IRS revokes a doctor-run free-clinic charity for private inurement and unaccounted cash flowing to its founder

Plain-English summary

An organization had been recognized as a 501(c)(3) public charity to provide free medical care to homeless and underprivileged people. It was founded and controlled by a single physician, who was its president, director, and main doctor, with his spouse as secretary. On audit, the IRS found the clinic charged fees, kept no accounting for the "free" services it claimed to provide, and ran its money through many separate bank accounts split by payer (Medicare, Medicaid, private insurance). Large cash withdrawals, plus checks, cashier's checks, and money orders, were made payable to the doctor and his spouse, along with payments for their personal expenses, none of it substantiated or reported as compensation. Reported foreign "grants" were booked only as a year-end journal entry against an officer receivable, with no actual transfers. The IRS concluded the organization was not operated exclusively for exempt purposes and that its net earnings inured to insiders through repeated excess-benefit transactions, which an intermediate-sanctions correction under section 4958 could not cure, and that it failed to keep the records required by sections 6001 and 6033. The IRS revoked the exemption effective January 1, 20XX, and told the organization contributions are no longer deductible under section 170.

Ruling snapshot

• Question: Should the clinic's 501(c)(3) exemption be revoked where its earnings flowed to its founding doctor and spouse and it could not substantiate that it operated exclusively for exempt purposes?
• Outcome: Revocation (exemption revoked effective January 1, 20XX; the December 20XX determination letter revoked)
• Key authorities: IRC § 501(c)(3); Treas. Reg. § 1.501(c)(3)-1(c)(1), (c)(2); Better Business Bureau v. United States, 326 U.S. 279 (1945); IRC § 4958; IRC §§ 6001, 6033; IRC § 170

Full text (IRS public release)

DEPARTMENT OF THE TREASURY

Internal Revenue Service
TE/GE EO Examinations
1100 Commerce Street MC 4920 DAL
Dallas, TX 75242

TAX EXEMPT AND

GOVERNMENT Date: OCTOBER 09, 2018

ENTITIES DIVISION

Number: 202149012

Person to Contact: Identification
Release Dale. 12/10/2021

Number:

Telephone Number:

In Reply Refer to:

UIL. 501.03-00

LAST DATE FOR FILING A PETETION
‘THE ‘TAX COURT:

CERTUIED MAIL - Return Receipt Requested
Dear

This is a final adverse determination regarding your exempt status under section 501(c)(3) of
the Internal Revenue Code (IRC). Our favorable determination letter to you dated December
20, 20XX, is hereby revoked and you are no longer exempt under section 501(a), as an
organization described in section 501(c)(3) of the IRC, effective January 1,20XX.

Our adverse determination was made for the following reasons:

You have not established that you are operated exclusively for an exempt
purpose or that you have been engaged primarily in activities that accomplish
one or more exempt purposes as required by IRC 50l(c){(3) and Treas. Reg.
section 1.50 I (c)(3)-1(c)(1).

You have not established that no part of your net earnings inures to the benefit of
any private sharcholdors or individuals within the meaning of IRC 501(c)(3).

Coulitbutlous to yout otgatlzalion are uo lounge: deductible undet section 170 of the Cude.

You are required to file Federal income tax returns on Form 1120. These returns should be
filed with the appropriate Service Center for the year ending December 31, 20 XX and for all
years thereafter.

Processing of income tax returns and assessment of any taxes due will not be delayed should a
petition for declaratory judgment be filed under section 7428 of the Internal Revenue Code.

If you decide to contest this determination in court, you must initiate a suit for declaratory
judgment in the United States Tax Court, the United States Court of Federal Claims or the
District Court of the United States for the District of Columbia before the 91" day afler the

date this determination was mailed to you. Contact the clerk of the appropriate court for the
rules for initiating suits for declaratory judgment. You may write to the courts at the
following addresses:

United States Tax Court
400 Second Street, NW
Washington, DC 20217

US Court of Federal Claims
717 Madison Place, NW
Washington, DC 20005

U. S. District Court for the District of Columbia
333 Coustilution Ave., N.W.
Washington, DC 20001

The Taxpayer Advocate Services (TAS) is an independent organization within the IRS that can
help protect your taxpayer rights. We can offer you help if your tax problem is causing a
hardship, or you've tried but haven't been able to resolve your problem with the IRS. If you
qualify for our assistance, which is always free, we will do everything possible to help you.
Visit taxpayeradvocate.irs.gov or call 1-877-777-4778.

We will notify the appropriate State Officials of this action, as required by section 6104(c) of
the Internal Revenue Code.

If you have any questions, please contact the person whose name and telephone number are
shown in the heading of this letter.

