Liabilities / Assets
66th percentile
Higher debt load relative to assets than 66% of similar nonprofits.
Good Samaritan Free Clinic
990EZ • Fiscal year 2013 • EIN 32-0024376
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.02x
Liabilities / Revenue
80th percentile
Higher debt load relative to revenue than 80% of similar nonprofits.
Net Margin
3rd percentile
Higher net margin than 3% of similar nonprofits.
Top Officer Pay
73rd percentile
Higher top officer pay than 73% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Revenue Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Balance Sheet
Assets
$40,265
No earlier filing loaded for comparison.
Net Assets
$39,290
No earlier filing loaded for comparison.
Liabilities
$975
No earlier filing loaded for comparison.
Revenue And Expenses
Revenue
$11,376
No earlier filing loaded for comparison.
Expenses
$33,744
No earlier filing loaded for comparison.
Net Income
-$22,368
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2013 to Dec 31, 2013
- Signed
- Jul 23, 2014
- Return Version
- 2013v3.0
- Gross Receipts
- $11,376
Mission and Program Overview
Mission
MEDICAL SERVICES
Program Services
| Description | Grants | Expenses |
|---|---|---|
| PROVIDE MEDICAL OFFICE VISITS FOR INDIVIDUALS WHO DO NOT HAVE MEDICAL INSURANCE AND DO NOT QUALIFY FOR STATE OR FEDERAL MEDICAL ASSISTANCE PROGRAMS | $0 | $21,939 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| KERRY HUMES | Secretary/Treasurer | - | $0 | - | - |
| REGINA BOLLAERT | President | - | $0 | - | - |
| DEBBIE BECHT | Vice President | - | $0 | - | - |
| KEVIN KURTH | Director | - | $0 | - | - |
| JAY WILSHIRE | Director | - | $0 | - | - |
| SUE HONSEY | Director | - | $0 | - | - |
| SIGRID ZAEHRINGER | Director | - | $0 | - | - |
| ALEXIA PATREMANIS | Director | - | $0 | - | - |
| LINDA GUEBERT | Director | - | $0 | - | - |
Filing and Contact Details
Filer
- EIN
- 32-0024376
- Phone
- 3097214156
Signing Officer
- Name
- Kerry Humes
- Title
- Treasurer
- Phone
- 3097214156
- Signed
- 2014-07-23
- Discuss with paid preparer
- Yes
Preparer
- Preparer
- James E Taylor
- Phone
- 3097623626
Supplemental Narrative
Additional Explanations
Form 990-ez, Part I, Line 4 - Other Investment Income
“Description: investment income. Amount: 1,257.”
Form 990-ez, Part I, Line 8 - Other Revenue
“Description: misc income. Amount: 1,435.”
Form 990-ez, Part I, Line 16 - Other Expenses
“Description: insurance. Amount: 5,436. Description: supplies. Amount: 2,307. Description: reimbursement. Amount: 10,472. Description: other costs. Amount: 219. Description: staff development. Amount: 414. Description: other expenses and fees. Amount: 689. Total to form 990-ez, line 16: 19,537.”
Form 990-ez, Part II, Line 26 - Other Liabilities
“Description: grants payable. Beg. Of year amount: 2,524. End of year amount: 975.”
Raw XML Appendix205 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.
