CAT CAY MEDICAL CLINIC FOUNDATION: Form 990PF, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: CAT CAY MEDICAL CLINIC FOUNDATION (EIN 20-5221502)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-08-15
IRS object ID: 201132279349100303
Schema version: 2010v3.2
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
Form 990-PF
Schedule B
Depreciation Schedule
Land Etc Schedule2
Legal Fees Schedule
Other Expenses Schedule
Substantial Contributors Sch

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-15T07:08:57-07:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lavelle & Finn LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	29 British American Boulevard	AddressLine1
City	Latham	City
State	NY	State
ZIP Code	121101405	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	205221502	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CAT CAY MEDICAL CLINIC FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CATC	NameControl
Phone	9543599575	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1050 LEE WAGENER BLVD	AddressLine1
City	FT LAUDERDALE	City
State	FL	State
ZIP Code	33315	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOSEPH L POLLIO JR	Name
Title	President	Title
Date Signed	2011-08-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOHN H LAVELLE CPA LLM	Name
Phone	5188696227	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Address Change	X	AddressChange
Exempt PF	X	ExemptPF
FMV Assets EOY	57546	FMVAssetsEOY
Method Of Accounting Cash	X	MethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Contri Received Rev And Expnss	21250	ContriReceivedRevAndExpnss
Net Gain Sale Assets Rev And Expnss	0	NetGainSaleAssetsRevAndExpnss
Total Revenue And Expenses	21250	TotalRevenueAndExpenses
Total Net Investment Income	0	TotalNetInvestmentIncome
Legal Fees Rev And Expnss	9801	LegalFeesRevAndExpnss
Legal Fees Dsbrs Chrtbl Prps	9801	LegalFeesDsbrsChrtblPrps
Deprec And Depletion Rev And Expnss	3565	DeprecAndDepletionRevAndExpnss
Other Expenses Rev And Expnss	338	OtherExpensesRevAndExpnss
Other Expenses Dsbrs Chrtbl Prps	145	OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss	13704	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	0	TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	9946	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	0	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	0	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	13704	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	0	TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps	9946	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	7546	ExcessOfRevenueOverExpenses
Net Investment Income	0	NetInvestmentIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash BOY	50000	CashBOY
Cash EOY	36165	CashEOY
Cash EOYFMV	36165	CashEOYFMV
Land Building And Equipment Basis	24946	LandBuildingAndEquipmentBasis
Accum Deprec Land Bldg And Equip	3565	AccumDeprecLandBldgAndEquip
Land Building And Equipment EOY	21381	LandBuildingAndEquipmentEOY
Land Building And Equipment EOYFMV	21381	LandBuildingAndEquipmentEOYFMV
Total Assets BOY	50000	TotalAssetsBOY
Total Assets EOY	57546	TotalAssetsEOY
Total Assets EOYFMV	57546	TotalAssetsEOYFMV
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Capital Stock BOY	50000	CapitalStockBOY
Capital Stock EOY	57546	CapitalStockEOY
Total Net Assets BOY	50000	TotalNetAssetsBOY
Total Net Assets EOY	57546	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	50000	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	57546	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	50000	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	7546	ExcessOfRevenueOverExpenses
Subtotal	57546	Subtotal
Total Net Assets Fund Balances EOY	57546	TotalNetAssetsFundBalancesEOY

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Investment Income Excise Tax	0	InvestmentIncomeExciseTax
Amount Credited To Next Year	0	AmountCreditedToNextYear

Statements Regarding Activities StatementsRegardingActivities

Field	Value	IRS element (for citing)
Legislative Political Activities	false	LegislativePoliticalActivities
More Than100 Spent	false	MoreThan100Spent
Form1120 POL Filed	false	Form1120POLFiled
Activities Not Prev Reported	false	ActivitiesNotPrevReported
Changes To Articles Or Bylaws	false	ChangesToArticlesOrBylaws
Unrelated Bus Income Over1000	false	UnrelatedBusIncomeOver1000
Form990 T Filed	false	Form990TFiled
Termination Etc	false	TerminationEtc
Requirements Of Sect508e	true	RequirementsOfSect508e
At Least5000 In Assets	true	AtLeast5000InAssets
States Filed With	SC	StatesFiledWith
States Filed With	FL	StatesFiledWith
Form990 PF Filed With AG	true	Form990PFFiledWithAG
Private Operating Foundation	true	PrivateOperatingFoundation
New Substantial Contributors	true	NewSubstantialContributors
Interest In Controlled Entity	false	InterestInControlledEntity
Applicable Insurance Contract	false	ApplicableInsuranceContract
Comply With Public Inspection Rqr	true	ComplyWithPublicInspectionRqr
Website Address	N/A	WebsiteAddress

