Formosa Plastics Memorial Medical Center Tr No 184 in Port Lavaca, Texas (TX)

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Formosa Plastics Memorial Medical Center Tr No 184
Employer Identification Number (EIN)746432975
Name of OrganizationFormosa Plastics Memorial Medical Center Tr No 184
In Care of NameFirst Natl Bk In Port Lavaca Ttee
AddressPO BOX 7, Port Lavaca, TX 77979-0007
ActivitiesFundraising, Gifts, grants, or loans to other organizations, Hospital
SubsectionCharitable Organization
Ruling Date08/1996
DeductibilityContributions are deductible
FoundationPrivate non-operating foundation
OrganizationTrust
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$100,000 to $499,999
Income$25,000 to $99,999
Filing Requirement990 - Not required to file (all other)
Asset Amount$488,877
Amount of Income$28,470
Form 990 Revenue Amount$14,567
National Taxonomy of Exempt Entities (NTEE)Philanthropy, Voluntarism and Grantmaking Foundations: Private Grantmaking Foundations


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Amount of income in 2013: $28,470 (it was $75,774 in 2012)
This organization: 

 $28,470
Other organizations performing similar types of work: 

 $159,989

Assets in 2013: $488,877 (it was $501,354 in 2012)
Formosa Plastics Memorial Medical Center Tr No 184: 

 $488,877
Other organizations performing similar types of work: 

 $232,109

Expenses in 2013: $26,329
This organization: 

 $26,329
Other organizations performing similar types of work: 

 $84,860

Income to expenses ratio in 2013: 1.1
This organization: 

 1.1
Other organizations performing similar types of work: 

 1.2

Grants share in income in 2013: 0.0%
Formosa Plastics Memorial Medical Center Tr No 184: 

 0.0%
Other organizations performing similar types of work: 