| Path | # | Value |
|---|---|---|
| IRS990EZ/ActivitiesNotPreviouslyRptInd | 0 | 0 |
| IRS990EZ/AddressChangeInd | 0 | X |
| IRS990EZ/BooksInCareOfDetail/BusinessName/BusinessNameLine1 | 0 | KERRY HUMES |
| IRS990EZ/BooksInCareOfDetail/PhoneNum | 0 | 3097214106 |
| IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1 | 0 | 465 AVENUE OF THE CITIES |
| IRS990EZ/BooksInCareOfDetail/USAddress/City | 0 | EAST MOLINE |
| IRS990EZ/BooksInCareOfDetail/USAddress/State | 0 | IL |
| IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCode | 0 | 61244 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt | 0 | 64182 |
| IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt | 0 | 40265 |
| IRS990EZ/ChgMadeToOrgnzngDocNotRptInd | 0 | 0 |
| IRS990EZ/ContributionsGiftsGrantsEtcAmt | 0 | 8684 |
| IRS990EZ/DirectIndirectPltclExpendAmt | 0 | 0 |
| IRS990EZ/DonorAdvisedFndsInd | 0 | 0 |
| IRS990EZ/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990EZ/ExcessOrDeficitForYearAmt | 0 | -22368 |
| IRS990EZ/FeesAndOtherPymtToIndCntrctAmt | 0 | 1348 |
| IRS990EZ/FiledScheduleAInd | 0 | 1 |
| IRS990EZ/ForeignFinancialAccountInd | 0 | 0 |
| IRS990EZ/ForeignOfficeInd | 0 | 0 |
| IRS990EZ/Form990TotalAssetsGrp/BOYAmt | 0 | 64182 |
| IRS990EZ/Form990TotalAssetsGrp/EOYAmt | 0 | 40265 |
| IRS990EZ/GrossReceiptsAmt | 0 | 11376 |
| IRS990EZ/InfoInScheduleOPartIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartVInd | 0 | X |
| IRS990EZ/InvestmentIncomeAmt | 0 | 1257 |
| IRS990EZ/LobbyingActivitiesInd | 0 | 0 |
| IRS990EZ/MadeLoansToFromOfficersInd | 0 | 0 |
| IRS990EZ/MethodOfAccountingCashInd | 0 | X |
| IRS990EZ/NetAssetsOrFundBalancesBOYAmt | 0 | 61658 |
| IRS990EZ/NetAssetsOrFundBalancesEOYAmt | 0 | 39290 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt | 0 | 61658 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt | 0 | 39290 |
| IRS990EZ/OccupancyRentUtltsAndMaintAmt | 0 | 1299 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 0 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 1 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 2 | 0.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 3 | 0.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 4 | 0.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 5 | 0.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 6 | 0.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 7 | 1.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 8 | 0.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 4 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 5 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 6 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 7 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 8 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 0 | KERRY HUMES |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 1 | REGINA BOLLAERT |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 2 | DEBBIE BECHT |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 3 | KEVIN KURTH |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 4 | JAY WILSHIRE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 5 | SUE HONSEY |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 6 | SIGRID ZAEHRINGER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 7 | ALEXIA PATREMANIS |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 8 | LINDA GUEBERT |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 0 | SECRETARY/TREASURER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 1 | PRESIDENT |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 2 | VICE PRESIDENT |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 3 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 6 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 7 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 8 | DIRECTOR |
| IRS990EZ/OperateHospitalInd | 0 | 0 |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | 0 |
| IRS990EZ/OrganizationHadUBIInd | 0 | 0 |
| IRS990EZ/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990EZ/OtherExpensesTotalAmt | 0 | 19537 |
| IRS990EZ/OtherRevenueTotalAmt | 0 | 1435 |
| IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt | 0 | NONE |
| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | 0 |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | MEDICAL SERVICES |
| IRS990EZ/PrintingPublicationsPostageAmt | 0 | 93 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | PROVIDE MEDICAL OFFICE VISITS FOR INDIVIDUALS WHO DO NOT HAVE MEDICAL INSURANCE AND DO NOT QUALIFY FOR STATE OR FEDERAL MEDICAL ASSISTANCE PROGRAMS |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt | 0 | 0 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt | 0 | 21939 |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990EZ/SalariesOtherCompEmplBnftAmt | 0 | 11467 |
| IRS990EZ/ScheduleBNotRequiredInd | 0 | X |
| IRS990EZ/SchoolOperatingInd | 0 | 0 |
| IRS990EZ/StatesWhereCopyOfReturnIsFldCd | 0 | IL |
| IRS990EZ/SubjectToProxyTaxInd | 0 | 0 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt | 0 | 2524 |
| IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt | 0 | 975 |
| IRS990EZ/TanningServicesProvidedInd | 0 | 0 |
| IRS990EZ/TaxImposedOnOrganizationMgrAmt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4911Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4912Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4955Amt | 0 | 0 |