Books In Care Of Business Name BooksInCareOfBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TREVOR STEWART	BusinessNameLine1

Field	Value	IRS element (for citing)
Books In Care Of Phone Number	9543599575	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	1050 LEE WAGENER BLVD	AddressLine1
City	FT LAUDERDALE	City
State	FL	State
ZIP Code	33315	ZIPCode

Field	Value	IRS element (for citing)
Foreign Bank	false	ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

Field	Value	IRS element (for citing)
Sale Or Exchange With Dsqfly Person	false	SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person	false	BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person	true	FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person	false	PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person	false	TransferAssetsToDsqflyPerson
Payment To Government Offical	false	PaymentToGovernmentOffical
Acts Fail To Qualify As Exceptions	false	ActsFailToQualifyAsExceptions
Uncorrected Prior Acts	false	UncorrectedPriorActs
Undistributed Income Prior Years	false	UndistributedIncomePriorYears
Undistr Income4942a2 Not Applied	false	UndistrIncome4942a2NotApplied
Business Holdings	false	BusinessHoldings
Excess Business Holdings	false	ExcessBusinessHoldings
Jeopardy Investments	false	JeopardyInvestments
Uncorrected Jeopardy Investments	false	UncorrectedJeopardyInvestments
Influence Legislation	false	InfluenceLegislation
Influence Election	false	InfluenceElection
Grants To Individuals	false	GrantsToIndividuals
Grants To Organizations	false	GrantsToOrganizations
Noncharitable Purpose	false	NoncharitablePurpose
Tr Fail To Qualify As Exceptions	false	TrFailToQualifyAsExceptions
Maint Expend Responsibility	false	MaintExpendResponsibility
Rcv Funds To Pay Prsnl Bnft Contract	false	RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract	false	PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn	false	ProhibitedTaxShelterTransactn
Proceeds Or Net Income	false	ProceedsOrNetIncome

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	TitleTitle	Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition	CompensationCompensation
SANDRA MACMILLAN
1050 LEE WAGENER BLVD 103	FT LAUDERDALE	FL	33315	Director	0.00	0
ALLEN DAVIS
1050 LEE WAGENER BLVD 103	FT LAUDERDALE	FL	33315	Director	0.00	0
ELIZABETH POLLIO
100 CAPE FLORIDA DRIVE	KEY BISCAYNE	FL	33149	Director	0.00	0
JOSEPH L POLLIO JR
100 CAPE FLORIDA DRIVE	KEY BISCAYNE	FL	33149	President/DIREC	0.00	0

Field	Value	IRS element (for citing)
Comp Of Highest Paid Empl NONE	NONE	CompOfHighestPaidEmplNONE
Comp Of Hghst Paid Cntrct NONE	NONE	CompOfHghstPaidCntrctNONE

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

Field	Value	IRS element (for citing)
Description1	OPERATE A SMALL MEDICAL CLINIC THAT PROVIDES PRIMARY CARE AND EMERGENCY STABILIZATION CARE TO A REMOTE CAY IN THE NORTHERN BAHAMAS.	Description1
Expenses1	0	Expenses1

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	0	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	47095	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	47095	TotalFMVOfUnusedAssets
Reduction Claimed	0	ReductionClaimed
Adj Total FMV Of Unused Assets	47095	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	706	CashDeemedCharitable
Net Noncharitable Assets	46389	NetNoncharitableAssets
Minimum Investment Return	2319	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Sect4942j3j5 Fndtn And Frgn Org	X	Sect4942j3j5FndtnAndFrgnOrg