Sincerely yours,

oa eke
Maria Hooke
Director, Fxempt Organizations Examinatons

Enclosures:
Publication $92

Department of the Treasury Date:

Internal Revenue Service 3/28/2018

Tax Exempt and Government Entities Division Taxpayer ID number:
IRS Exempt Organizations Examination

Form:

Tax periods ended:

Person to contact:

Employee !D number:
Telephone number:
Fax:

Address:

Manager's contact information:

Fmployee [ID number:

Telephone number
Response due date.

CERTIFIED MAIL — Return Receipt Requested

Dear

Why you’re receiving this letter
We enclosed a copy of our audit report, Form 886-A, Explanation of Items, explaining that we propose to revoke
your tax-exempt status as an organization described in Internal Revenue Code (IRC) Section 501(c)(3).

If you agree

If you haven’t already, please sign the enclosed Form 6018, Consent to Proposed Action, and return it to the
contact person shown at the top of this letter. We'll issue a final adverse letter determining that you aren't an
organization described in IRC Section 501(c)(3) for the periods above.

After we issue the final adverse determination letter, we’I! announce that your organization is no longer eligible
to receive tax deductible contributions under IRC Section 170.

if you disagree
1 Request a meeting or telephone conference with the manager shown at the top of this letter

2. Send any information you want us to consider.

3. File a protest with the IRS Appeals Office. If you request a meeting with the manager or send additional
   information as stated in 1 and 2, above, you'll still be able to file a protest with IRS Appeals Office after
   the meeting or after we consider the information.

The IRS Appeals Office is independent of the Exempt Organizations division and resolves most disputes
informally. If you file a protest, the auditing agent may ask you to sign a consent to extend the period of
limitations for assessing tax. This is to allow the IRS Appeals Office enough time to consider your case.
For your protest to be valid, it must contain certain specific information, including a statement of the
facts, applicable law, and arguments in support of your position. For specific information needed for a
valid protest, refer to Publication 892, How to Appeal an IRS Determination on Tax-Exempt Status.

Fast Track Mediation (FTM) referred to in Publication 3498, The Examination Process, generally doesn’t
apply now that we’ve issued this letter.

Letter 3618 (Rev. 9-2017)
Catalog Number 34809F

4, Request technical advice from the Office of Associate Chief Counsel (Tax Exempt Government Entities)

if you feel the issue hasn’t been addressed in published precedent or has been treated inconsistently by the
IRS.

If you’re considering requesting technical advice, contact the person shown at the top of this letter. If you
disagree with the technical advice decision, you will be able to appeal to the IRS Appeals Office, as
explamed above. A decision made in a technical advice memorandum, however, generally is final and
binding on Appeals.

If we don't hear from you
If you don't respond to this proposal within 30 calendar days from the date of this letter, we'll issue a final
adverse determination letter,

Contacting the Taxpayer Advocate Office is a taxpayer right

The Taxpayer Advocate Service (TAS) is an independent organization within the IRS that can help protect your
taxpayer rights. TAS can offer you help if your tax problem is causing, a hardship, or you've tried but haven't
been able to resolve your problem with the IRS. If you qualify for TAS assistance, which is always free, TAS
will do everything possible to help you. Visil www.tas payetadvocale.its.gov or call 877-777-4778

Additional information
You can get any of the forms and publications mentioned in this letter by visiting our website at
www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-829-3676).

If you have questions, you can contact the person shown at the top of this letter.

Sincerely,
‘hin

Jerry Morrow for
Maria Hooke
Director, Exempt Organizations Examinations

Enclosures:

Examination Report - Forms 4621-A, Form 886-A
Form 6018

Publications 3498 & 892

Letter 3618 (Rev. 9-2017)
Catalog Number 34809F

12/31/20XX
issuc:
Whether (“ ”) continues to qualify for exemption under

Section 50.1(c}(3) of the Internal Revenue Cade.

(“ ”) was granted tax-exempt status in December 20XX under
internal Revenue Code Sectlon 501 (c)(3) as an organizatlon described In Sectlons 509(a)(1) and
170(b}{1}{A){iii).

The organizations purpose as stated in the Articles of Incorporation is “to provide free medical
services to the homeless and .” The Articles
were later amended during the process of applying for tax exemption by adding the canned language
for operating exclusively for 501(c}{3) purposes, not carrying on activities that are not permitted by
501{c)(3), and including the required dissolution clause. Further, the Bylaws stated the purpose was
“to provide medical examination and treatment, without charge, to underprivileged individuals
unable to afford such treatment.”

founded and is its President and Director. He is the main doctor at the
organization and oversees the daily activities. signs the checks and all
documents on behalf of the organization.