 35.4%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Expenses for 2013

Analysis of Revenue and Expenses (for 2013)
Revenue and expenses per booksNet investment incomeAdjusted net incomeDisbursements for charitable purposes (cash basis only)
Total revenue$13,852$13,984$13,984
Contributions, gifts, grants, etc., received$0
Interest on savings and temporary cash investments$12,116
Dividends and interest from securities$1,868
Gross rents$0
Gross sales price for all assets$14,486
Gross profit from sales of goods$0
Other income$0
Total expenses and disbursements$26,329$2,329$0$24,000
Compensation of officers, directors, trustees, etc.$0
Pension plans, employee benefits$0
Legal fees$0
Accounting fees$380
Interest$0
Depreciation$0
Occupancy$0
Travel, conferences, and meetings$0
Printing and publications$0
Total operating and administrative expenses$2,329$2,329$0
Contributions, gifts, grants paid$24,000
Excess of revenue over expenses and disbursements$-12,477
Net investment income$11,655
Adjusted net income$13,984
Balance Sheets
201120122013
Book ValueFair Market ValueBook ValueFair Market ValueBook ValueFair Market Value
Total assets$474,550$479,146$501,354$504,406$488,877$490,484
Cash - non-interest-bearing$0$0$0
Investments-U.S. and state government obligations$67,446$45,398$30,780
Investments-corporate stock$0$0$0
Investments-corporate bonds$0$0$0
Investments-mortgage loans$0$0$0
Investments-other$0$0$0
Other assets$0$0
Total liabilities$1$1$1
Mortgages and other notes payable$0$0$0
Other liabilities$0$0
Total liabilities and net assets/fund balances$474,550$501,354$488,877
Capital Gains and Losses for Tax on Investment Income
201120122013
Capital gain net income$0$0$0
Net capital loss$-272$-199$-132
Excise Tax Based on Investment Income
201120122013
Domestic foundations that meet the section 4940(e) requirements (for Reduced Tax on Net Investment Income)NoNoNo
Tax based on investment income$251$128$233
Total credits and payments$0$0$0
Any penalty for underpayment of estimated tax$0$0$0
Tax due$128$233
Overpayment$0$0
Amount to be credited to next year's estimated tax$0$0$0
Statements Regarding Activities
201120122013
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign?NoNoNo
Has the foundation engaged in any activities that have not previously been reported to the IRS?NoNo
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or bylaws, or other similar instruments?NoNo
Has the foundation filed a tax return on Form 990-T for this year?NoNo
Was there a liquidation, termination, dissolution, or substantial contraction during the year?NoNoNo
Has the foundation furnished a copy of Form 990-PF to the Attorney General (or designate) of each state?YesYes
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for current calendar year or the taxable year beginning in this year?NoNoNo
Did any persons become substantial contributors during the tax year?NoNo
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges?NoNo
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?YesYes
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041NoNo
Statements Regarding Activities for Which Form 4720 May Be Required
201120122013
During the year did the foundation (either directly or indirectly):
Engage in the sale or exchange, or leasing of property with a disqualified person?NoNoNo
Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person?NoNoNo
Furnish goods, services, or facilities to (or accept them from) a disqualified person?NoNoNo
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?NoNoNo
Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person)?NoNoNo
Agree to pay money or property to a government official?NoNoNo
Did any of the acts fail to qualify under the exceptions described in Regulations section 53.4941(d)-3 or in a current notice regarding disaster assistance?NoNo
Did the foundation engage in a prior year in any of the acts, other than excepted acts, that were not corrected before the first day of the tax year beginning in this year?NoNo
At the end of this tax year, did the foundation have any undistributed income for tax year(s) beginning before this year?NoNoNo
Are there any years listed above for which the foundation is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistributed income?NoNo
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year?NoNoNo
Did the foundation have excess business holdings in this year as a result of (1) any purchase by the foundation or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3) the lapse of the 10-, 15-, or 20-year first phase holding period?NoNoNo
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?NoNoNo
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in this year?NoNo
During the year did the foundation pay or incur any amount to:
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?NoNoNo
Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly, any voter registration drive?NoNoNo
Provide a grant to an individual for travel, study, or other similar purposes?NoNoNo
Provide a grant to an organization other than a charitable, etc., organization described in section 509(a)(1), (2), or (3), or section 4940(d)(2)?NoNoNo
Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals?NoNoNo
Did any of the transactions fail to qualify under the exceptions described in Regulations section 53.4945 or in a current notice regarding disaster assistance?NoNo
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
Minimum Investment Return
201120122013
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes$497,049$485,159$508,075
Net value of noncharitable-use assets$477,882$500,454
Minimum investment return$24,480$23,894$25,023
Distributable Amount
201120122013
Distributable amount$24,229$23,766$24,790
Undistributed Income
201120122013
Distributable amount for this year$24,229$23,766$24,790
Undistributed income for this year. This amount must be distributed in the next year$0$0$0
Private Operating Foundations (for 2010 - 2013)
2013201220112010Total
The lesser of the adjusted net income or the minimum investment return$0$0$0$0$0
Qualifying distributions made directly for active conduct of exempt activities$0$0$0$0$0
Value of all assets$0$0$0$0$0
Value of assets qualifying under section 4942(j)(3)(B)(i)$0$0$0$0$0
2/3 of minimum investment return$0$0$0$0$0
Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties)$0$0$0$0$0
Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)$0$0$0$0$0
Gross investment income$0$0$0$0$0
Supplementary Information (for 2013)
Grants approved for future payment$0
Analysis of Income-Producing Activities (for 2013)
AmountRelated or exempt function income
Program service revenue
Fees and contracts from government agencies$0$0
Membership dues and assessments$0$0
Interest on savings and temporary cash investments$12,116$0
Dividends and interest from securities$1,868$0
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (for 2013)
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Transfers from the reporting foundation to a noncharitable exempt organization of:
CashNo
Other assetsNo
Other transactions:
Sales of assets to a noncharitable exempt organizationNo
Purchases of assets from a noncharitable exempt organizationNo
Rental of facilities, equipment, or other assetsNo
Reimbursement arrangementsNo
Loans or loan guaranteesNo
Performance of services or membership or fundraising solicitationsNo
Sharing of facilities, equipment, mailing lists, other assets, or paid employeesNo
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Dedman Foundation5956 Sherry Ln, Dallas, TX 75225-6519TX1996-10$18,475,527
2John T Opie Charitable Trust No 1, Ross David P AdminPO BOX 831041, Dallas, TX 75283-1041TX1997-10$4,353,465
3Uvmc Foundation3130 N County Road 25a, Troy, OH 45373-1337OH1998-05$3,212,155
4Richard A Odom Family Foundation, Arizona Community Foundation2201 E Camelback 405b, Phoenix, AZ 85016-3431AZ1998-01$2,034,934
5Royal E Rostenbach Foundation, Rostenbach Royal & Margaret B TteesPO BOX 803878, Chicago, IL 60680-3878IL1996-12$1,819,455
6S O C K Outstanding Students S O S Academy Inc6974 Wilson Blvd, Jacksonville, FL 32210-3663FL1998-10$1,279,682
7Reflections Ministries Inc3565 Piedmont Rd Ne Bldg 1-130, Atlanta, GA 30305-8204GA1998-10$1,257,394
8Theodore H Cutler Fam Tr, Cutler Theodore H And Joan Ttee300 First Avenue Room 300, Needham, MA 02494-2736MA1995-07$1,051,593
9Suzuki Music School Of Westport Inc212 Post Rd W, Westport, CT 06880-4604CT1998-09$986,354
10Joan & Verlin Jackson Foundation405 W Williams St, Atkinson, IL 61235-9789IL1998-06$945,722
11Samaritan Counseling Services Of The Gulf Coast Inc3224 Bee Ridge Rd, Sarasota, FL 34239-7201FL1997-10$805,398
12William And Sedelle Z Belson Tua 356-1106401 W 4th St 4th Fl, Winston Salem, NC 27101-3818NC1996-10$561,354
13Rushing Family Foundation Inc2737 82nd St, Lubbock, TX 79423-1429TX1995-08$413,740
14Message Of Life MinistriesBANK OF AMERICA NA PO BOX 831, Dallas, TX 75283-1041TX1997-10$282,525
15Winkelmann Charitable Foundation23922 Cinco Village Center Blvd 250, Katy, TX 77494TX1995-10$233,303
16Tr Ua Air Force Village-StevensBANK OF AMERICA NA PO BOX 831, Dallas, TX 75283-1041TX1997-08$38,287
17Formosa Plastics Memorial Medical Center Tr No 184PO BOX 7, Port Lavaca, TX 77979-0007TX1996-08$28,470
18Whitesboro Preservation Board Inc211 Center Street, Whitesboro, TX 76273TX1998-02$10
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20Christian Community Action Foundation200 S Mill Street, Lewisville, TX 75057TX1996-10$0
Number of organizations performing similar types of work
Alabama6
Arizona4
California10
Colorado4
Connecticut5
District of Columbia6
Delaware1
Florida30
Georgia14
Iowa1
Illinois12
Indiana4
Kansas1
Kentucky2
Louisiana9
Massachusetts13
Maryland20
Michigan5
Minnesota2
Mississippi2
North Carolina14
New Hampshire2
New Jersey13
New York27
Ohio8
Oklahoma1
Pennsylvania15
Rhode Island3
South Carolina4
Tennessee7
Texas10
Utah1
Virginia14
Vermont1
Wisconsin2
Wyoming1
International1
Total275

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