Civic Intelligence

Dana L and Bertha Bv Clark Charitable

EIN 02-0463444 • 501(c)3 • Nashua, NH

Profile

Payments to southern nh regional medical center (formerly nashua memorial hospital) for expenses relating to equipment for the endoscopic unit or education of nurses.

20 Trafalgar Square Suite 505Nashua, NH 03063

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2020

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2020

Net Margin

1st percentile

-8271%

Higher net margin than 1% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

4th percentile

-99%

Faster revenue growth than 4% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Assets

Down

$0

Down $45,160 (-100%) from 2019

Liabilities

Flat

$0

Flat from 2019

Net Assets

Down

$0

Down $45,160 (-100%) from 2019

Revenue

Down

$546

Down $53,213 (-99%) from 2019

Expenses

Down

$45,706

Down $1,081,418 (-96%) from 2019

Net Income

Up

-$45,160

Up $1,028,205 (+96%) from 2019

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.5M$1.0M$500K$0Assets 2018: $1,118,525Liabilities 2018: $0Net Assets 2018: $1,118,5252018Assets 2019: $45,160Liabilities 2019: $0Net Assets 2019: $45,1602019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2020

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$2.0M$1.0M$0-$1.0M-$2.0MRevenue 2018: $77,723Expenses 2018: $26,732Net Income 2018: $50,9912018Revenue 2019: $53,759Expenses 2019: $1,127,124Net Income 2019: -$1,073,3652019Revenue 2020: $546Expenses 2020: $45,706Net Income 2020: -$45,1602020

Highlighted filing

2020

Revenue$546
Expenses$45,706
Net Income-$45,160

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Apr 7, 2022
Return Version
2020v4.2
Gross Receipts
$546
Mission and Program Overview

Mission

Payments to southern nh regional medical center (formerly nashua memorial hospital) for expenses relating to equipment for the endoscopic unit or education of nurses.

To support and improve the endoscopy unit and further education of nurses

Balance Sheet Detail
LineBeginningEndChange
Assets
Cap Stk Tr Prin Current Funds$992,884$0▼ $992,884
Savings and Temporary Cash Investments$45,160$0▼ $45,160
Cash and Non-Interest-Bearing Accounts-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Rtn Earn Endowment Incm Other Fnds$-947,724$0▲ $947,724
Total Assets$45,160$0▼ $45,160
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$45,160$0▼ $45,160
Total Liabilities and Net Assets / Fund Balance$45,160$0▼ $45,160
Compensation and Service Providers

Board Members and Trustees

NameTitle
Beth H DavisTrustee
Joseph W KennyTrustee
Michael RoseTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$546
Other Revenue
$0
Change in Net Assets
$-45,160
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$45,501
Other Expenses$205
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$45,501--$45,501
Other Expenses-$175-$175
Fees for Service Investment Mgmnt Fees-$30-$30
Total Functional Expenses$45,501$205$0$45,706
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Southern Nh Medical CenterNashua, NH501(c)(3)Gift to Establish Rstc Endowmentgift to Establish Rstc Endowment$45,501
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI

Form 990 is being amended to indicate that the 2020 return is "final return/terminated".

Form 990, Part VI, Section B, Line 11B

Reviewed by attorney joseph w. Kenny, hamblett & kerrigan pa, 20 trafalgar square, suite 505, nashua nh 03063.

Form 990, Part VI, Section C, Line 18

All available for viewing at 20 trafalgar square, suite 505, nashua nh, weekdays 9am-4pm.

Form 990, Part VI, Section C, Line 19

All available for viewing at 20 trafalgar square, suite 505, nashua nh, weekdays 9am - 4pm.

Filing and Contact Details

Filer

Filer Name
Dana L and Bertha Bv Clark Charitable
EIN
02-0463444
Phone
6038835501
Address
20 TRAFALGAR SQUARE SUITE 505, NASHUA, NH 03063

Signing Officer

Name
Joseph W Kenny Esquire
Title
Co-trustee
Phone
6038835501
Signed
2022-04-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joseph W Kenny Esquire
Formed
1994
Legal Domicile
Nh
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Hamblett & Kerrigan Pa
Address
20 TRAFALGAR SQ SUITE 505, NASHUA, NH 03063
Preparer
Joseph W Kenny
Phone
6038835501
Raw XML Appendix356 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/MoreThan5000KToIndividualsInd00
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990 IS BEING AMENDED TO INDICATE THAT THE 2020 RETURN IS "FINAL RETURN/TERMINATED".
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1REVIEWED BY ATTORNEY JOSEPH W. KENNY, HAMBLETT & KERRIGAN PA, 20 TRAFALGAR SQUARE, SUITE 505, NASHUA NH 03063.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL AVAILABLE FOR VIEWING AT 20 TRAFALGAR SQUARE, SUITE 505, NASHUA NH, WEEKDAYS 9AM-4PM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL AVAILABLE FOR VIEWING AT 20 TRAFALGAR SQUARE, SUITE 505, NASHUA NH, WEEKDAYS 9AM - 4PM.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
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ReturnHeader/BuildTS02022-05-20 13:21:51Z
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ReturnHeader/ReturnTs02022-04-07T14:03:36-05:00
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ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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