spouse, , is the Secretary of as listed on the Form Y9U and annual

filings with the State of . The Form 990 also lists that the books and records are in the care
of

provides medical cure (shillar lo Lhat of a primary care physiclai) Lo Individuals without Insurance
charging fees based an various levels of income Some of the services are performed free of charge, and
Lhe orgatizalion also accepls Medicare, Medicaid, and other forins of insurance. [here is an
approximate 0/0 split of gross receipts reported from Medicare/Medicaid versus what is reported from
individuals and insurance. There is also no accounting for “no charge” services as there is not a general
ledger account for donated services or any similar reporting of such services provided to those without
insurance.

has stated that they operate at multiple iocations in , as well as a location in and
, and have provided a few utility bills for the various locations that are in the name of . itis
unclear, however, as to the actual operations that occurred at each of the various locations. Research
done by the Revenue Agent shows various related entities (owned, controlled, or influenced by

}) operated at many of the locations, Further, the financials of only report income from
two locations, and in
[Page 1]

12/31/20XX
also states they conduct activities in , which are operated under the

corporation . is an apparent “foreign
subsidiary” of , established for to conduct activities in . The foreign grants and
assistance of SO reported on the form 990 represents the funds that is reporting that have

been disbursed to or for the benefil of lhe foreign organizalion. There were no checks written or
wire transfers made from any of the organization’s accounts that substantiate any of these grants or
payments. A journal entry was made at the end of the year to report the total amount of grants
reported. This entry was made directly against the officer's receivable account.

has 0 financlal accounts across 0 different Banks/Credit Unions that were disclosed durlng the
exam. It appears that Medicare receipts go into one account, Medicaid receipts inte another accaunt,
and private insurance receipts into yet another account. Cash deposits are made into most accounts,
usually in large round amounts ranging widely from SO up lo SO0+. Additionally, rnulliple cash lransfers
between accounts are made with no apparent consistency for timing and/or amounts. Only one
account has checks drawn against it, and most of the checks represent payroll or compensation to
workers. One account has disbursements made via cashier’s checks and money orders, zero accounts
are almost exclusively used for debit card purchases, and all accounts have numerous transfers and cash
withdrawals. Multiple cash withdrawals are made from many accounts and generally range from SO up
to SO with a few larger withdrawals around $0. On many occasions, there are two or more cash
withdrawals in a single day. has failed to provide substantiation for most of the transactions
beyond providing copies of bank statements and the general ledger showing how the items were
accounted for on the organizations books.

During the examination of , it was discovered that multiple checks, cashier’s checks, and money
orders were made payable to and . There were also multiple cash withdraws made
from bank accounls that had aulhorily ovet as well as mulliple lransfers lo
personal accounts and payments made for personal expenses of the doctor and his spouse. The
Revenue Agent requested documentation to substantiate the use of these funds, but failed to
provide the requested information. None of the expenditures in question were reportedto and

as compensation or fringe benefits, nor was there any evidence that the organization intended these
tunds to be compensation for services performed or that an accountable plan for reimbursements was
established and malnlalned. A surnmary of these unsubslantlated Lransactions Is as follows:

Checks/Certified Checks & Money Orders payable to So.

Checks/Certified Checks payable to $0.

Miscellaneous Personal Expenses 0.

Non-Accountable Plan Expenditures 0.

Transfers to personal and unknown accounts 0.

Cash withdrawals & Cashed Checks/Money Orders _0.

Total unsubstantiated transactions $0.
In 20XX, as well as previous years, & received a salary from which were reported
on form W-2, However, in 20XX, did not report any compensation paid to either — or

even though multiple payments were made payable directly to them as described above.

[Page 2]

12/31/20XX
Further, as indicated above, the Revenue Agent requested explanation and substantiation for the cash
wilhdrawals and lhe checks wrillento = & . The organization failed to provide any
explanation or substantiation of the questionable transactions for 20XX. However, did provide

very briof written explanations for similar questionable transactions which occurred in the previous tax
period (20XX). Those reasons included:

e Vendor expenses
for vendor payments & living expenses
Vendors 401(Ik)
Rent, ulililies, and food for sludent
Utilities and office supplies
Iransfers to other bank accounts to pay expenses
Expenses for
Altorney retainer and lawyer fees
Living Allowances
Doctor expenses
Travel expenses
Gas for home visits
Expenses for X-mas
IRS tax payments
Scholarships (covering assistance w/ housing, utilities, vehicles, schooling, & spending
money)
Office vehicle expenses
Schooling
Vehicle purchases
Housing costs
Repairs
Payroll
Patient help
Bail Bonds
School fees and expenses for students
Buying used cars and shipping to
Advertising
Book Publishing

No substantiation was provided to accompany these general explanations.

In a written response to IRS requests for substantiation of questionable expenditures,

stated “the board of directors for , in 20XX-20XX, agreed to pay my living expenses due to a low
salary and working 16 hours/day 6 days/week.” The organization did not report any of the living
expenses paid for the benefit of and his family as compensation to either — or

. They also did not provide a copy of the meeting minutes to demonstrate that Board agreed to pay
these living expenses.

