Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on this filing.
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
No value available
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on this filing.
Net Margin
13th percentile
Higher net margin than 13% of similar nonprofits.
Top Officer Pay
Score unavailable
This filing does not contain officer compensation rows.
Asset Growth
1st percentile
Faster asset growth than 1% of similar nonprofits.
Revenue Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Balance Sheet
Assets
Down$0
Down $57,723 (-100%) from 2012
Net Assets
Down$0
Down $37,887 (-100%) from 2012
Liabilities
-
No earlier filing loaded for comparison.
Revenue And Expenses
Revenue
$138,623
No earlier filing loaded for comparison.
Expenses
Down$176,510
Down $81,220 (-32%) from 2012
Net Income
-$37,887
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2013 to Dec 31, 2013
- Signed
- Aug 8, 2014
- Return Version
- 2013v3.1
- Gross Receipts
- $138,623
Mission and Program Overview
Mission
Provides health assistance to those in need.
Program Services
| Description | Grants | Expenses |
|---|---|---|
| PROVIDES HEALTH CARE AND HEALTH EDUCATION TO THE INDIGENT POPULATION OF THE SOUTH FORK OF LONG ISLAND, NEW YORK. | $142,721 | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| MARY LANE | President | PT | $0 | - | - |
| DOREEN QUARANTO | Director | - | $0 | - | - |
| JOAN GARRO | Vice President | PT | $0 | - | - |
| MARTHA POTTER | Director | - | $0 | - | - |
| MARGUERITE LEENY | Director | - | $0 | - | - |
| EDNA STECK | Treasurer | PT | $0 | - | - |
| AUDREY GAINES | Director | - | $0 | - | - |
| SUE AVEDON | Director | - | $0 | - | - |
| SHEILA ROGERS | Director | - | $0 | - | - |
| ISABEL SEPULVEDA-DE-SCANLON | Director | - | $0 | - | - |
Filing and Contact Details
Filer
- EIN
- 11-2680312
- Phone
- 6313298430
Signing Officer
- Name
- Mary Lane
- Title
- President
- Signed
- 2014-08-08
- Discuss with paid preparer
- Yes
Preparer
- Preparer
- Thomas E Oplinger CPA
- Phone
- 6312832370
Supplemental Narrative
Additional Explanations
Other Expenses.1002
“Office Expenses $2921”
Other Expenses.1012
“Insurance $4524”
Other Expenses.1
“Patient care expenses $58960”
Other Expenses.3
“Contribution to ehhcf $2824”
Other Expenses.4
“PROGRAM SERVICES $2317”
Other Expenses.5
“Payroll processing fees $1558”
Other Expenses.6
“NYS FILING FEE $70”
Other Expenses.7
“BANK CHARGES $42”
Other Assets.1006
“Pledges and Grants Receivable - Beginning $46322 Pledges and Grants Receivable - Ending $0”
Total Liabilities.1001
“Accounts Payable and Accrued Expenses - Beginning $19410 Accounts Payable and Accrued Expenses - Ending $0”
Total Liabilities.1
“PAYROLL TAXES PAYABLE - Beginning $426 PAYROLL TAXES PAYABLE - Ending $0”
Changes to Organizing or Governing Documents
“The Organization passed a resolution to dissolve as of September 30, 2013. The Plan of Dissolution was signed on October 22, 2013. The final distribution of assets upon dissolution has been completed.”
Raw XML Appendix218 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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| IRS990EZ/BooksInCareOfDetail/USAddress/State | 0 | NY |
| IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCode | 0 | 11937 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt | 0 | 11401 |
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| IRS990EZ/FeesAndOtherPymtToIndCntrctAmt | 0 | 15400 |
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| IRS990EZ/FinalReturnInd | 0 | X |
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| IRS990EZ/ForeignOfficeInd | 0 | false |
| IRS990EZ/Form1120PolFiledInd | 0 | false |
| IRS990EZ/Form720FiledInd | 0 | false |
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| IRS990EZ/Form990TotalAssetsGrp/EOYAmt | 0 | 0 |
| IRS990EZ/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990EZ/GrossReceiptsAmt | 0 | 138623 |
| IRS990EZ/GrossReceiptsForPublicUseAmt | 0 | 0 |
| IRS990EZ/InfoInScheduleOPartIIInd | 0 | X |
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| IRS990EZ/MadeLoansToFromOfficersInd | 0 | false |
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| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 5 | 0 |
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| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 8 | 0 |
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| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 2 | JOAN GARRO |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 3 | MARTHA POTTER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 4 | MARGUERITE LEENY |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 5 | EDNA STECK |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 6 | AUDREY GAINES |
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| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 8 | SHEILA ROGERS |
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| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 0 | President |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 1 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 2 | Vice President |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 3 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | Treasurer |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 6 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 7 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 8 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 9 | Director |
| IRS990EZ/OperateHospitalInd | 0 | false |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | true |
| IRS990EZ/OrganizationFiled990TInd | 0 | false |
| IRS990EZ/OrganizationHadUBIInd | 0 | false |
| IRS990EZ/OtherAssetsTotalDetail/BOYAmt | 0 | 46322 |
| IRS990EZ/OtherExpensesTotalAmt | 0 | 73216 |
| IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt | 0 | NONE |
| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | false |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | PROVIDES HEALTH ASSISTANCE TO THOSE IN NEED. |
| IRS990EZ/PrintingPublicationsPostageAmt | 0 | 4489 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | PROVIDES HEALTH CARE AND HEALTH EDUCATION TO THE INDIGENT POPULATION OF THE SOUTH FORK OF LONG ISLAND, NEW YORK. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt | 0 | 142721 |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990EZ/RelatedOrgSect527OrgInd | 0 | false |
| IRS990EZ/SalariesOtherCompEmplBnftAmt | 0 | 83405 |
| IRS990EZ/SchoolOperatingInd | 0 | false |
| IRS990EZ/SpecialEventsDirectExpensesAmt | 0 | 0 |
| IRS990EZ/SubjectToProxyTaxInd | 0 | false |
| IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt | 0 | 19836 |
| IRS990EZ/TanningServicesProvidedInd | 0 | false |
| IRS990EZ/TotalExpensesAmt | 0 | 176510 |
| IRS990EZ/TotalProgramServiceExpensesAmt | 0 | 142721 |
| IRS990EZ/TotalRevenueAmt | 0 | 138623 |
