TEAM SURVIVOR CALIFORNIA: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- TEAM SURVIVOR CALIFORNIA (EIN 95-4742327)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201323199349204247
- Schema version
- 2012v2.1
- 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 | 2013-11-15T14:45:44-08:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830381077 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Timothy J Lilligren CPA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1001 6th Street Suite 150 | AddressLine1 |
| City | Manhattan Beach | City |
| State | CA | State |
| ZIP Code | 90266 | 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 | 954742327 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEAM SURVIVOR CALIFORNIA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TEAM | NameControl |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1223 WILSHIRE BLVD | AddressLine1 |
| City | SANTA MONICA | City |
| State | CA | State |
| ZIP Code | 90403 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KAREN VAN KIRK | Name |
| Title | PRESIDENT | Title |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Timothy J Lilligren CPA | Name |
| PTIN | P00292338 | PTIN |
| Phone | 3107984382 | Phone |
| Date Prepared | 2013-11-15 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 67195 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 67195 | ContributionsGiftsGrantsEtc |
| Total Revenue | 67195 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 13131 | SalariesOtherCompEmplBenefits |
| Other Expenses Total | 36063 | OtherExpensesTotal |
| Total Expenses | 49194 | TotalExpenses |
| Excess Or Deficit For Year | 18001 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 13523 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 31524 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18556 | BOY |
| EOY | 37071 | EOY |
Land And Buildings LandAndBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18556 | BOY |
| EOY | 37071 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5033 | BOY |
| EOY | 5547 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13523 | BOY |
| EOY | 31524 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | HEALTH EDUCATION AND FITNESS PROGRAMS | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | HEALTH EDUCATION AND FITNESS PROGRAMS FOR WOMEN WITH A PAST OF PRESENT DIAGNOSIS OF CANCER | DescriptionProgramServiceAccom |
| Program Service Expenses | 43178 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 43178 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (4 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|
| KAREN VAN KIRK | ||||
| PRESIDENT | 0.00 | 0 | 0 | 0 |
| JUDY ALEXANDER | ||||
| VICE PRESIDENT | 0.00 | 0 | 0 | 0 |
| CATHERINE WAGAR | ||||
| TREASURER | 0.00 | 0 | 0 | 0 |
| BRUCE RANKIN | ||||
| SECRETARY | 0.00 | 0 | 0 | 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 | true | MadeLoansToFromOfficers |
| Loans To From Officers | 5000 | LoansToFromOfficers |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KAREN VAN KIRK | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1223 WILSHIRE BOVD SUITE 570 | AddressLine1 |
| City | SANTA MONICA | City |
| State | CA | State |
| ZIP Code | 90403 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3107984382 | 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 |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 108712 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 128582 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 96857 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 55576 | CurrentTaxYearMinus1Year |
| Current Tax Year | 67195 | CurrentTaxYear |
| Total | 456922 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 108712 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 128582 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 96857 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 55576 | CurrentTaxYearMinus1Year |
| Current Tax Year | 67195 | CurrentTaxYear |
| Total | 456922 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 456922 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 79 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 69 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9 | CurrentTaxYearMinus2Years |
| Total | 157 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 79 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 69 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9 | CurrentTaxYearMinus2Years |
| Total | 157 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 108791 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 128651 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 96866 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 55576 | CurrentTaxYearMinus1Year |
| Current Tax Year | 67195 | CurrentTaxYear |
| Total | 457079 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99970 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99560 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00030 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KAREN VAN KIRK | NamePerson |
| Relationship With Organization | PRESIDENT | RelationshipWithOrganization |
| Purpose Of Loan | LOAN FOR OPERATING E | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $5,000 | OriginalPrincipalAmount |
| Balance Due | 5000 | BalanceDue |
| Default | false | Default |
| Approved By Board | true | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 5000 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| O01 | Description of other expenses Part I line 16 | DESCRIPTION AMOUNT OFFICE 183 INSURANCE 1,534 COMMUNICATIONS 2,075 PAYROLL TAXES 1,720 PAYROLL PROCESSING FEES 505 OTHER PROGRAM EXPENSES 30,046 |
| O02 | Description of total liabilities Part II line 26 | CATEGORY BEGINNING OF YEAR END OF YEAR ACCOUNTS PAYABLE AND ACCRUED E 33 547 LOANS 5,000 5,000 |