Civic Intelligence

Vital Injection Inc.

990 • Fiscal year 2019 • EIN 32-0011589

Jan 01, 2019 to Dec 31, 2019 • Filed on Oct 14, 2020

Organization Profile
12687 Clark StreetCrown Point, IN 46307

(219) 226-2992

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

57th percentile

0.00x

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

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Liabilities / Revenue

57th percentile

0.00x

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

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Net Margin

26th percentile

-8.3%

Higher net margin than 26% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Top Officer Pay

77th percentile

$0

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2019 filings • 501(c)3 • <$500k nonprofits • Source year 2019

Asset Growth

9th percentile

-49%

Faster asset growth than 9% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Annualized from 2018 to 2019

Revenue Growth

31st percentile

-13%

Faster revenue growth than 31% of similar nonprofits.

2019 filings • 501(c)3 • <$500k nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / Assets57th percentile

Assets

Down

$17,018

Down $16,672 (-49%) from 2018

Net Assets

Down

$17,018

Down $16,672 (-49%) from 2018

Liabilities

Flat

$0

Flat from 2018

Revenue And Expenses
Liabilities / Revenue57th percentileNet Margin26th percentile

Revenue

Down

$55,000

Down $8,000 (-13%) from 2018

Expenses

Up

$59,582

Up $12,285 (+26%) from 2018

Net Income

Down

-$4,582

Down $20,285 (-129%) from 2018

Historical Trend

Balance Sheet Trend

Asset Growth9th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$40K$30K$20K$10K$0Assets 2010: $8,724Liabilities 2010: $0Net Assets 2010: $8,7242010Assets 2011: $1,879Liabilities 2011: $0Net Assets 2011: $1,8792011Assets 2012: $11,156Liabilities 2012: $0Net Assets 2012: $11,1562012Assets 2014: $165Liabilities 2014: $0Net Assets 2014: $1652014Assets 2017: $17,987Liabilities 2017: $0Net Assets 2017: $17,9872017Assets 2018: $33,690Liabilities 2018: $0Net Assets 2018: $33,6902018Assets 2019: $17,018Liabilities 2019: $0Net Assets 2019: $17,0182019Assets 2020: $16,168Liabilities 2020: $0Net Assets 2020: $16,1682020

Highlighted filing

2019

Assets$17,018
Liabilities$0
Net Assets$17,018
Open 2019 Filing

Operations Trend

Revenue Growth31st percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100K$50K$0-$50KExpenses 2010: $75,0082010Expenses 2011: $68,5432011Expenses 2012: $59,4742012Revenue 2014: $37,500Expenses 2014: $60,361Net Income 2014: -$22,8612014Revenue 2017: $89,760Expenses 2017: $91,093Net Income 2017: -$1,3332017Revenue 2018: $63,000Expenses 2018: $47,297Net Income 2018: $15,7032018Revenue 2019: $55,000Expenses 2019: $59,582Net Income 2019: -$4,5822019Revenue 2020: $22,000Expenses 2020: $22,850Net Income 2020: -$8502020

Highlighted filing

2019

Revenue$55,000
Expenses$59,582
Net Income-$4,582
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Oct 14, 2020
Return Version
2019v5.1
Gross Receipts
$55,000
Mission and Program Overview

Mission

Ministry of jesus christ through medical missions to less medically developed locations both foreign and domestic.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$33,690$17,018▼ $16,672
Rtn Earn Endowment Incm Other Fnds$33,690$17,018▼ $16,672
Total Assets$33,690$17,018▼ $16,672
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$33,690$17,018▼ $16,672
Total Liabilities and Net Assets / Fund Balance$33,690$17,018▼ $16,672
Compensation and Service Providers
Top Officer Pay77th percentile

Board Members and Trustees

NameTitle
Brent JacobusPresident
Arlyn JacobusSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$55,000
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$55,000
Change in Net Assets
$-4,582
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$49,900
Grants and Similar Amounts Paid$9,682
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Occupancy$49,000--$49,000
Grants to Domestic Individuals$4,900--$4,900
Grants to Domestic Orgs$4,782--$4,782
Other Expenses$900--$900
Total Functional Expenses$59,582$0$0$59,582
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
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

Officer directors etc family relationship Part VI line 2

“Doctors arlyn and brent jacobus are father and son, president and secretary, respectively.”