| IRS990EZ/TransactionWithControlEntInd | 0 | false |
| IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd | 0 | false |
| IRS990EZ/TypeOfOrganizationCorpInd | 0 | X |
| IRS990EZ/WebsiteAddressTxt | 0 | N/A |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 138623 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 231213 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 228719 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 293456 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 358028 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 1250039 |
| IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Post1975UBTIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 1.00000 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 1.00000 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 1250039 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 138623 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 231213 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 228719 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 293456 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 358028 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 1250039 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 138623 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 231213 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 228719 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 293456 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 358028 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 1250039 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990ScheduleN/AssetsDistributedInd | 0 | true |
| IRS990ScheduleN/AttorneyGeneralNotifiedInd | 0 | true |
| IRS990ScheduleN/BondLiabilitiesDischargedInd | 0 | false |
| IRS990ScheduleN/BondsOutstandingInd | 0 | false |
| IRS990ScheduleN/DirectorOfSuccessorInd | 0 | false |
| IRS990ScheduleN/EmployeeOfSuccessorInd | 0 | false |
| IRS990ScheduleN/LiabilitiesPaidInd | 0 | true |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 0 | CASH |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt | 0 | 2014-02-04 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN | 0 | 311633699 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt | 0 | 2824 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt | 0 | 501(C)3 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1 | 0 | 200 PANTIGO ROAD |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City | 0 | EAST HAMPTON |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State | 0 | NY |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode | 0 | 11937 |
| IRS990ScheduleN/OwnerOfSuccessorInd | 0 | false |
| IRS990ScheduleN/ReceiveCompensationInd | 0 | false |
| IRS990ScheduleN/RequiredToNotifyAGInd | 0 | true |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | Office Expenses $2921 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | Insurance $4524 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | PATIENT CARE EXPENSES $58960 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | CONTRIBUTION TO EHHCF $2824 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | PROGRAM SERVICES $2317 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | PAYROLL PROCESSING FEES $1558 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | NYS FILING FEE $70 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | BANK CHARGES $42 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | Pledges and Grants Receivable - Beginning $46322 Pledges and Grants Receivable - Ending $0 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 9 | Accounts Payable and Accrued Expenses - Beginning $19410 Accounts Payable and Accrued Expenses - Ending $0 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 10 | PAYROLL TAXES PAYABLE - Beginning $426 PAYROLL TAXES PAYABLE - Ending $0 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 11 | The Organization passed a resolution to dissolve as of September 30, 2013. The Plan of Dissolution was signed on October 22, 2013. The final distribution of assets upon dissolution has been completed. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Other Expenses.1002 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Other Expenses.1012 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Other Expenses.1 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Other Expenses.3 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | Other Expenses.4 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | Other Expenses.5 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | Other Expenses.6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | Other Expenses.7 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | Other Assets.1006 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 9 | Total Liabilities.1001 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 10 | Total Liabilities.1 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 11 | Changes to Organizing or Governing Documents |
| ReturnHeader/BuildTS | 0 | 2015-11-30 17:44:51Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | true |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | MARY LANE |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | President |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2014-08-08 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1 | 0 | SOUTH FORK COMMUNITY HEALTH INITIATIVE |
| ReturnHeader/Filer/BusinessName/BusinessNameLine2 | 0 | INC |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | SOUT |
| ReturnHeader/Filer/EIN | 0 | 112680312 |
| ReturnHeader/Filer/PhoneNum | 0 | 6313298430 |
| ReturnHeader/Filer/USAddress/AddressLine1 | 0 | 200 PANTIGO PLACE |
| ReturnHeader/Filer/USAddress/City | 0 | EAST HAMPTON |
| ReturnHeader/Filer/USAddress/State | 0 | NY |
| ReturnHeader/Filer/USAddress/ZIPCode | 0 | 11937 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1 | 0 | SABEL & OPLINGER CPA PC |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1 | 0 | PO BOX 1307 |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City | 0 | SOUTHAMPTON |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State | 0 | NY |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode | 0 | 119691307 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 6312832370 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | THOMAS E OPLINGER CPA |
| ReturnHeader/ReturnTs | 0 | 2014-08-08T11:33:25-07:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2013-01-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2013-12-31 |
| ReturnHeader/TaxYr | 0 | 2013 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2013 • Form 990EZDetailed filing. Detailed filing data is available for this year.
- Assets
- $0
- Liabilities
- -
- Net assets
- $0
- Revenue
- $138,623
- Expenses
- $176,510
- Net income
- -$37,887