[Page 3]

12/31/20XX

Form 990, Return of Organization Exempt from Income Tax, for year ended 12/31/20XX reported

a loan receivable from officers/directors of $0. This was an increase of $O over the previous years
reported balance. Schedule L of the Form $90 stated that the loans were made to
as a “temporarily loan used to make out of pocket purchases for the clinic, which will be recorded in
periods aller 2OXX” and Lhial Uhere was no wrillen fvuan agreement. [here was also no indication that
the loans were approved by the Board. A raviaw of the related “officer's receivable” general ledger
account, which was provided during the exam, showed the checks, certified checks, money orders,
transfers, and cash withdrawals listed above were booked to the “officer’s receivable” general ledger
account. Additionally, many of the items listed above which have been determined to be personal
expenses are also recorded in the “officer’s receivable” account. The organization failed to provide
documentation to substantiate Lhal Lhere was a Lrue loan agreement between and

. Specifically, was unable to produce a written laan agreement or any other dacument ta
demorstrale Une existence of a loan. Further, lhere was no evidence of a tepayrnent sclredule oF
indication that interest was being charged.

The prior tax period, ending 12/31/20XxX was the initial period opened for examination based on
possible inurement and excess benefit transactions. The examination scope was expanded into the
subsequent period (20XX) to further address issues identified during the examination of the 20XX tax
period. Due to an imminent statute on the prior tax period for which the organization refused to
extend, the exam on the 12/31/20Xx tax period had to be closed separately from the 12/31/20XX tax
period. The fact pattern presented above for the 20XX tax period was similar in the 20XX tax period.

According to news articles from various sources, including a press release from the State of

During a discussion with the organization’s designated power of attorney in December 20XX, it was
stated that he believed the organization had ceased operations, but had received no official
notification or dacumentation from [he Revenue Agent conducted a physical visit on
12/20/20XX to of the locations stated they operate and verified that there was no
presence of being operallonal. The locations on and In

had notices posted that they were closed and the last day for patient records to be picked up was
12/7/20XX. There was no one present at any of the locations, and the and

locations had no signage suggesting that had operated there.

A letter from was recelved on 2/8/20XX stallng thal he moved tu ;

. He stated that he lost everything in in his effort to help the poor and cannot afford
to live in anymore. He requested that the case be transferred to his new accountants in

. There was no form 2848 included with the letter authorizing contact with the new
accountants. Further, there was no phone number listed on the letter to contact or
and the address was a PO Box.

[Page 4]

12/31/20XX
As of the date of this report, has still not filed a 20XX form 990. They have not filed anything
wilh Lhe State of to Lerminale their operations, such as dissolution paperwork, and still
show “active” on the State’s website. Although recently filed a 20XX form 990, it was not

marked as a final return, and compared to the returns filod for 20XX & 20XX, had multiple
inconsistencies, listed no info for the prior year (20XX), and had no beginning balances listed on the
balance sheel.

Law:

IRC Section 501(c¢)(3} provides tax exemption tor corporations and foundations that are operated
exclusively for religious, charitable, scientific, testing for public safety, literary, or educational purposes,
no part of the net earnings of which inures to the benefit of any private shareholder ar individual

Treasury Regulation Section 1.501(c}{3)-1(a){1} states that in order to be exempt as an organization
described in IRC Section 501(c)(3), an organization must be both organized and operated exclusively for
one or more of the purposes specified in such section. If an organization fails to meet either the
organizational test or the operational test, it is not exempt.

Treasury Regulation Section 1.501(c}({3)-1(c){1} states that an organization will be regarded as operated
exclusively for one or more exempt purposes only if it engages primarily in activities which accomplish
one or more of such exempt purposes specified in Section 501(c){3). An organization will not be so
regarded if more than an insubstantial part of its activities is not in furtherance of an exempt purpose.

Treasury Regulation Section 1.501(c){3)-1({c}(2) states an organization is not operated exclusively for one
or more exempt purposes if its net earnings inure in whole or in part to the benefit of private
shareholders or individuals. The words "private shareholder or individual" refer to persons having a
personal and private interest in the activities of the organization. Treas. Reg. § 1.501(a)-1(c). Such
private shareholders or individuals are commonly referred to for convenience as "insiders."

Treasury Regulation Section 1.501(c)(3)-1(d)(1){ii) states that an organization is not organized or
operated exclusively for one or more of the purposes specified in IKC Section 501(c)(3) unless it serves a
public rather than a private interest. [hus, to meet the requirement of this subdivision, it is necessary
for an organization to establish that it is not organized or operated for the benefit of private interests
such as designated individuals, the creator or his family, shareholders of the organization, or persons
controlled, directly or indirectly, by such private interests.