| IRS990EZ/TaxReimbursedByOrganizationAmt | 0 | 0 |
| IRS990EZ/TotalExpensesAmt | 0 | 33744 |
| IRS990EZ/TotalProgramServiceExpensesAmt | 0 | 21939 |
| IRS990EZ/TotalRevenueAmt | 0 | 11376 |
| IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd | 0 | 0 |
| IRS990EZ/TypeOfOrganizationCorpInd | 0 | X |
| IRS990EZ/WebsiteAddressTxt | 0 | WWW.GOODSAMARITANFREECLINIC.ORG |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Form990ScheduleAPartIVGrp/ExplanationTxt | 0 | MISCELLANEOUS |
| IRS990ScheduleA/Form990ScheduleAPartIVGrp/FormAndLineReferenceDesc | 0 | SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 8684 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 12392 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 70129 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 43537 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 97696 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 232438 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 1257 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 26 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 255 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 328 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 185 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 2051 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 1257 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 26 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 255 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 328 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 185 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 2051 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00870 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00480 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 1435 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 1435 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.98520 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99520 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 232438 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 8684 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 12392 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 70129 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 43537 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 97696 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 232438 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 11376 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 12418 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 70384 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 43865 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 97881 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 235924 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | DESCRIPTION: INVESTMENT INCOME. AMOUNT: 1,257. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | DESCRIPTION: MISC INCOME. AMOUNT: 1,435. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | DESCRIPTION: INSURANCE. AMOUNT: 5,436. DESCRIPTION: SUPPLIES. AMOUNT: 2,307. DESCRIPTION: REIMBURSEMENT. AMOUNT: 10,472. DESCRIPTION: OTHER COSTS. AMOUNT: 219. DESCRIPTION: STAFF DEVELOPMENT. AMOUNT: 414. DESCRIPTION: OTHER EXPENSES AND FEES. AMOUNT: 689. TOTAL TO FORM 990-EZ, LINE 16: 19,537. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | DESCRIPTION: GRANTS PAYABLE. BEG. OF YEAR AMOUNT: 2,524. END OF YEAR AMOUNT: 975. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES |
| TransferPrsnlBnftContractsDecl/DeclarationDesc | 0 | 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. |
| ReturnHeader/BuildTS | 0 | 2015-11-30 17:44:51Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | 1 |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | KERRY HUMES |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | TREASURER |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 3097214156 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2014-07-23 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1 | 0 | GOOD SAMARITAN FREE CLINIC |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | GOOD |
| ReturnHeader/Filer/EIN | 0 | 320024376 |
| ReturnHeader/Filer/PhoneNum | 0 | 3097214156 |
| ReturnHeader/Filer/USAddress/AddressLine1 | 0 | 2570 24TH STREET NO 127 |
| ReturnHeader/Filer/USAddress/City | 0 | ROCK ISLAND |
| ReturnHeader/Filer/USAddress/State | 0 | IL |
| ReturnHeader/Filer/USAddress/ZIPCode | 0 | 61201 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 421192621 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1 | 0 | CARPENTIER MITCHELL GODDARD & CO LLC |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1 | 0 | 4915 21ST AVE A |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City | 0 | MOLINE |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State | 0 | IL |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode | 0 | 61265 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 3097623626 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | JAMES E TAYLOR |
| ReturnHeader/ReturnTs | 0 | 2014-08-11T14:04:48-05:00 |
| 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
- $40,265
- Liabilities
- $975
- Net assets
- $39,290
- Revenue
- $11,376
- Expenses
- $33,744
- Net income
- -$22,368