MEADOW BROOK FOUNDATION: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MEADOW BROOK FOUNDATION (EIN 30-0090150)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-14
- IRS object ID
- 201301349349203360
- Schema version
- 2012v2.0
- 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) |
|---|---|---|
| Timestamp | 2013-05-14T13:54:52-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A L MITCHELL & ASSOCIATES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 641 EAST EIGHTH STREET | AddressLine1 |
| City | TRAVERSE CITY | City |
| State | MI | State |
| ZIP Code | 49686 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300090150 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MEADOW BROOK FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEAD | NameControl |
| Phone | 2315338661 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4543 SOUTH M-88 | AddressLine1 |
| City | BELLAIRE | City |
| State | MI | State |
| ZIP Code | 49615 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARNA ROBERTSON | Name |
| Title | TREASURER | Title |
| Phone | 2315338661 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANDREW L MITCHELL | Name |
| Phone | 2319471492 | Phone |
| Date Prepared | 2013-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | meadowbrookfoundation.com | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts Less Than25000 | X | GrossReceiptsLessThan25000 |
| Gross Receipts | 4757 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 4605 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 0 | ProgramServiceRevenue |
| Membership Dues | 0 | MembershipDues |
| Investment Income | 127 | InvestmentIncome |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Gain Or Loss From Sale Of Assets | 0 | GainOrLossFromSaleOfAssets |
| Gaming Gross Income | 0 | GamingGrossIncome |
| Fundraising Gross Income | 25 | FundraisingGrossIncome |
| Special Events Direct Expenses | 0 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 25 | SpecialEventsNetIncomeLoss |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Gro Profit Loss Sales Of Inventory | 0 | GroProfitLossSalesOfInventory |
| Total Revenue | 4757 | TotalRevenue |
| Fees And Oth Pymt To Ind Contractors | 290 | FeesAndOthPymtToIndContractors |
| Other Expenses Total | 3074 | OtherExpensesTotal |
| Total Expenses | 3364 | TotalExpenses |
| Excess Or Deficit For Year | 1393 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 64726 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 66119 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57801 | BOY |
| EOY | 59887 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6925 | BOY |
| EOY | 6232 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64726 | BOY |
| EOY | 66119 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64726 | BOY |
| EOY | 66119 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | See Attached Note | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (4 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Program Service ExpensesProgramServiceExpenses |
|---|---|
| Jamboree - Annual one-day fundraising event. The event relies on volunteers to cook dinners, sell raffle tickes and run children's games | |
| Career Enhancement Program - Assists employees of Meadow Brook Medical Care Facility with University course expenses that benefit the facility | 1348 |
| Meadow Brook Staff Development Program - Assists employees of Meadow Brook Medical Care Facility with continuing educations course expenses that benefit the facility | 737 |
| Dental Hygiene Program |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 2085 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (9 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| NORMAN VELIQUETTE | ||
| President | 5.00 | 0 |
| JOHN TARRANT | ||
| Vice President | 5.00 | 0 |
| MARNA ROBERTSON | ||
| Secretary | 5.00 | 0 |
| DON SCHUITEMAN | ||
| Treasurer | 5.00 | 0 |
| DONNA HEERES | ||
| Director | 5.00 | 0 |
| YOUSEF JABARA | ||
| Director | 5.00 | 0 |
| SUE ROBINSON | ||
| Director | 5.00 | 0 |
| HERB RILEY | ||
| Director | 5.00 | 0 |
| BONITA RICHARDS | ||
| Director | 5.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DON SCHUITEMAN | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6663 SOUTH M-88 | AddressLine1 |
| City | BELLAIRE | City |
| State | MI | State |
| ZIP Code | 49615 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2315336904 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8935 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7278 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6125 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4955 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4605 | CurrentTaxYear |
| Total | 31898 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5127 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4819 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5850 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1646 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25 | CurrentTaxYear |
| Total | 17467 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14062 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12097 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11975 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6601 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4630 | CurrentTaxYear |
| Total | 49365 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 49365 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1308 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 693 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 342 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 142 | CurrentTaxYearMinus1Year |
| Current Tax Year | 127 | CurrentTaxYear |
| Total | 2612 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1308 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 693 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 342 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 142 | CurrentTaxYearMinus1Year |
| Current Tax Year | 127 | CurrentTaxYear |
| Total | 2612 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51977 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.94970 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.71500 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.05030 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.04920 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990EZ, Part I, Line 16 | BANK CHARGES 109. OFFICE SUPPLIES 167. STATE FILING FEES 20. CAREER ENHANCEMENT PROGRAM EXPENSE 2085. DEPRECIATION 693. |
| Form 990EZ, Part II, Line 24 | NEW BOILER: COST $10,000 LESS: CURRENT YEAR DEPRECIATION: $693 6925. 6232. |