In Better Business Bureau v. United States, 326 U.S. 279, 66S. Ct. 112, 90 L. Ed. 67, 1945 C.B. 375 (1945),
the United States Supreme Court held that regardless of the number of truly exempt purposes, the
presence of a single substantial non-exempt purpose will preclude exemption under Section 501(c}(3).

In People of God Community v. Commissioner, 75 T.C. 127, 133 (1980), the Tax Court held that, even
though the statutory prohibition on inurement is stated in terms of net earnings, the inurement doctrine
applies to unjust enrichment from an organization's gross earnings as well. See also Harding Hospital,
Inc. v. United States. 505 F.2d 1068, 1072 (6th Cir, 1974).

[Page 5]

12/31/20XX

In Founding Church of Scientology v. U.S., 412 F. 2d 1197, 188 Ct. Cl. 490 (Ct. Cl. 1969), the court stated
that loans to an organization's founder or substantial contributor can constitute inurement that is

falled to produce documentation that demonstrated that the loans were advantageous to the church.
The church also failed to produce dacumentation to show that the loans were repaid Significantly, the
court stated that "the very existence of a private source of loan credit from an organization's earnings
may itself amount to inurement of benefit." Id. at 1202; see also John Marshall Law School & John
Marshall University v. United States, 228 Ct. Cl. 902, 81-2 USTC 9514 (Ct. Cl. 1981) (noting that "the very
existence of a private source of loan credit from an organization's earnings may itself amount to
inurement of benefit"); Unitary Mission Church of Long Island vy. Comm'r, 74 T.C. 507, 515 (1977) (same);
Lowry Hosp. Ass'n v. Comm'r, 66 T.C. 850 (1976) (concluding that a hospital did not qualify for
exemption under § 501 (c}(3} because some of its net earnings inured to the benefit of Lhe physician who
was the organization's founder when most of the hospital's assets were loaned to a nursing home
owned by the founder at interest rates that were below-market (given the level of risk involved) and not
repaid until nearly 6 to 8 years later).

in Western Catholic Church v. Commissioner, 73 T.C. 196 (1979), aff'd 631 F.2d 736 (7th Cir. 1980), the
Tax Court considered a church that invested in an office building that met the needs for office space of
one of church founder's wholly-owned businesses. Even though the office building may have been a
good investment for the church and even though the business paid a reasonable rent, the court
concluded that when the church's "investments are dictated in part by the needs of private interests, it
cannot be said that [the church] was operated exclusively for the public benefit." Id. at 214. The court
also considered a variety of loan transactions between the church and the founder's businesses.
Although inadequate records made it impossible to trace completely the financial transactions, the
court determined that “it is clear that money passed back and forth belween [the church] and [the
founder] and his businesses whenever one or the other needed the cash." Id. The church was thereby
utilized by the founder “as an ‘incorporated pocketbook’ into which he could transfer excess personal
funds, claiming tax deductions, while he still retained complete contro! of the funds and used them for
purposes unrelated to religious activities "Id Based on these and other facts, the court found that the
church had failed to establish that no part of its net earnings inured to the benefit of a private
shareholder or Individual.

In Revenue Ruling 67-5, 1967-1 C.B. 123, it was held that a foundation controlled by the creator's family
was operated to enable the creator and his family to engage in financial activities which were beneficial
to them, but detrimental to the foundation. It was further held that the foundation was operated for a
substantial non-exempt purpose and served the private interests of the creator and his family.
Therefore, the foundation was not entitled to exemption from Federal income tax under Section

501(c){3).

Since inurement and private benefit issues are highly fact dependent, the courts do not look with favor
on an organization's failure to provide relevant facts and they are not hesitant to find that an
organization has failed to carry its burden. See Gondia Corporation v. Commissioner, TC. Memo. 1982-
422; Schoger Foundation v. Commissioner, 76 T.C. 380 (1981); The Basic United Ministry of Alma Karl

[Page 6]

12/31/20XX

Schurig v_Commissioner, 216 US App D.C 391, 670 F 2d 1210 (1987); First Libertarian Church v
Cotmmissioner, 74 T.C. 396 (1980); Church of Gospel Ministry, Inc. v. Uniled Slales, 640 F. Supp. 96, 58
AFTR 2d 5232 (D.C, 1986); Universal Bible Church, Inc. v. Commissioner, T.C. Memo. 1986-170.