Form 990 governing body review Part VI line 11

“Doctors arlyn and brent jacobus thoroughly review the complete form 990 and all associated schedules, as sent to them, via email, from their accountant.”

Governing documents etc available to public Part VI line 19

“The public may request copies of any and all documents that legally require public disclosure by making a written request to to vital injection inc. At their address of record. Alternately, a member of the public may make such a request in person at the respective medical practices of said doctors during regular business hours.”

Filing and Contact Details

Filer

Filer Name
Vital Injection Inc
EIN
32-0011589
Address
12687 CLARK STREET, CROWN POINT, IN 46307
Doing Business As
Vital Injection Inc

Signing Officer

Name
Brent Jacobus
Title
President
Phone
2192262992
Signed
2020-10-14
Discuss with paid preparer
No

Organization Details

Principal Officer
Brent Jacobus
Formed
1999
Legal Domicile
In
Voting Board Members
2
Independent Board Members
0
Employees
0

Preparer

Firm
Veritas Tax Services LLC
Address
8211 E Regal Place Ste 202, TULSA, OK 74133
Preparer
Jeremy A Sargent
Phone
9188580930
Supplemental Narrative

Additional Explanations

Explanation of other changes in net assets or fund balances Part XI line 9

“Adjusting entry for expired medical supplies”

Raw XML Appendix291 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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0DOCTORS ARLYN AND BRENT JACOBUS ARE FATHER AND SON, PRESIDENT AND SECRETARY, RESPECTIVELY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DOCTORS ARLYN AND BRENT JACOBUS THOROUGHLY REVIEW THE COMPLETE FORM 990 AND ALL ASSOCIATED SCHEDULES, AS SENT TO THEM, VIA EMAIL, FROM THEIR ACCOUNTANT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE PUBLIC MAY REQUEST COPIES OF ANY AND ALL DOCUMENTS THAT LEGALLY REQUIRE PUBLIC DISCLOSURE BY MAKING A WRITTEN REQUEST TO TO VITAL INJECTION INC. AT THEIR ADDRESS OF RECORD. ALTERNATELY, A MEMBER OF THE PUBLIC MAY MAKE SUCH A REQUEST IN PERSON AT THE RESPECTIVE MEDICAL PRACTICES OF SAID DOCTORS DURING REGULAR BUSINESS HOURS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ADJUSTING ENTRY FOR EXPIRED MEDICAL SUPPLIES
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Officer directors etc family relationship Part VI line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Explanation of other changes in net assets or fund balances Part XI line 9
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ReturnHeader/Filer/BusinessNameControlTxt0VITA
ReturnHeader/Filer/EIN0320011589
ReturnHeader/Filer/USAddress/AddressLine1Txt012687 CLARK STREET
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ReturnHeader/FilingSecurityInformation/IPDt02020-10-14
ReturnHeader/FilingSecurityInformation/IPTm023:58:56
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0461811346
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt08211 E Regal Place Ste 202
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0TULSA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd074133
ReturnHeader/PreparerPersonGrp/PhoneNum09188580930
ReturnHeader/PreparerPersonGrp/PreparationDt02020-10-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Jeremy A Sargent
ReturnHeader/ReturnTs02020-10-14T21:10:46-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$17,018
Liabilities
$0
Net assets
$17,018
Revenue
$55,000
Expenses
$59,582
Net income
-$4,582
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2020Detailed filing. Detailed filing data is available for this year.$16.2$0.00$16.2$22.0$22.9$0.85
2019Detailed filing. Detailed filing data is available for this year.$17.0$0.00$17.0$55.0$59.6$4.58
2018Detailed filing. Detailed filing data is available for this year.$33.7$0.00$33.7$63.0$47.3$15.7
2017Detailed filing. Detailed filing data is available for this year.$18.0$0.00$18.0$89.8$91.1$1.33
2014Detailed filing. Detailed filing data is available for this year.$0.17$0.00$0.17$37.5$60.4$22.9
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.2$0.00$11.2$59.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.88$0.00$1.88$68.5
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.72$0.00$8.72$75.0