | 501(C)(3) | $1,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| SENIOR LIVING NETWORK | |||||||
| PO BOX 3438 | FRESNO | CA | 93650 | 270060679 | 501(C)(3) | $1,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| SEWARD COUNTY BRIDGES | |||||||
| 216 S 9TH | SEWARD | NE | 68144 | 470815646 | 501(C)(3) | $1,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| ST JOSEPH PUBLIC LIBRARY | |||||||
| 502 N WOODBINE | ST JOSEPH | MO | 64506 | 125990420 | 501(C)(3) | $2,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| SUSAN G KOMAN FOR THE CURE | |||||||
| 5025 LBJ FREEWAY 250 | DALLAS | TX | 75244 | 751835298 | 501(C)(3) | $1,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| SVDS | |||||||
| 3906 BOSWELL CT | BETHLEHAM | PA | 18020 | 300104793 | 501(C)(3) | $1,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| SWAN SONGS | |||||||
| PO BOX 41475 | AUSTIN | TX | 78704 | 203174875 | 501(C)(3) | $1,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| TEAM JACK FOUNDATION | |||||||
| PO BOX 975 | ATKINSON | NE | 68713 | 462301134 | 501(C)(3) | $1,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| THE ALS ASSOCIATION | |||||||
| 10730 PACIFIC ST 103 | OMAHA | NE | 68114 | 481021611 | 501(C)(3) | $2,500 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY |
| WEST POTTAWATTAMIE CNTY | |||||||
| 426021468 | 501(C)(3) | $2,000 | IN ACCORDANCE WITH STATED PURPOSE OF ENTITY | ||||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE COMPLETED RETURN IS BROUGHT TO THE BOARD MEETING TO BE SIGNED AND IS AVAILABLE FOR ALL MEMBERS AT THIS TIME. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST |