Civic Intelligence

Unknown Organization

990 • Fiscal year 2014 • EIN 62-0912481

Mar 01, 2013 to Feb 28, 2014 • Filed on May 12, 2014

201 23rd Avenue North37203

(615) 690-4064

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Down

$0

Down $7,319 (-100%) from 2013

Net Assets

Up

$0

Up $84,666 (+100%) from 2013

Liabilities

Down

$0

Down $91,985 (-100%) from 2013

Revenue And Expenses

Revenue

$0

No earlier filing loaded for comparison.

Expenses

Down

$2,535

Down $19,158 (-88%) from 2013

Net Income

-$2,535

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$300K$200K$100K$0-$100KAssets 2010: $218,942Liabilities 2010: $71,499Net Assets 2010: $147,4432010Assets 2011: $168,221Liabilities 2011: $222,106Net Assets 2011: -$53,8852011Assets 2012: $32,238Liabilities 2012: $96,186Net Assets 2012: -$63,9482012Assets 2013: $7,319Liabilities 2013: $91,985Net Assets 2013: -$84,6662013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $2,691,0782010Expenses 2011: $1,835,9362011Expenses 2012: $1,106,4902012Expenses 2013: $21,6932013Revenue 2014: $0Expenses 2014: $2,535Net Income 2014: -$2,5352014

Highlighted filing

2014

Revenue$0
Expenses$2,535
Net Income-$2,535
Jump To
Filing Snapshot
Filing Period
Mar 1, 2013 to Feb 28, 2014
Signed
May 12, 2014
Return Version
2013v3.1
Gross Receipts
$0
Mission and Program Overview

Mission

The organization helps tennesseeans overcome barriers to receiving necessary medical care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$3,343--
Accounts Receivable$2,078--
Cash and Non-Interest-Bearing Accounts$1,898--
Total Assets$7,319$0▼ $7,319
Liabilities
Unsecured Notes Loans Payable$68,092--
Accounts Payable and Accrued Expenses$23,893--
Total Liabilities$91,985$0▼ $91,985
Net Assets / Fund Balance
Permanently Rstr Net Assets$-84,666--
Total Net Assets Fund Balance$-84,666$0▲ $84,666
Total Liabilities and Net Assets / Fund Balance$7,319$0▼ $7,319
Compensation and Service Providers

Board Members and Trustees

NameTitle
Todd CarterTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-2,535
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,535
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Legal-$1,826-$1,826
Insurance-$638-$638
Office Expenses-$71-$71
Total Functional Expenses$0$2,535$0$2,535
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
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 governing body review Part VI line 11

The treasurer reviews form 990 before filing with the internal revenue service.

Conflict of interest policy compliance Part VI line 12C

The treasurer monitors and reviews regularly the conflicts of interest policy.

Governing documents etc available to public Part VI line 19

The organization's financial statements, governing documents, and policies are available upon request.

Filing and Contact Details

Filer

EIN
62-0912481

Signing Officer

Name
Todd Carter
Title
Treasurer
Phone
6156904064
Signed
2014-05-12
Discuss with paid preparer
Yes

Organization Details

Formed
1973
Legal Domicile
Tn
Voting Board Members
1
Independent Board Members
1
Employees
0

Preparer

Preparer
Bob Bellenfant CPA
Phone
6153708700
Supplemental Narrative

Additional Explanations

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

Adjustment due to disolution of organization.

Raw XML Appendix257 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/ActivityOrMissionDesc0THE ORGANIZATION HELPS TENNESSEEANS OVERCOME BARRIERS TO RECEIVING NECESSARY MEDICAL CARE.
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/BooksInCareOfDetail/PersonNm0TODD CARTER
IRS990/BooksInCareOfDetail/PhoneNum06156904064
IRS990/BooksInCareOfDetail/USAddress/AddressLine10201 23RD AVENUE NORTH
IRS990/BooksInCareOfDetail/USAddress/City0NASHVILLE
IRS990/BooksInCareOfDetail/USAddress/State0TN
IRS990/BooksInCareOfDetail/USAddress/ZIPCode037203
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/TitleTxt0TREASURER
IRS990/Form990ProvidedToGvrnBodyInd0true
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IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt00
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt01
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt0638
IRS990/InsuranceGrp/TotalAmt0638
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0TN
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0THE ORGANIZATION HELPS TENNESSEEANS OVERCOME BARRIERS TO RECEIVING NECESSARY MEDICAL CARE.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0-84666
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt071
IRS990/OfficeExpensesGrp/TotalAmt071
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt087201
IRS990/PartialLiquidationInd0true
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt0-84666
IRS990/PoliticalCampaignActyInd0false
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IRS990/ProhibitedTaxShelterTransInd0false
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IRS990/PYOtherExpensesAmt08812
IRS990/PYProgramServiceRevenueAmt0975
IRS990/PYRevenuesLessExpensesAmt0-20718
IRS990/PYSalariesCompEmpBnftPaidAmt012881
IRS990/PYTotalExpensesAmt021693
IRS990/PYTotalRevenueAmt0975
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-2535
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/SavingsAndTempCashInvstGrp/BOYAmt03343
IRS990ScheduleA/First5Years509Ind0X
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0668117
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt01212420
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt02502211
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt04382748
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt04
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt06
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IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt019
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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt019
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportTotal509Amt04382748
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt01212420
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IRS990ScheduleA/Total509Grp/TotalAmt04382748
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0668121
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt01212426
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt02502220
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt04382767
IRS990/ScheduleBRequiredInd0false
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/AttorneyGeneralNotifiedInd0true
IRS990ScheduleN/BondLiabilitiesDischargedInd0false
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0DISOLUTION OF ORGANIZATION
IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt02014-02-06
IRS990ScheduleN/LiabilitiesPaidInd0true
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IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE TREASURER REVIEWS FORM 990 BEFORE FILING WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE TREASURER MONITORS AND REVIEWS REGULARLY THE CONFLICTS OF INTEREST POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND POLICIES ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ADJUSTMENT DUE TO DISOLUTION OF ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Conflict of interest policy compliance Part VI line 12c
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
IRS990/SchoolOperatingInd0false
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IRS990/UponRequestInd0X
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IRS990/VotingMembersIndependentCnt01
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0TODD CARTER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum06156904064
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-05-12
ReturnHeader/Filer/BusinessName/BusinessNameLine10CI SERVICES INC
ReturnHeader/Filer/BusinessNameControlTxt0CISE
ReturnHeader/Filer/EIN0620912481
ReturnHeader/Filer/USAddress/AddressLine10201 23RD AVENUE NORTH
ReturnHeader/Filer/USAddress/City0NASHVILLE
ReturnHeader/Filer/USAddress/State0TN
ReturnHeader/Filer/USAddress/ZIPCode037203
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0270187314
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10BELLENFANT & MILES PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10136 WILSON PIKE CIRCLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0BRENTWOOD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0TN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode037027
ReturnHeader/PreparerPersonGrp/PhoneNum06153708700
ReturnHeader/PreparerPersonGrp/PreparationDt02014-08-08
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BOB BELLENFANT CPA
ReturnHeader/ReturnTs02014-08-08T13:47:06-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-07-01
ReturnHeader/TaxPeriodEndDt02014-02-06
ReturnHeader/TaxYr02013

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Filings