HEPATITIS C MENTOR AND SUPPORT GROUP INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HEPATITIS C MENTOR AND SUPPORT GROUP INC (EIN 27-4155461)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-03-09
- IRS object ID
- 201340689349200704
- 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 | 2013-03-09T12:35:25-08:00 | 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 | Gary S Eisenkraft CPA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 271 Madison Avenue Suite 1105 | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 10016 | 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 | 274155461 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HEPATITIS C MENTOR AND SUPPORT GROUP | BusinessNameLine1 |
| Business Name Line2 | INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HEPA | NameControl |
| Phone | 2129536818 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 EAST 38TH STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10016 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RHONA MARKS | Name |
| Title | CHAIR | Title |
| Date Signed | 2013-03-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Gary S Eisenkraft CPA | Name |
| PTIN | P00055181 | PTIN |
| Phone | 2126892655 | Phone |
| 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 Accrual | X | MethodOfAccountingAccrual |
| Web Site | HEPATITISCMSG.ORG | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts Less Than25000 | X | GrossReceiptsLessThan25000 |
| Gross Receipts | 25734 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 25318 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 300 | ProgramServiceRevenue |
| Investment Income | 116 | InvestmentIncome |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Fundraising Gross Income | 0 | FundraisingGrossIncome |
| Special Events Direct Expenses | 0 | SpecialEventsDirectExpenses |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Total Revenue | 25734 | TotalRevenue |
| Grants And Similar Amounts Paid | 20 | GrantsAndSimilarAmountsPaid |
| Salaries Other Comp Empl Benefits | 3000 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 2170 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 4179 | OccupancyRentUtilitiesAndMaint |
| Other Expenses Total | 12485 | OtherExpensesTotal |
| Total Expenses | 21854 | TotalExpenses |
| Excess Or Deficit For Year | 3880 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 32160 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 36040 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32464 | BOY |
| EOY | 11251 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 25000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32464 | BOY |
| EOY | 36251 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 304 | BOY |
| EOY | 211 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32160 | BOY |
| EOY | 36040 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | The Hepatitis C Mentor and Support Group (HCMSG) was founded to address the lack of awareness, support, and services for people living with Hepatitis C (including patients co-infected with other conditions such as HIV/AIDS and Hepatitis B), and patients in need of or living with liver transplants. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | The Hepatitis C Mentor and Support Group, Inc. was formed to address the lack of supportive services for people living with Hepatitis C, including patients co-infected with other conditions such as HIV/AIDS or Hepatitis B. The founder is a Hepatitis C patient and advocate.To meet the organizations goal, the Hepatitis C Support Group Assistance Program was established to provide resources and services to individuals and organizations trying to establish or run Hepatitis C and co-infection patient support groups. Services are provided to individuals and organizations free of charge. The services provided include: Training and training materials on support group meeting facilitation. One-on-one consultation with new or current facilitators is also provided;A roster of experts to speak at support group meetings on topics such as Hepatitis C disease and treatment research findings, drugs in development, nutrition, relaxation and other lifestyle issues;An informational website (www.hepatitisCmsg.org), blog, and social media updates to help facilitators and their medical advisors stay up-to-date on other Hepatitis C-related sites, reports and conference highlights, disease and treatment research, drugs in development, training and advocacy opportunities, and other topics of interest. The website includes a list of all Hepatitis C support groups in New York State. It also includes information on programs to help uninsured or under insured patients get treatment drugs at reduced or no cost. Conference calls and virtual or face-to-face meetings of support group facilitators and medical advisors to share information, resources and best practices.The Hepatitis C Support Group Assistance Program will act as a central hub for Hepatitis C support group facilitators to provide accurate and up-to-date information and facilitate the sharing of resources and skills. | DescriptionProgramServiceAccom |
| Grants And Allocations | 21854 | GrantsAndAllocations |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 21854 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (3 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| WENDY MONKOM | ||
| Director | 5.00 | 0 |
| CARL DEDDENS | ||
| Secretary | 5.00 | 0 |
| RHONA MARKS | ||
| CHAIR | 11.00 | 3000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Filed990 T | false | OrganizationFiled990T |
| 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 |
| Initiation Fees And Capital Contri | 0 | InitiationFeesAndCapitalContri |
| Gross Receipts For Public Use | 0 | GrossReceiptsForPublicUse |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RHONA MARKS | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 EAST 38TH STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100162521 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2129536818 | 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 |
| Form720 Filed | false | Form720Filed |
| 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 |
| Related Org Section527 Org | false | RelatedOrgSection527Org |
| 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 Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 41000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25318 | CurrentTaxYear |
| Total | 66318 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 41000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25318 | CurrentTaxYear |
| Total | 66318 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 0 | AmountsSubstContributorsTotal |
| Public Support Total170 | 66318 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 319 | CurrentTaxYearMinus1Year |
| Current Tax Year | 116 | CurrentTaxYear |
| Total | 435 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 66753 | TotalSupport |
| First5 Years170 | X | First5Years170 |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
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 O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990-EZ, Part II, Line 26.1001 | Total Liabilities.1001 | Accounts Payable and Accrued Expenses - Beginning $304 Accounts Payable and Accrued Expenses - Ending $211 |
| Form 990-EZ, Part II, Line 24.1006 | Other Assets.1006 | Pledges and Grants Receivable - Beginning $0 Pledges and Grants Receivable - Ending $25000 |
| Form 990-EZ, Part I, Line 16.7 | Other Expenses.7 | COMPUTER & SOFTWARE EXP $114 |
| Form 990-EZ, Part I, Line 16.6 | Other Expenses.6 | OTHER $118 |
| Form 990-EZ, Part I, Line 16.5 | Other Expenses.5 | SUPPLIES $780 |
| Form 990-EZ, Part I, Line 16.4 | Other Expenses.4 | IT TECH SERVICES $1008 |
| Form 990-EZ, Part I, Line 16.3 | Other Expenses.3 | CONSULTING FEES $1235 |
| Form 990-EZ, Part I, Line 16.2 | Other Expenses.2 | CONFERENCES AND MEETINGS $1436 |
| Form 990-EZ, Part I, Line 16.1 | Other Expenses.1 | INTERNET & TEL $2319 |
| Form 990-EZ, Part I, Line 16.1005 | Other Expenses.1005 | Travel $5475 |