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	9946	ExpensesAndContributions
Qualifying Distributions	9946	QualifyingDistributions
Adj Qualifying Distributions	9946	AdjQualifyingDistributions

Private Operating Foundations PrivateOperatingFoundations

Field	Value	IRS element (for citing)
Date Of Ruling	2010-07-20	DateOfRuling
Section4942j3	X	Section4942j3

Lessor Adj Net Incm Min Invst Return LessorAdjNetIncmMinInvstReturn

Field	Value	IRS element (for citing)
Current Year	0	CurrentYear
Total	0	Total

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Current Year	9946	CurrentYear
Total	9946	Total

Qlfy Distri Made Directly QlfyDistriMadeDirectly

Field	Value	IRS element (for citing)
Current Year	9946	CurrentYear
Total	9946	Total

Total Assets TotalAssets

Field	Value	IRS element (for citing)
Current Year	57546	CurrentYear
Year1	50000	Year1
Total	107546	Total

Two Thirds Min Invst Return TwoThirdsMinInvstReturn

Field	Value	IRS element (for citing)
Current Year	1546	CurrentYear
Year1	136	Year1
Total	1682	Total

Supplementary Information SupplementaryInformation

Field	Value	IRS element (for citing)
Only Contributes To Preselected	X	OnlyContributesToPreselected

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	false	TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO	false	TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets	false	SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO	false	PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc	false	RentalOfFacilitiesEtc
Reimbursement Arrangements	false	ReimbursementArrangements
Loans Or Loan Guarantees	false	LoansOrLoanGuarantees
Performance Of Services Etc	false	PerformanceOfServicesEtc
Sharing Of Facilities Etc	false	SharingOfFacilitiesEtc
Relationships Noncharitable E Os	false	RelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	X	Organization501c3ExemptPF
General Rule	X	GeneralRule

Contributor Info ContributorInfo (2 entries)

Contributor NumberContributorNumber	Contributor Name IndividualContributorNameIndividual	Address Line1ContributorAddressUS/AddressLine1	CityContributorAddressUS/City	StateContributorAddressUS/State	ZIP CodeContributorAddressUS/ZIPCode	Aggregate ContributionsAggregateContributions	Person Contribution TypePersonContributionType
2	CARL D DOVERSPIKE	2373 NE 28th Court	LIGHTHOUSE POINT	FL	33064	10000	X
1	MEREDYTH ANNE DASBURG FOUNDATION	791 CRANDON BLVD408	KEY BISCAYNE	FL	33149	10000	X

Depreciation Schedule DepreciationSchedule

Depreciation Depreciation

Field	Value	IRS element (for citing)
Description Of Property	SONOSITE MED. EQUIPMENT	DescriptionOfProperty
Date Acquired	2010-03-15	DateAcquired
Cost Or Other Basis	24946	CostOrOtherBasis
Computation Method	57	ComputationMethod
Rate	0.1429	Rate
Current Year Expense	3565	CurrentYearExpense

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtc

Field	Value	IRS element (for citing)
Category Or Item	Machinery and Equipment	CategoryOrItem
Cost Or Other Basis	24946	CostOrOtherBasis
Accumulated Depreciation	3565	AccumulatedDepreciation
Book Value	21381	BookValue
EOYFMV	21381	EOYFMV

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFees

Field	Value	IRS element (for citing)
Category	LAVELLE & FINN, LLP	Category
Amount	$9,801	Amount
Net Investment Income	0	NetInvestmentIncome
Adjusted Net Income	0	AdjustedNetIncome
Disbursements Charitable Prps	9801	DisbursementsCharitablePrps

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	Revenue And Expenses Per BooksRevenueAndExpensesPerBooks	Disbursements Charitable PrpsDisbursementsCharitablePrps
FLORIDA REGISTRATION FEES	145	145
BANK SERVICE CHARGES	193

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor SubstantialContributor (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode
MEREDYTH ANNE DASBURG FOUNDATION
791 CRANDON BLVD	KEY BISCAYNE	FL	33149
CARL DOVERSPIKE
2373 NE 28TH COURT	LIGHTHOUSE POINT	FL	33064