Pine Tree Hospice in Dovr Foxcroft, Maine (ME)
Table of contents:
| Pine Tree Hospice | |
| Employer Identification Number (EIN) | 010412347 |
| Name of Organization | Pine Tree Hospice |
| In Care of Name | Donna Hathaway |
| Address | 883 W Main St, Dovr Foxcroft, ME 04426-1029 |
| Activities | Other health services |
| Subsection | Charitable Organization |
| Ruling Date | 02/1987 |
| Deductibility | Contributions are deductible |
| Foundation | Organization which receives a substantial part of its support from a governmental unit or the general public |
| Organization | Corporation |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 09/2014 |
| Assets | $100,000 to $499,999 |
| Income | $100,000 to $499,999 |
| Filing Requirement | 990 (all other) or 990EZ return |
| Asset Amount | $222,285 |
| Amount of Income | $158,980 |
| Form 990 Revenue Amount | $158,980 |
Non-representatives - add comments:
Revenue for 2013
Support schedule
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total revenue | $146,480 | $147,984 | $178,796 |
| Contributions, gifts, grants, and similar amounts received | $132,702 | $135,953 | $165,511 |
| Program service revenue including government fees and contracts | $13,050 | $11,650 | $12,900 |
| Membership dues and assessments | $0 | $0 | $0 |
| Investment income | $128 | $133 | $385 |
| Gain/Loss from sale of assets other than inventory | $0 | $0 | $0 |
| Net income/loss from gaming and fundraising events | $0 | $0 | $0 |
| Gross profit/loss from sales of inventory | $0 | $0 | $0 |
| Other revenue | $600 | $248 | $0 |
| Total expenses | $150,676 | $135,242 | $138,793 |
| Total net assets | $112,102 | $124,845 | $164,847 |
| Excess/Deficit for the year | $-4,196 | $12,742 | $40,003 |
| Net assets or fund balances at beginning of year | $69,829 | $112,103 | $124,844 |
| Other changes in net assets or fund balances | $46,469 | $0 | $0 |
| Net assets or fund balances at end of year | $124,845 | $164,847 | |
| Balance Sheets | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total assets | $127,174 | $159,608 | $199,416 |
| Total liabilities | $15,072 | $34,763 | $34,569 |
| Net assets or fund balances | $112,102 | $124,845 | $164,847 |
| Other Information | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Did the organization engage in any significant activity not previously reported to the IRS? | No | No | |
| Were any significant changes made to the organizing or governing documents? | No | No | |
| Did the organization have unrelated business gross income of $1,000 or more during the year from business activities | No | No | No |
| Has the organization filed a Form 990-T for the year? | No | No | |
| Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? | No | No | |
| Amount of political expenditures, direct or indirect | $0 | $0 | |
| Did the organization file Form 1120-POL for this year? | No | No | |
| Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? | No | No | |
| Total amount involved | $0 | $0 | |
| Initiation fees and capital contributions | $0 | $0 | $0 |
| Gross receipts for public use of club facilities | $0 | $0 | $0 |
| Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? | No | No | |
| At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? | No | No | |
| Reason for Public Charity Status (for 2013) | |
| The organization is not a private foundation because it is: | An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi) |
| Number of organizations supported | 0 |
| Sum of amounts of support | $0 |
| Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (for 2009 - 2013) | |
| 2009 - 2013 Total | |
|---|---|
| Public Support | $354,071 |
| Subtotal Support | $354,071 |
| Gifts, grants, contributions, and membership fees received | $228,471 |
| Tax revenues levied for the organization's benefit and either paid to or expended on its behalf | $0 |
| The value of services or facilities furnished by a governmental unit to the organization without charge | $125,600 |
| The portion of total contributions by each person (other than a governmental unit or publicly supported organization) that exceeds 2% of the total support | $0 |
| Total Support | $743,058 |
| Public Support | $354,071 |
| Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources | $1,424 |
| Net income from unrelated business activities, whether or not the business is regularly carried on | $0 |
| Other income. Do not include gain or loss from the sale of capital assets | $387,563 |
| Gross receipts from related activities, etc. | $75,801 |
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| Id | Name | Address | State | Established | Total Income |
|---|---|---|---|---|---|
| 1 | Phippsburg Sportsmens Association Inc | 272 Main Road Po Box 298, Phippsburg, ME 04562 | ME | 2002-10 | $73,329 |
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| 3 | Physicians For Social Responsibility Inc, Maine | PO BOX 4744, Portland, ME 04112-4744 | ME | 1970-03 | $73,549 |
| 4 | Pi Beta Phi Maine Alpha Chapter University Of Maine Memorial Union | C/O Greek Life Office Pi Beta Phi, Orono, ME 04469-0001 | ME | 1967-02 | $0 |
| 5 | The Picker Institute Inc | PO BOX 777, Camden, ME 04843-0777 | ME | 1995-04 | $2,304,909 |
| 6 | Pierre Monteux Memorial Foundation | PO BOX 457, Hancock, ME 04640-0457 | ME | 1973-02 | $385,510 |
| 7 | Pine Crest Development Corp | 48 Morton Avenue, Dover Foxcroft, ME 04426-1180 | ME | 1997-11 | $4,003 |
| 8 | Pine Grove Cemetery Corp | PO BOX 2147, S Portland, ME 04116-2147 | ME | 1971-04 | $609,080 |
| 9 | Pine Island Camp Inc | PO BOX 242, Brunswick, ME 04011-0242 | ME | 1996-08 | $1,051,061 |
| 10 | Pine Tree Alcoholism Center For Women | PO BOX 729, Bar Mills, ME 04004-0729 | ME | 1975-07 | $164,176 |
| 11 | Pine Tree Hospice | 883 W Main St, Dovr Foxcroft, ME 04426-1029 | ME | 1987-02 | $158,980 |
| 12 | Pine Tree Legal Assistance Inc | 88 Federal St, Portland, ME 04101-4205 | ME | 1966-11 | $4,755,674 |
| 13 | Pine Tree Performing Arts Inc | PO BOX 10391, Portland, ME 04104-0391 | ME | 1994-03 | $29,002 |
| 14 | Pine Tree Quilters Guild | PO BOX 5405, Augusta, ME 04332-5405 | ME | 1982-10 | $162,176 |
| 15 | Pine Tree Society For Handicapped Children & Adults Inc | 149 Front St, Bath, ME 04530-2610 | ME | 1946-09 | $8,138,273 |
| 16 | 4-H Clubs & Affiliated 4-H Organizations, Pine Tree State 4-H Club Foundation | 5717 Corbett Hall, Orono, ME 04469-5717 | ME | 1965-04 | $114,393 |
| 17 | Viles Arboretum | 153 Hospital St, Augusta, ME 04330-0700 | ME | 1983-05 | $190,091 |
| 18 | Pinegrove Development Corporation | 4 Pine Grove Ln, York, ME 03909-1131 | ME | 2003-04 | $238,819 |
| 19 | Pines Health Services | PO BOX 40, Caribou, ME 04736-0040 | ME | 2005-01 | $20,091,649 |
| 20 | Pinewood Manor Inc | PO BOX 7354, Ocean Park, ME 04063-7354 | ME | 1979-06 | $616,205 |



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