Nonprofit · EIN 33-1012005
DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC
Tax-exempt · OMAHA, NE 68105
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 990-EZ | $2,759 | $4,234 | -$1,475 | $45,350 | $0 | $45,350 |
| June 30, 2024 | 990-EZ | $4,452 | $8,125 | -$3,673 | $46,825 | $0 | $46,825 |
Financial details: 990-EZ for the year ended June 30, 2025
Revenue
- Contributions, gifts and grants
- $6,380
- Program service revenue
- $0
- Investment income
- $0
- Net income from sales of inventory
- -$3,621
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $3,313
- Compensation of officers, directors and key employees
- $0
- Salaries, compensation and benefits (total)
- $0
- Other expenses
- $921
Balance sheet and other
- Total assets, start of year
- $46,825
- Total assets, end of year
- $45,350
- Total liabilities, end of year
- $0
- Net assets, end of year
- $45,350
- Cash, savings and investments
- $45,350
- Gross receipts
- $14,219
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990-EZ for the year ended June 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| Ishwor Dhakal | President and Director of Nursing | 0.1 | $0 |
| Marti Christensen | Vice President, Retired Director of Nursing | 0.25 | $0 |
| Sherry Driver | Secretary and Administrator, CMHC | 0.25 | $0 |
| Mary Ann Borgeson | Board Member | 0.1 | $0 |
| Kristin Lynch | Board Member | 0.1 | $0 |
| Randall Walther | Treasurer, Finance | 2 | $0 |
| Debi Pittock | Board Member | 0.1 | $0 |
| Dr Sidney Kauzlarich | Board Member and Medical Director | 0.25 | $0 |
990-EZ for the year ended June 30, 2024: 8 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| Ishwor Dhakal | President and Director of Nursing | 0.25 | $0 |
| Mardie Christensen | Vice President, Retired Director of Nursing | 0.25 | $0 |
| Sherry Driver | Secretary and Administrator, CMHC | 0.5 | $0 |
| Mary Ann Borgeson | Board Member | 0.1 | $0 |
| Kristin Lynch | Board Member | 0.1 | $0 |
| Randall Walther | Treasurer, Finance | 3 | $0 |
| Debi Pittock | Board Member | 0.1 | $0 |
| Dr Sidney Kauzlarich | Board Member and Medical Director | 0.25 | $0 |
Address and contacts
- Address (IRS master file)
- 4102 WOOLWORTH AVENUE 5TH FL ADMIN, OMAHA, NE 68105-1851
- In care of
- % SID KAUZLARICH
- Mailing address (990-N for 2018)
- 4102 WOOLWORTH AVE 5TH FL5TH FLOOR, OMAHA NE 681051851
- Principal officer (990-N for 2018)
- Pilon Atkins, 4102 Woolworth Avenue, 5th Floor, Omaha NE 68105
- Signed the 990-EZ
- Robin Eichelberger, Treasurer
- Phone
- (402) 444-3474
- Website
- cmhc.douglascounty-ne.gov
Mission
Medication and hygiene supplies for approximately 345 patients. Patient transportation assistance including bus tickets throughout the Midwest, local cab fare for patients to doctor and hospital appointments, specialized medical equipment < $1,000 and pharmacy expenses.
Program accomplishments
- Provide support for CMHC patients and medical staff by providing expense coverage for emergency or unforeseen circumstances for the patients like a bus ticket home or cab fare to appointments or to the pharmacy; to continue lines of communication between family, doctors and care givers, and payment subsidies for pharmacy medications. Also provides testing or additional education fees (up to $300) for Medical professionals involved with the care of our patients.
What it must file and when
IRS records say it files Form 990-N (e-Postcard). Gross receipts normally $50,000 or less. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | June 30, 2026 | November 16, 2026 | Not due yet |
| 2024 | June 30, 2025 | November 17, 2025 | 990-EZ on file |
| 2023 | June 30, 2024 | November 15, 2024 | 990-EZ on file |
IRS record
- EIN
- 33-1012005
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Supporting organization (509(a)(3))
- Donations deductible (Pub 78)
- Supporting organization of unknown type
- Exempt since
- 2002
- Accounting year ends
- June
- Files
- Form 990-N (e-Postcard)
- Category (NTEE)
- Mental health and crisis intervention (F11)
- Assets (IRS master file)
- $45,350
- Income (IRS master file)
- $14,219
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990-EZ | June 2025 | $2,759 | $4,234 | $45,350 | XML |
| 990-EZ | June 2024 | $4,452 | $8,125 | $46,825 | XML |
| 990-EZ | June 2023 | – | – | – | IRS |
| 990-EZ | June 2022 | – | – | – | IRS |
| 990-EZ | June 2021 | – | – | – | IRS |
| 990-N for 2018 Officer: Pilon Atkins | June 30, 2019 | ≤ $50,000 receipts | – | – | e-Postcard |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 33-1012005).
Questions about DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC
- What is the EIN of DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC?
- The employer identification number (EIN) of DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC is 33-1012005.
- Is DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2002.
- Are donations to DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Supporting organization of unknown type).
- Which annual return does DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC file?
- Form 990-N (e-Postcard). Gross receipts normally $50,000 or less.
- When is the next return of DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC due?
- The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC last file with the IRS?
- The latest return in the IRS public files is the 990-EZ for the year ended June 2025.
- Who is the principal officer of DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC?
- The 990-N for 2018 names Pilon Atkins.
- Who are the officers and directors of DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC?
- The 990-EZ for the year ended June 30, 2025 lists 8 people; 0 received compensation from the organization.
- How much revenue does DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC have?
- On its 990-EZ for the year ended June 30, 2025 it reported revenue of $2,759, expenses of $4,234 and total assets of $45,350 at year end.
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