IRC Section 4958(c}(1}(A} defines an excess benefit transaction in general as any transaction in which an
economic benefit is provided by an applicable lax exempt organization directly or indirectly to or for the
use of any disqualified person if the value of the economic benefit provided exceeds the value of the
consideration (including the performance of services) received for providing such benefit. An economic
benefit shall not be treated as consideration for the performance of services unless such organization
clearly indicated its intent to so treat such benefit

IRC Section 4958(f}(1) defines “disqualified person” with respect to any transaction as -- (i) any person
wha was at any time during the § year period anding an the date of such transaction, in a position to
exercise substantial influence over the affairs of the organization, (ii) a member of the family of an
individual described in subparagraph (A), or (iii) a 35-percent controlled entity

Treasury Regulation Section 53.4958-4(a)}{4) provides that certain economic benefits are disregarded for
purposes of Section 4958, including benefits excluded from income under Section 132 of the Code and
expense reimbursement payments pursuant to an accountable plan that meets the requirements of
Section 1.62-2(c) and Sections 53.4958-4({a}(4}{i) and (ii) of the Regulations.

Treasury Regulation Section 53.4958-4(c)(1) provides that an economic benefit is not treated as
consideration for the performance of services (i.e., compensation) unless the organization providing the
benefit clearly indicates its intent to treat the benefit as compensation when the benefit is paid. If an
organization fails to provide contemporaneous substantiation of such intent, any services provided by
the disqualified person will not be treated as provided in consideration for the economic benefit for
purposes of determining the reasonableness of the transaction. If the substantiation requirement is not
satisfied, then the value of the benefit will be treated as an automatic excess benefit taxable under Code
section 4958(a).

Treasury Ragulation Section 53.4958 4(c}(3)(A) provides that a banofit may ba contamporaneously
substantiated as compensation (I) if the organization reports the benefit as compensation on a federal
tax information return; or (ii) if the disqualified person timely reports the value of the benefit as income
on the person's federal income tax return; or (iii) if the benefit is described as compensation to the
disqualified person in a contemporaneous employment contract, board of directors minutes, or other
documents indicating that an authorized body of the organization approved the benefit as
compensation.

IRC Section 62(a){2)(A) and Treasury Regulation Section 1.62-2(b) provide that, for purposes of
determining adjusted gross income, an employee may deduct certain business expenses paid by the
employee in connection with the performance of services as an employee under a reimbursement or
other expense allowance arrangement with his employer.

IRC Section 62{c}) provides that, for purposes of Section 62(a){2){(A}, an arrangement will be treated as a
reimbursement or other expense allowance arrangement if (1) the arrangement requires the employee

[Page 7]

12/31/20XX

to substantiate the expenses to the payor, and (2) the arrangement requires the employee to return to
the payor any amount in excess of the substantiated expenses.

62(c) only if it meets the requirements of busIness connectlon, substantlation, and returning amounts In
excess of substantiated expenses If an arrangement meets these requirements, all amounts paid under
the arrangement are treated as paid under an accountable plan. Treas. Reg. § 1.62-2{c){2){i). Amounts
treated as paid under an accountable plan are excluded from the employee's gross income, are not
required to be reparted an the employee's Form W-?, and are exempt from the withholding and
payment of income and employment taxes. Treas. Reg. § 1.62-2(c){4).

If an arrangement does not salisly these requirements, all amounts paid under the arrangement are
treated as paid under a “nonaccountabie plan.” Treas. Reg. § 1.62-2(c)(3). Amounts treated as paid
under a nonaccountable plan are included in the employee's gross Income, must be reported as wages
or other compensation of the employees on Form W-2, and are subject to withholding and payment of
income and employment taxes. Treas. Reg. § 1.62-2(c)(5).

Treasury Regulation Section 1.274-5 addresses the substantiation requirements with respect to the

business purpose of an expense. If the substantiation requirements are not met no deduction is allowed
with respect to that expense.

IRC Section 274{d) provides that no deduction or credit shall be allowed (1) under Sections 162 or 212
for any traveling expense, (2) for any item with respect to an activity which is of a type generally
considered to constitute entertainment, amusement, or recreation, or with respect to a facility used in
connection with such an activity, (3) for any expense for gifts, or (4) with respect to any listed property
(as defined in Section 280F(d)}{4)) unless the taxpayer substantiates by adequate records or by sufficient
evidence corroborating the taxpayer's own statement regarding amount, time and place, business
purpose and business relationship.

Lreasury Regulation Section 1.274 5T(b) requires cach employee to provide substantiation of the
business purpose of each expense, generally in writing.

Treasury Regulation Section 1.274-5T(b)(2) provides that no deduction or credit shall be allowed for
travel unless the taxpayer substantiates the following elements: (1) Amount -- amount of each separate
expenditure for traveling away from home; (2) Time -- dates of departure and return for each trip away
from home and number of days away from home spent on business; (3) Places -- destinations or locality
of travel and (4) Business purpose - business reason for travel or nature of the business benefit derived
as a result of the travel.

