GUARDIAN ANGEL HOSPICE FOUNDATION INC: Form 990EZ, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- GUARDIAN ANGEL HOSPICE FOUNDATION INC (EIN 35-2149057)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2011-11-04
- IRS object ID
- 201113089349200716
- Schema version
- 2010v3.4
- 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 | 2011-11-04T13:11:27-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUCHERI MCCARTY & METZ LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2147 | AddressLine1 |
| City | KOKOMO | City |
| State | IN | State |
| ZIP Code | 469042147 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352149057 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUARDIAN ANGEL HOSPICE FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GUAR | NameControl |
| Phone | 7654522333 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 412 W SYCAMORE ST | AddressLine1 |
| City | KOKOMO | City |
| State | IN | State |
| ZIP Code | 46901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DOROTHY DEWITT | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 7654522333 | Phone |
| Date Signed | 2011-10-31 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | G A MCCARTY CPA | Name |
| Phone | 7652362300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 108006 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 48609 | ContributionsGiftsGrantsEtc |
| Investment Income | 356 | InvestmentIncome |
| Gross Amount From Sale Of Assets | 10431 | GrossAmountFromSaleOfAssets |
| Cost Other Basis And Sales Expenses | 2982 | CostOtherBasisAndSalesExpenses |
| Gain Or Loss From Sale Of Assets | 7449 | GainOrLossFromSaleOfAssets |
| Fundraising Gross Income | 34044 | FundraisingGrossIncome |
| Special Events Direct Expenses | 18264 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 15780 | SpecialEventsNetIncomeLoss |
| Gross Sales Of Inventory | 14566 | GrossSalesOfInventory |
| Cost Of Goods Sold | 9142 | CostOfGoodsSold |
| Gro Profit Loss Sales Of Inventory | 5424 | GroProfitLossSalesOfInventory |
| Total Revenue | 77618 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 47166 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 851 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 7395 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 1511 | PrintingPublicationsPostage |
| Other Expenses Total | 24260 | OtherExpensesTotal |
| Total Expenses | 81183 | TotalExpenses |
| Excess Or Deficit For Year | -3565 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 55492 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 51927 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55850 | BOY |
| EOY | 45696 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10863 | BOY |
| EOY | 19104 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66713 | BOY |
| EOY | 64800 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11221 | BOY |
| EOY | 12873 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55492 | BOY |
| EOY | 51927 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | TO EDUCATE COMMUNITY SERVED ABOUT END OF LIFE ISSUES. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (3 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Grants And AllocationsGrantsAndAllocations | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| CAMP ANGEL | 0 | 6982 |
| CONFERENCES/ELNEC | 0 | 4295 |
| LIFELINE | 0 | 3193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 14470 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| DOROTHY DEWITT | ||||||||
| 9120 W 100 N | LOGANSPORT | IN | 46947 | DIRECTOR | 10.00 | 13184 | 0 | 0 |
| DON RIDENOUR | ||||||||
| 1520 W MULBERRY ST | KOKOMO | IN | 46901 | CHAIRPERSON | 0.00 | 0 | 0 | 0 |
| JUANITA THOMAS | ||||||||
| 4051 S WEBSTER | KOKOMO | IN | 46902 | VICE CHAIRPERSON | 0.00 | 0 | 0 | 0 |
| LANA OSENBAUGH | ||||||||
| 513 W LINCOLN RD | KOKOMO | IN | 46902 | SECRETARY | 0.00 | 0 | 0 | 0 |
| GREG MCCARTY | ||||||||
| 2366 W BOULEVARD PO BOX 2147 | KOKOMO | IN | 469042147 | TREASURER | 0.00 | 0 | 0 | 0 |
| BOB HICKMAN | ||||||||
| 24350 HINESLEY ROAD | SHERIDAN | IN | 46069 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| CURTIS KESLING | ||||||||
| 1115 W MARKET ST | LOGANSPORT | IN | 46947 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| CARE MCKELLAR | ||||||||
| 10481 W 200 N | KOKOMO | IN | 46901 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| DANA ISAACS | ||||||||
| 513 W LINCOLN RD | KOKOMO | IN | 46902 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| SHERRY RAHL | ||||||||
| 5268 E 500 S | KOKOMO | IN | 46902 | BOARD MEMBER | 0.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOROTHY DEWITT | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 412 W SYCAMORE | AddressLine1 |
| City | KOKOMO | City |
| State | IN | State |
| ZIP Code | 46901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7654522333 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction With Control Entity | 0 | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30492 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 74384 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 68982 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71071 | CurrentTaxYearMinus1Year |
