HEALTHY SMILES FOR ME INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHY SMILES FOR ME INC (EIN 26-4349552)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-14
- IRS object ID
- 201341349349200414
- 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 | 2013-05-14T07:23:57-05:00 | 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 | PACIOS RAUSCH & CHASSE LLC PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 31 COURT ST STE 400 | AddressLine1 |
| City | AUBURN | City |
| State | ME | State |
| ZIP Code | 042105903 | 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 | 264349552 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHY SMILES FOR ME INC | BusinessNameLine1 |
| Business Name Line2 | C/O CYNTHIA LEAVITT | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HEAL | NameControl |
| Phone | 2077541176 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 795 GARFIELD RD | AddressLine1 |
| City | AUBURN | City |
| State | ME | State |
| ZIP Code | 04210 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CYNTHIA LEAVITT | Name |
| Title | PRESIDENT | Title |
| Phone | 2077541176 | Phone |
| Date Signed | 2013-04-30 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRITTANY MARCIULIANO | Name |
| Phone | 2077826231 | Phone |
| Date Prepared | 2013-05-03 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 40614 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 32825 | ContributionsGiftsGrantsEtc |
| Investment Income | 423 | InvestmentIncome |
| Fundraising Gross Income | 7366 | FundraisingGrossIncome |
| Special Events Direct Expenses | 5758 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 1608 | SpecialEventsNetIncomeLoss |
| Total Revenue | 34856 | TotalRevenue |
| Fees And Oth Pymt To Ind Contractors | 1409 | FeesAndOthPymtToIndContractors |
| Other Expenses Total | 40883 | OtherExpensesTotal |
| Total Expenses | 42292 | TotalExpenses |
| Excess Or Deficit For Year | -7436 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 81209 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 73773 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81209 | BOY |
| EOY | 73773 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81209 | BOY |
| EOY | 73773 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81209 | BOY |
| EOY | 73773 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | THE CORPORATION'S MISSION IS TO ENSURE THAT EVERY MAINE CHILD HAS ACCESS TO EMERGENCY/RESTORATIVE DENTAL CARE. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | FUNDS ARE USED FOR CHILDREN WHO DO NOT HAVE DENTAL INSURANCE AND THE FAMILY IS EXPERIENCING FINANCIAL HARDSHIP, THE CORPORATION WILL ASSIST THE FAMILY IN ORDER FOR THE CHILD TO RECEIVE NEEDED DENTAL CARE. | DescriptionProgramServiceAccom |
| Program Service Expenses | 29838 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 29838 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (9 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| CYNTHIA LEAVITT | ||
| PRESIDENT, T | 000.00 | 0 |
| RODNEY LEAVITT | ||
| DIRECTOR | 000.00 | 0 |
| RHONDA ALLEN | ||
| DIRECTOR | 000.00 | 0 |
| LISA KIMBALL | ||
| DIRECTOR | 000.00 | 0 |
| DOROTHY MAROON | ||
| DIRECTOR | 000.00 | 0 |
| SANDRA CYR | ||
| DIRECTOR | 000.00 | 0 |
| ANGELA LAFRINEA | ||
| DIRECTOR | 000.00 | 0 |
| JAMES ALLEN | ||
| DIRECTOR | 000.00 | 0 |
| SHANE T WRIGHT | ||
| CLERK | 000.00 | 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 |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CYNTHIA LEAVITT | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 795 GARFIELD ROAD | AddressLine1 |
| City | AUBURN | City |
| State | ME | State |
| ZIP Code | 04210 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2077541176 | 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 Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 22600 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 96669 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26239 | CurrentTaxYearMinus1Year |
| Current Tax Year | 32825 | CurrentTaxYear |
| Total | 178333 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 22600 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 96669 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26239 | CurrentTaxYearMinus1Year |
| Current Tax Year | 32825 | CurrentTaxYear |
| Total | 178333 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 178333 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 16 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 96 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 410 | CurrentTaxYearMinus1Year |
| Current Tax Year | 423 | CurrentTaxYear |
| Total | 945 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 179278 | TotalSupport |
| Gross Receipts From Admissions Etc | 7366 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99470 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99640 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | EXPENSES DENTAL FEES PAID 29,838 OFFICE SUPPLIES 1,233 LICENSING FEE 625 EDUCATION 558 BANK FEES 3 GAS 75 MEALS 168 MISCELLANEOUS 499 DONATIONS 100 INSURANCE 1,371 EQUIPMENT PURCHASES 6,413 TOTAL 40,883 |
| PRIMARY EXEMPT PURPOSE | FORM 990-EZ, PART III | THE CORPORATION'S MISSION IS TO ENSURE THAT EVERY MAINE CHILD HAS ACCESS TO EMERGENCY/RESTORATIVE DENTAL CARE. |
Compensation Explanation CompensationExplanation
Compensation Compensation (9 entries)
| CYNTHIA LEAVITT |
| RODNEY LEAVITT |
| RHONDA ALLEN |
| LISA KIMBALL |
| DOROTHY MAROON |
| SANDRA CYR |
| ANGELA LAFRINEA |
| JAMES ALLEN |
| SHANE T WRIGHT |