Treasury Regulation Section 1.274-5T(b)(6) provides the elements that must be proved with respect to
an expenditure for listed property to include the amount of each separate expenditure, the amount of
business/investment use, the date of the expenditure or use, and the business or investment purpose.

Treasury Regulation Section 1.274-5T(c}{2}{i) states that a taxpayer, to meet the "adequate records”
requirements of Section 274(d}, shall maintain an account book, diary, statement of expense or similar

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record and documentary evidence which, in combination, are sufficient to establish each element of an
expenditure.

Treasury Regulation Section 1.274-5Tich(2)ii) states that the accaunt book, diary, statement of expense
or slmilar record must be prepared or maintained in such manner that each recording of an element of
an expenditure is made at ar near the time of the expenditure

Treasury Regulation Section 1.274-51(c)(2)(iii), and for periods after January 20, 2000, Treasury
Regulation Section 1.274-5(e)(2)(ii}, requires the employee to maintain documentary evidence, such as

receipts, paid bills, or similar evidence.

Treasury Regulation Section 1.274-5T(c}(3) provides that if an employee fails to establish to the
satisfaction of the Service that the emplayee has substantially complied with the adequate records
requirements of the regulations, the employee may satisfy such requirement by providing (i) the
employee's own statement, whether written or oral, containing specific information in detail as to each
element, plus (ii) other corroborative evidence sufficient to establish each element.

IRC Section 6001 provides that every person liable for any tax imposed by the IRC, or for the collection
thereof, shall keep adequate records as the Secretary of the Treasury or his delegate may from time to
time prescribe.

IRC Section 6033(a)(1) provides, except as provided in Section 6033(a)}(2), every organization exempt
from tax under Section 501(a) shall file an annual return, stating specifically the items of gross income,
receipts and disbursements, and such other information for the purposes of carrying out the internal
revenue laws as the Secretary may by forms or regulations prescribe, and keep such records, render
under oath such statements, make such other returns, and comply with such rules and regulations as
the Secretary may from time to time prescribe.

Treasury Regulation Section 1.6001-1(a) in conjunction with Section 1.6001-1(c} provides that every
organization exempt from tax under Section 501{a) of the Code and subject to the tax imposed by
Section 511 on its unrelated business income must keep such permanent books or accounts or records,
including Invenlorles, as are sufficient Lo establish Ue arnount of gross income, deduction, credits, o1
other matters required to be shown by such person in any return of such tax. Such organization shall
also keep such books and records as are required to substantiate the information required by Section
6033.

Treasury Regulation Section 1.6001-1{e) states that the books or records required by this section shall
be kept at all times available for inspection by authorized internal revenue officers or employees, and
shall be retained as long as the contents thereof may be material in the administration of any internal
revenue law.

Treasury Regulation Section 1.6033-1(h)(2} provides that every organization which has established its
right to exemption from tax, whether or not it is required to file an annual return of information, shall
submit such additional information as may be required by the district director for the purpose of

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enabling him to inquire further into its exempt status and to administer the provisions of subchapter F
(Section 501 and the following), chapter 1 of the Cade and Section 6033

Rev. Rul. 89 98, 1959-1 C.B. 627, concerns an exempt organization that was requested to produce a
financial statement and statement of its operations for a certain year However, its records were sa
incomplete that the organization was unable to furnish such statements. The Service held that the
failure or inability to file the required information return or otherwise to comply with the provisions of
section 6033 of the Code and the regulations which implement it, may result in the termination of the
exempt status of an organization previously held exempt, on the grounds that the organization has not
established that it is observing the conditions required for the continuation of exempt status.

In accordance with the above cited provisions of the Code and regulations under Sections 6001 and
6033, organizalions recognized as exempt from federal Income tax must meet certaln reporting
requirements. These requirements relate to the filing of a complete and accurate annual information
(and other required federal tax forms) and the retention if records sufficient to determine whether such
entity is operated for the purposes for which it was granted tax exempt status and to determine its
liability for any unrelated business income tax.

Government’s Position:

Based on the examination conducted, it has been concluded that does not continue to qualify for
tax-exempt status as an organization described in Section 501(c}({3) of the Code. Although has
engaged in regular and ongoing activities that further exempt purposes, it has engaged in multiple
excess benefit transactions therefore jeopardizing its exemption. Additionally, has failed to
provide and maintain adequate records to substantiate the activities and expenditures of the
organization.

controls operation and financial affairs. He founded the organization, is the
President, and he makes decisions for . HIs spouse, , is the Secretary of . They exert
subslantial influence over the organizalion for purposes of the excess beneflls under Section 4958 of Ue
Code.

holds several bank accounts across various banks and credit unions. Only one account has checks
drawn against it, and most of the checks represent payroll or compensation to workers. One account
has disbursements made via cashier’s checks and money orders, two accounts are almost exclusively
used for debit card purchases, and all accounts have numerous transfers and cash withdrawals.
has failed to maintain adequate records to substantiate the majority of the disbursements and cash
transactions. Further, in reviewing the General Ledger that was provided during the examination, many
of these transactions were recorded in the officer’s receivable ledger account. In fact, all checks,
cashier's checks, and money orders payable to and/or , along with
all cash withdraws, and many transfers to accounts not held by were all recorded in the Officer’s
Receivable general ledger account.

