COLLIER COUNTY RURAL HEALTH NETWORK INC: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COLLIER COUNTY RURAL HEALTH NETWORK INC (EIN 65-0808917)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-14
- IRS object ID
- 201231359349203318
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-14T15:51:58-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MYERS BRETTHOLTZ & COMPANY PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12671 WHITEHALL DR | AddressLine1 |
| City | FORT MYERS | City |
| State | FL | State |
| ZIP Code | 339073626 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650808917 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLLIER COUNTY RURAL HEALTH | BusinessNameLine1 |
| Business Name Line2 | NETWORK INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COLL | NameControl |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1454 MADISON AVENUE | AddressLine1 |
| City | IMMOKALEE | City |
| State | FL | State |
| ZIP Code | 34142 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BILL KUZBYT | Name |
| Title | CHAIRMAN | Title |
| Date Signed | 2012-05-10 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN M LOPEZ CPA | Name |
| Phone | 2399395775 | Phone |
| Date Prepared | 2012-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 63555 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 63555 | ContributionsGiftsGrantsEtc |
| Total Revenue | 63555 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 55793 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 4150 | FeesAndOthPymtToIndContractors |
| Other Expenses Total | 1158 | OtherExpensesTotal |
| Total Expenses | 61101 | TotalExpenses |
| Excess Or Deficit For Year | 2454 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 18215 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20669 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21181 | BOY |
| EOY | 33133 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 737 | BOY |
| EOY | 762 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21918 | BOY |
| EOY | 33895 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3703 | BOY |
| EOY | 13226 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18215 | BOY |
| EOY | 20669 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | ESTABLISH, MANAGE, MAINTAIN AND OPERATE A RURAL HEALTH NETWORK IN COLLIER COUNTY, FLORIDA. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | ESTABLISH, MANAGE, MAINTAIN AND OPERATE A RURAL HEALTH NETWORK LOCATED IN COLLIER COUNTY, FLORIDA. | DescriptionProgramServiceAccom |
| Program Service Expenses | 61101 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 61101 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| KUZBYT BILL | ||||||
| 1454 MADISON AVENUE | IMMOKALEE | FL | 34142 | CHAIRMAN | 1.00 | 0 |
| WATSON WAYNE | ||||||
| 1454 MADISON AVENUE | IMMOKALEE | FL | 34142 | DIRECTOR | 1.00 | 0 |
| ALESSANDRI ERICA | ||||||
| 1454 MADISON AVENUE | IMMOKALEE | FL | 34142 | DIRECTOR | 1.00 | 0 |
| READ PATRICIA | ||||||
| 1454 MADISON AVENUE | IMMOKALEE | FL | 34142 | DIRECTOR | 1.00 | 0 |
| HOUCK ED | ||||||
| 1454 MADISON AVENUE | IMMOKALEE | FL | 34142 | TREASURER | 1.00 | 0 |
| LOZANO ESTELA | ||||||
| 1454 MADISON AVENUE | IMMOKALEE | FL | 34142 | DIRECTOR | 1.00 | 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 | BOOTH JIM | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1454 MADISON AVENUE | AddressLine1 |
| City | IMMOKALEE | City |
| State | FL | State |
| ZIP Code | 34142 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2396583052 | 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 |
| 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 Minus4 Years | 63555 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 57199 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 62392 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 63555 | CurrentTaxYearMinus1Year |
| Current Tax Year | 63555 | CurrentTaxYear |
| Total | 310256 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 63555 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 57199 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 62392 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 63555 | CurrentTaxYearMinus1Year |
| Current Tax Year | 63555 | CurrentTaxYear |
| Total | 310256 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 310256 | PublicSupportTotal170 |
| Total Support | 310256 | TotalSupport |
| Public Support Pertcentage170 | 1.00000 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 1.00000 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | EXPENSES D&O INSURANCE 1,022 DUES AND PUBLICATIONS 136 TOTAL 1,158 |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | PREPAID EXPENSES AND DEFERRED CHARGES 737 762 TOTAL 737 762 |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 4,762 14,285 DEFERRED REVENUE -1,059 -1,059 |
| PRIMARY EXEMPT PURPOSE | FORM 990-EZ, PART III | ESTABLISH, MANAGE, MAINTAIN AND OPERATE A RURAL HEALTH NETWORK IN COLLIER COUNTY, FLORIDA. |
Compensation Explanation CompensationExplanation
Compensation Compensation (6 entries)
| KUZBYT BILL |
| WATSON WAYNE |
| ALESSANDRI ERICA |
| READ PATRICIA |
| HOUCK ED |
| LOZANO ESTELA |