MEADOW BROOK FOUNDATION: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MEADOW BROOK FOUNDATION (EIN 30-0090150)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-03-29
- IRS object ID
- 201240899349200514
- 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 | 2012-03-29T10:49:01-07:00 | 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 | A L MITCHELL & ASSOCIATES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 641 EAST EIGHTH STREET | AddressLine1 |
| City | TRAVERSE CITY | City |
| State | MI | State |
| ZIP Code | 49686 | 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 | 300090150 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MEADOW BROOK FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEAD | NameControl |
| Phone | 2315338661 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4543 SOUTH M-88 | AddressLine1 |
| City | BELLAIRE | City |
| State | MI | State |
| ZIP Code | 49615 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARNA ROBERTSON | Name |
| Title | TREASURER | Title |
| Phone | 2315338661 | Phone |
| Date Signed | 2012-03-27 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANDREW L MITCHELL | Name |
| Phone | 2319471492 | Phone |
| Date Prepared | 2012-03-29 | 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 Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | meadowbrookfoundation.com | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts Less Than25000 | X | GrossReceiptsLessThan25000 |
| Gross Receipts | 6743 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 4955 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 0 | ProgramServiceRevenue |
| Membership Dues | 0 | MembershipDues |
| Investment Income | 142 | InvestmentIncome |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Gain Or Loss From Sale Of Assets | 0 | GainOrLossFromSaleOfAssets |
| Gaming Gross Income | 0 | GamingGrossIncome |
| Fundraising Gross Income | 1646 | FundraisingGrossIncome |
| Special Events Direct Expenses | 252 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 1394 | SpecialEventsNetIncomeLoss |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Gro Profit Loss Sales Of Inventory | 0 | GroProfitLossSalesOfInventory |
| Total Revenue | 6491 | TotalRevenue |
| Fees And Oth Pymt To Ind Contractors | 290 | FeesAndOthPymtToIndContractors |
| Other Expenses Total | 4536 | OtherExpensesTotal |
| Total Expenses | 4826 | TotalExpenses |
| Excess Or Deficit For Year | 1665 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 63061 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 64726 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55366 | BOY |
| EOY | 57801 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7695 | BOY |
| EOY | 6925 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63061 | BOY |
| EOY | 64726 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63061 | BOY |
| EOY | 64726 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | See Attached Note | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (4 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Program Service ExpensesProgramServiceExpenses |
|---|---|
| Jamboree - Annual one-day fundraising event. The event relies on volunteers to cook dinners, sell raffle tickes and run children's games | 1646 |
| Career Enhancement Program - Assists employees of Meadow Brook Medical Care Facility with University course expenses that benefit the facility | 1255 |
| Meadow Brook Staff Development Program - Assists employees of Meadow Brook Medical Care Facility with continuing educations course expenses that benefi the facility | 2166 |
| Dental Hygiene Program |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 5067 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| NORMAN VELIQUETTE | ||||||
| 14537 SPIREA | ELK RAPIDS | MI | 49629 | President | 5.00 | 0 |
| JOHN TARRANT | ||||||
| PO BOX 941 | BELLAIRE | MI | 49615 | Vice President | 5.00 | 0 |
| MARNA ROBERTSON | ||||||
| 4543 SOUTH M-88 HWY | BELLAIRE | MI | 49615 | Secretary | 5.00 | 0 |
| DON SCHUITEMAN | ||||||
| 6663 SOUTH M-88 HWY | BELLAIRE | MI | 49615 | Treasurer | 5.00 | 0 |
| DONNA HEERES | ||||||
| PO BOX 68 | ELLSWORTH | MI | 49729 | Director | 5.00 | 0 |
| YOUSEF JABARA | ||||||
| PO BOX 797 | MANCELONA | MI | 49659 | Director | 5.00 | 0 |
| SUE ROBINSON | ||||||
| 2717 MUSSER ROAD | MANCELONA | MI | 49659 | Director | 5.00 | 0 |
| HERB RILEY | ||||||
| 9065 WINDIGO TRAIL | ALDEN | MI | 49612 | Director | 5.00 | 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 | DON SCHUITEMAN | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6663 SOUTH M-88 | AddressLine1 |
| City | BELLAIRE | City |
| State | MI | State |
| ZIP Code | 49615 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2315336904 | 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 |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 38551 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8935 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7278 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6125 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4955 | CurrentTaxYear |
| Total | 65844 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1378 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5127 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4819 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5850 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1646 | CurrentTaxYear |
| Total | 18820 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 39929 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14062 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12097 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11975 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6601 | CurrentTaxYear |
| Total | 84664 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21000 | CurrentTaxYearMinus4Years |
| Total | 21000 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21000 | CurrentTaxYearMinus4Years |
| Total | 21000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 63664 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1893 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1308 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 693 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 342 | CurrentTaxYearMinus1Year |
| Current Tax Year | 142 | CurrentTaxYear |
| Total | 4378 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1893 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1308 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 693 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 342 | CurrentTaxYearMinus1Year |
| Current Tax Year | 142 | CurrentTaxYear |
| Total | 4378 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89042 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.71500 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.58780 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.04920 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.04260 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990EZ, Part I, Line 16 | BANK CHARGES 121. OFFICE SUPPLIES 204. STATE FILING FEES 20. CAREER ENHANCEMENT PROGRAM EXPENSE 3421. DEPRECIATION 770. |
| Form 990EZ, Part II, Line 24 | NEW BOILER: COST $10,000 LESS: CURRENT YEAR DEPRECIATION: $770 7695. 6925. |