| Current Tax Year | 48609 | CurrentTaxYear |
| Total | 293538 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 36802 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 44148 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 43335 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 40341 | CurrentTaxYearMinus1Year |
| Current Tax Year | 39468 | CurrentTaxYear |
| Total | 204094 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 67294 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 118532 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 112317 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 111412 | CurrentTaxYearMinus1Year |
| Current Tax Year | 88077 | CurrentTaxYear |
| Total | 497632 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 22500 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34710 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17500 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5000 | CurrentTaxYear |
| Total | 79710 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 22500 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34710 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17500 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5000 | CurrentTaxYear |
| Total | 79710 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 417922 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 422 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 202 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 36 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 37 | CurrentTaxYearMinus1Year |
| Current Tax Year | 356 | CurrentTaxYear |
| Total | 1053 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 422 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 202 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 36 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 37 | CurrentTaxYearMinus1Year |
| Current Tax Year | 356 | CurrentTaxYear |
| Total | 1053 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 67716 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 118734 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 112353 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 111449 | CurrentTaxYearMinus1Year |
| Current Tax Year | 88433 | CurrentTaxYear |
| Total | 498685 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.83800 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.84870 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00210 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00230 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CAR SHOW | NameOfEvent1 |
| Gross Receipts Event1 | 5545 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 5545 | CharitableContributionsEvent1 |
| Other Direct Expenses Event1 | 2054 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF OUTING | NameOfEvent2 |
| Gross Receipts Event2 | 9047 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 9047 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 3457 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 18257 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 18257 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 6829 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 32849 | GrossReceiptsTotal |
| Charitable Contributions Total | 5545 | CharitableContributionsTotal |
| Gross Revenue Total Events | 27304 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 12340 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 12340 | DirectExpenseSummaryEvents |
| Net Income Summary | 14964 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | 356.. |
| INCOME FROM SALES OF INVENTORY | FORM 990-EZ, PART I, LINE 7 | INCOME: GROSS RECEIPTS: 14,566. RETURNS AND ALLOWANCES: 0. LESS COST OF GOODS SOLD: 9,142. GROSS PROFIT: 5,424. COST OF GOODS SOLD: INVENTORY AT BEGINNING OF YEAR: 1,406. MERCHANDISE PURCHASED: 8,062. COST OF LABOR: 0. MATERIALS AND SUPPLIES: 0. OTHER COSTS: 0. INVENTORY AT END OF YEAR: 326. COST OF GOODS SOLD: 9,142. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: PROGRAM SERVICE EXPENSE. AMOUNT: 17,332. DESCRIPTION: DUES AND SUBSCRIPTIONS. AMOUNT: 705. DESCRIPTION: BANK CHARGES. AMOUNT: 550. DESCRIPTION: PAYROLL TAXES. AMOUNT: 3,131. DESCRIPTION: MARKETING. AMOUNT: 1,793. DESCRIPTION: MISCELLANEOUS EXPENSE. AMOUNT: 749. TOTAL TO FORM 990-EZ, LINE 16: 24,260. |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | DESCRIPTION: RECEIVABLE FROM AFFILIATED ORGANIZATION. BEG. OF YEAR AMOUNT: 643. END OF YEAR AMOUNT: 5,784. DESCRIPTION: INVENTORIES. BEG. OF YEAR AMOUNT: 4,988. END OF YEAR AMOUNT: 326. DESCRIPTION: INVESTMENTS - RAYMOND JAMES. BEG. OF YEAR AMOUNT: 5,232. END OF YEAR AMOUNT: 12,994. |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | DESCRIPTION: ACCOUNTS PAYABLE AND ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 11,158. END OF YEAR AMOUNT: 12,835. DESCRIPTION: GIFT CERTIFICATES. BEG. OF YEAR AMOUNT: 63. END OF YEAR AMOUNT: 38. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | Declaration |