2014-02-01T08:22:36-06:00 2013-06-30 470677245 HBE BECKER MEYER LOVE LLP 7140 STEPHANIE LANE PO BOX 23110 LINCOLN NE 685423110 990 2012-07-01 470548478 FAMILY HEALTH SERVICES INC FAMI 4023352988 PO BOX 279 TECUMSEH NE 68450 SHARON RICKMAN 4023352988 2014-01-22 1 KRYSTAL L SIEBRANDT CPA CFE P00543870 4024234343 2014-01-21 2012 2015-11-30 17:44:51Z SHARON RICKMAN PO BOX 279 TECUMSEH NE 684500279 839316 0 X WWW.FHSI.ORG X 1973 NE THE ORGANIZATION'S PURPOSE IS TO PROVIDE FAMILY PLANNING INFORMATION AND SERVICES AND TO ADMINISTER SERVICES UNDER THE SUPPLEMENTAL FOOD PROGRAM FOR WOMEN, INFANTS AND CHILDREN IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA; TO RECEIVE, HOLD AND DISBURSE FUNDS AND ADMINISTER SUCH FUNDS EXCLUSIVELY FOR EDUCATIONAL AND CHARITABLE PURPOSES WITHOUT PECUNIARY GAIN OR PROFIT, INCIDENTAL OR OTHERWISE TO ITS DIRECTORS. 9 9 24 26 0 0 695306 690164 114995 139824 -2720 189 2670 4900 810251 835077 0 0 0 0 599434 641673 0 0 0 287069 296153 886503 937826 -76252 -102749 381226 281614 109825 112962 271401 168652 X THE ORGANIZATION'S PURPOSE IS TO PROVIDE FAMILY PLANNING INFORMATION AND SERVICES AND TO ADMINISTER SERVICES UNDER THE SUPPLEMENTAL FOOD PROGRAM FOR WOMEN, INFANTS AND CHILDREN IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA; TO RECEIVE, HOLD AND DISBURSE FUNDS AND ADMINISTER SUCH FUNDS EXCLUSIVELY FOR EDUCATIONAL AND CHARITABLE PURPOSES WITHOUT PECUNIARY GAIN OR PROFIT, INCIDENTAL OR OTHERWISE TO ITS DIRECTORS. 0 0 311260 SUPPLEMENTAL FOOD PROGRAM FOR WOMEN, INFANTS AND CHILDREN. GRANT ADMINISTRATION AND SERVICES IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA. 501110 139578 FAMILY PLANNING SERVICES IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA. 812370 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 24 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X JEAN BRINKMAN 4023352988 PO BOX 279 TECUMSEH NE 684500279 MIKE WENDT 0.20 X X 0 0 0 DR LAURENCE FALK 0.20 X X 0 0 0 JANELLE MORAN 0.20 X X 0 0 0 ROCHELLE COLLINS 0.20 X 0 0 0 PAULA DARLING 0.20 X 0 0 0 VINNY BITTINGER 0.20 X 0 0 0 STEPHANIE CLARK 0.20 X 0 0 0 SHIRLEY TERRY 0.20 X 0 0 0 TED HARSHBARGER 0.20 X 0 0 0 SHARON RICKMAN 40.00 X 66478 0 8437 JEAN BRINKMAN 40.00 X 54810 0 11462 121288 0 19899 0 0 0 0 0 5000 676367 8797 690164 PRIVATE INSURANCE REIM 621300 103269 103269 PATIENT FEES 621300 35314 35314 MEDICAID REIMBURSEMENT 621300 1241 1241 139824 435 435 246 -246 -246 -246 5600 5000 3993 1607 1607 MISCELLANEOUS 900099 3293 3293 3293 835077 139578 0 5335 145844 62309 83535 428254 428254 22952 22952 44623 31284 13339 9005 9005 5095 5095 22263 22263 40554 34689 5865 63393 53815 9578 22262 22262 14763 14763 12461 10580 1881 CONTRACEPTIVES/PHARMACY 57193 57193 PATIENT/LAB FEES 24790 24790 TELEPHONE 13749 11673 2076 EDUCATIONAL MATERIALS 1805 1805 8820 8643 177 937826 812370 125456 0 92052 16760 57503 86974 150667 105544 10669 10133 11330 10552 14186 18154 145759 112262 44819 33497 381226 281614 39569 42706 70256 70256 109825 112962 X 206957 136430 64444 32222 271401 168652 381226 281614 -102749 0 X X 0 1 X 1 1 1 X 671567 901906 625607 741276 695764 3636120 671567 901906 625607 741276 695764 3636120 3636120 3977 3975 1782 988 435 11157 3647277 0.99690 0.99570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 145759 112262 33497 33497 X 842534 3218 4239 7457 835077 0 835077 945283 3218 4239 7457 937826 0 937826 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEAR ENDED JUNE 30, 2013, THE ORGANIZATION HAD NO TAX LIABILITY ON UNRELATED BUSINESS ACTIVITY. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS 246. FUNDRAISING EVENTS 3,993. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS 246. DIRECT FUNDRAISING EXPENSES 3,993. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS SET BY THE BOARD ANNUALLY AFTER REVIEW OF THE DIRECTOR'S PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PAGE 12, LINE 2C: THE PROCESS HAS NOT CHANGED.