STRATEGY STUDIO / PUBLIC DATA EXPLORER

CHATHAM CARES COMMUNITY PHARMACY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHATHAM CARES COMMUNITY PHARMACY (EIN 41-2170926)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-15
IRS object ID
201213209349301291
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2012-11-15T08:45:23-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN260367225EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WARD & FOUST CPAS PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 185AddressLine1
CitySILER CITYCity
StateNCState
ZIP Code27344ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN412170926EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHATHAM CARES COMMUNITY PHARMACYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHATNameControl
Phone9196630177Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1127 E RALEIGH STREETAddressLine1
CitySILER CITYCity
StateNCState
ZIP Code27344ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJACK BROOKSName
TitlePRESIDENTTitle
Phone9196630177Phone
Date Signed2012-11-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDONNA S FOUSTName
PTINP01029315PTIN
Phone9196632311Phone
Date Prepared2012-11-09DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJACK BROOKSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11005 DRIFTWOOD DRIVEAddressLine1
CitySILER CITYCity
StateNCState
ZIP Code27344ZIPCode
FieldValueIRS element (for citing)
Gross Receipts128378GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteNONEWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionPHARMACY SERVICES TO LOW INCOME, UNINSURED, AND UNDERINSUREDActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year107207ContributionsGrantsPriorYear
Contributions Grants Current Year126600ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year448InvestmentIncomePriorYear
Investment Income Current Year371InvestmentIncomeCurrentYear
Other Revenue Prior Year459OtherRevenuePriorYear
Other Revenue Current Year1407OtherRevenueCurrentYear
Total Revenue Prior Year108114TotalRevenuePriorYear
Total Revenue Current Year128378TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year45438SalariesEtcPriorYear
Salaries Etc Current Year49369SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year67384OtherExpensePriorYear
Other Expenses Current Year57169OtherExpensesCurrentYear
Total Expenses Prior Year112822TotalExpensesPriorYear
Total Expenses Current Year106538TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4708RevenuesLessExpensesPriorYear
Revenues Less Expenses CY21840RevenuesLessExpensesCY
Total Assets BOY157973TotalAssetsBOY
Total Assets EOY179899TotalAssetsEOY
Total Liabilities BOY2907TotalLiabilitiesBOY
Total Liabilities EOY2993TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY155066NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY176906NetAssetsOrFundBalancesEOY
Mission DescriptionNONEMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense103745Expense
DescriptionTO PROVIDE ACCESS TO QUALITY PHARMACY SERVICES FOR THE LOW INCOME, UNINSURED, AND UNDERINSURED RESIDENTS OF CHATHAM COUNTY - 791 SERVEDDescription
Total Program Service Expense103745TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees5NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOANNE MARSHALLBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9196630177TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1127 E RALEIGH STREETAddressLine1
CitySILER CITYCity
StateNCState
ZIP Code27344ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JACK BROOKS
DIRECTOR2.00X000
RHONDA PHILLIPS
DIRECTOR2.00X000
IVAN REMNITZ
DIRECTOR2.00X000
BETTY WILLETT
DIRECTOR2.00X000
DOTTIE MENDENHALL
SECRETARY2.00X000
LYNN GLASSER
PRESIDENT2.00X000
ROBERT WACHS
VICE PRESIDENT2.00X000
JAMES SCHWANKL
DIRECTOR2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants20500GovernmentGrants
All Other Contributions106100AllOtherContributions
Total Contributions126600TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column371TotalRevenueColumn
Related Or Exempt Function Income371RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events864GrossIncomeFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column864TotalRevenueColumn
Exclusion$864ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC INCOMEDescription
Business Code624100BusinessCode
Total Revenue Column543TotalRevenueColumn
Related Or Exempt Function Income543RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue543TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column128378TotalRevenueColumn
Related Or Exempt Function Income914RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$864ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total45870Total
Program Services45870ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3499Total
Program Services3499ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2500Total
Program Services2250ProgramServices
Management And General250ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1728Total
Program Services1555ProgramServices
Management And General173ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7770Total
Program Services6993ProgramServices
Management And General777ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total223Total
Program Services223ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total450Total
Program Services450ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2330Total
Program Services2097ProgramServices
Management And General233ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACY SUPPLIES2838028380
TELEPHONE/UTILITIES55715014557
SOFTWARE UPDATES34013061340
INSURANCE21041894210

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2712Total
Program Services2459ProgramServices
Management And General253ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total106538Total
Program Services103745ProgramServices
Management And General2793ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY80293BOY
EOY103691EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY63895BOY
EOY64205EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4933BOY
EOY4946EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19421LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12364LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8852BOY
EOY7057EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY157973BOY
EOY179899EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2907BOY
EOY2993EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2907BOY
EOY2993EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY155066BOY
EOY176906EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY155066BOY
EOY176906EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY157973BOY
EOY179899EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses21840ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107186CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99830CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years148766CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107596CurrentTaxYearMinus1Year
Current Tax Year127464CurrentTaxYear
Total590842Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years107186CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99830CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years148766CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107596CurrentTaxYearMinus1Year
Current Tax Year127464CurrentTaxYear
Total590842Total
FieldValueIRS element (for citing)
Public Support Total170590842PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1246CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1194CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years604CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year448CurrentTaxYearMinus1Year
Current Tax Year371CurrentTaxYear
Total3863Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1672CurrentTaxYearMinus4Years
Current Tax Year Minus1 Year70CurrentTaxYearMinus1Year
Current Tax Year543CurrentTaxYear
Total2285Total
FieldValueIRS element (for citing)
Total Support596990TotalSupport
Public Support Pertcentage1700.98970PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98980PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis19421InvestmentCostOrOtherBasis
Depreciation12364Depreciation
Book Value7057BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7057TotalOfBookValueLandBuildings
Total Revenue128378TotalRevenue
Total Expenses106538TotalExpenses
Excess Or Deficit For Year21840ExcessOrDeficitForYear
Excess Or Deficit Per FS21840ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt216878TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities88500DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99088500RevenueNotRptdF990
Revenue Subtotal128378RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990128378TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt195038TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities88500DonatedServicesUseOfFacilities
Expenses Not Rptd F99088500ExpensesNotRptdF990
Expenses Subtotal106538ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990106538TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 7BITEMS RELATING TO FUNDRAISING, SALARIES, HOURS OF OPERATION, AND EQUIPMENT PURCHASES OVER $2,000 REQUIRE BOARD APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11BOARD MEMBERS WERE EACH GIVEN THE OPPORTUNITY TO REVIEW THE 990 AT THE BOARD MEETING BEFORE IT WAS FILED
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS (INCLUDING FORM 990) ARE AVAILABLE FOR INSPECTION AT THE PHARMACY