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Since these transactions are recorded as a “Loan” to , consideration must be given

as to whether a bon-a-fide loan exists and if so, whether Lhe loan creales inurernenl lo

. There are several factors that are considered in determining if an actual loan existed. The key
factors generally taken into consideration are evidence of a loan agreement (usually written), interest
charged on the loan, and some sort of repayment schedule. In this particular case, was not able
to provide a loan agreement or olher accepluble evidence, such as board tninules showing Larms and
board approval of the loans. Further, there was no evidence of any sort of repayment schedule, and
there was no indication that any repayments were, or had been made. Additionally, there was no
indication or evidence thal interest was being Charged on the amatnls reparled as loans Based on lhe
lack of evidence to substantiate these reported loans, it has been determined that an actual loan does
not exist and the funds recorded to the officer's receivable account are simply the officer's use of the
organizations assets and most likely excess benefit transactions.

After the reaching the conclusion that a bon-a-fide loan did not exist between and

, the next issue considered regarding the checks payableto & , the cash withdrawals
and transfers reported in the officer’s receivable account is whether there was an accountable plan in
place to account for some of these transactions. The filed Form 990 for 20XX provided an explanation of
the amounts reported as officer’s receivable as advances to for future out of
pocket business expenses to be incurred and reported in future periods. If this is the explanation for the
checks, cash, and transfers in question, then an accountable plan must have been in place and
adequately maintained or these transactions would be considered occurring under a non-accountable
plan, and as such would be reportable income to the doctor and his wife. During our consideration of
the existence of an accountable pian, three main factors must all occur. There must be a business
connection, appropriate substantiation, and return of excess funds for each transaction to meet the
requirements of an accountable plan. In this case, was unable to provide evidence of a business
connection and failed to provide the required level of substantiation. Further, there was no evidence
that any excess funds that were advanced were returned within a reasonable period of time. it has
been determined that there was not an accountable plan in place relating to the questionable
transactions since there was insufficient evidence that the required elements were met.

It was also determined during the examination that travel, automobile, meetings, and meals &
entertalnment expenses were paid using a debit card from two of accounts. did not
maintain any receipts, or correspondence confirming the business purpose of these expenditures.
Without evidence that these expenses serve any kind of a charitable purpose, or that it was ordinary
and necessary to carry out a charitable program, we can only conclude that any expense incurs
for these items is inurement since they were not substantiated, nor were they reported as
compensation.

The unsubstantiated transactions described above have been determined to be automatic excess

benefit transactions resulting in inurement to and his spouse. The Service has
sufficient information to establish a pattern of control on the part of and his
spouse has resulted in continuing inurement to them as insiders. Further, abused
his position within to commit thru _ which allowed him
to further his economic benefit received from the organization. We believe that a correction under IRC
Section 4958 would not be sufficient to allow to retain its exempt status. It is expected that
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will continue to be controlled by . Further, although has
indicated that is no longer in operation, he has failed to take the appropriate steps to formally
terminate the organization. Revoking the tax exemption of will prevent the potential for the

organization to sit dormant for a few years and then re-establish activities that continue to be used for a
private, rather than public benefit.

has engaged in regular and ongoing activities that further exempt purposes both before and after
the excess benefit transactions occurred. However, the size and scope of the excess benefit transactions
engaged in by collectively, are significant in relation to the size and scope of activities that
further exempt purposes. Moreover, has been involved in repeated excess benefit transactions,
all of which have ereated inurement to insiders. has not implemented any safeguarcls that are
reasonably calculaled to prevent future diversions. Additionally, the excess benefit transactions have
not been corrected. [urther, has failed to maintain the required records lo subslantiale the
activities and expenditures for exempt purposes. Based on the application of the factors to these facts,
is no longer described in Section 501(c)(3) effective January 1, 20XxX.

Conclusion:
Based on the above, we propose to revoke tax-exempt status. This proposed revocation would
become effective January 1, 20XX. Any contributions to are no longer deductible as charitable

contributions. Any contributions to this organization by those who were in part responsible for, or were
aware of, the activities or deficiencies on the part of the organization that gave rise to loss of exempt
status will not be allowed as a deduction effective the date of revocation.

will be required to file Form 1120 for the tax period ending December 31, 20XX, as well as all
subsequent tax periods.

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