INDIANA IMMUNIZATION COALITION INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA IMMUNIZATION COALITION INC (EIN 20-0484362)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202221369349309007
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T14:05:17-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351519864 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GIRARDOT STRAUCH & CO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 316 MAIN ST | AddressLine1Txt |
| City | LAFAYETTE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 479011497 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200484362 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA IMMUNIZATION COALITION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 3176287116 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6919 EAST 10TH STREET SUITE C-2 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46219 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA ROBERTSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3176287116 | PhoneNum |
| Signature | 2021-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LISA | PersonFirstNm |
| Person Last | ROBERTSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PEGGY JACKSON | PreparerPersonNm |
| PTIN | P00760495 | PTIN |
| Phone | 7654235313 | PhoneNum |
| Preparation | 2022-05-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LISA ROBERTSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6919 EAST 10TH STREET SUITE C-2 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,560,590 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VACCINATEINDIANA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | THE INDIANA IMMUNIZATION COALITION EXISTS TO REDUCE THE SPREAD OF VACCINE- PREVENTABLE DISEASES THROUGH IMMUNIZATION EDUCATION, ADVOCACY, PROMOTION, AND STATEWIDE COLLABORATIVE PARTNERSHIPS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 7 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $814,993 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,481,428 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,301 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $79,043 | CYProgramServiceRevenueAmt |
| PY Investment Income | $262 | PYInvestmentIncomeAmt |
| CY Investment Income | $119 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $836,556 | PYTotalRevenueAmt |
| CY Total Revenue | $1,560,590 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $73,360 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $62,879 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $278,626 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $487,604 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $464,572 | PYOtherExpensesAmt |
| CY Other Expenses | $894,073 | CYOtherExpensesAmt |
| PY Total Expenses | $816,558 | PYTotalExpensesAmt |
| CY Total Expenses | $1,444,556 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,998 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $116,034 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $339,369 | TotalAssetsBOYAmt |
| Total Assets EOY | $590,158 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $121,968 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $256,723 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $217,401 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $333,435 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE INDIANA IMMUNIZATION COALITION EXISTS TO REDUCE THE SPREAD OF VACCINE- PREVENTABLE DISEASES THROUGH IMMUNIZATION EDUCATION, ADVOCACY, PROMOTION, AND STATEWIDE COLLABORATIVE PARTNERSHIPS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,020,406 | ExpenseAmt |
| Grant | $62,879 | GrantAmt |
| Revenue | $79,043 | RevenueAmt |
| Desc | THE COALITION'S IMMUNIZATION PROGRAM SERVED INDIANA BY WORKING TO INCREASE IMMUNIZATION RATES AND DECREASE VACCINE-PREVENTABLE DISEASE RATES THROUGHOUT THE STATE. THE COALITION PROVIDED INTER-PROFESSIONAL DEVELOPMENT FOR IMMUNIZATION PRACTITIONERS, AS WELL AS WORKFORCE DEVELOPMENT THROUGH MEMBERSHIP ENGAGEMENT AND TASK FORCES. THE COALITION HOSTED LOCAL AND REGIONAL CONFERENCES TO IMPROVE PROVIDER AND CONSUMER EDUCATION AND OFFERED CONTINUING EDUCATION CREDITS TO PRACTITIONERS FOR LIVE AND WEB-BASED LEARNING. THE COALITION CONTINUED TO COLLABORATE AND CREATE STRATEGIC ALLIANCES FOR IMMUNIZATION EDUCATION IMPROVEMENT, WITH A SHIFT TOWARD VIRTUAL MEETINGS AND ENGAGEMENTS IN LIGHT OF THE COVID-19 PANDEMIC. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $55,934 | ExpenseAmt |
| Desc | THE COALITION CONTINUED TO EDUCATE THE PUBLIC ABOUT IMMUNIZATIONS VIA THEIR WEBSITE, EMAIL MARKETING, AND SOCIAL MEDIA CAMPAIGNS. EDUCATIONAL RESOURCES WERE DISSEMINATED TO IMMUNIZATION PRACTITIONERS THROUGHOUT THE STATE OF INDIANA, AND PARTNERSHIPS CONTINUED WITH COLLEGE CAMPUSES TO FURTHER PROMOTE VACCINE AWARENESS. SEVERAL SUMMITS WERE HOSTED AROUND THE STATE TO ENGAGE HEALTHCARE PROVIDERS IN SHARED IMMUNIZATION INITIATIVES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $262,280 | ExpenseAmt |
| Desc | THE COALITION'S CLINIC PROGRAM DISPENSED VACCINES AND IMMUNIZATIONS THROUGHOUT THE STATE OF INDIANA. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,338,620 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 7 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GIRARDOT STRAUCH & CO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7654235313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 316 MAIN STREET | AddressLine1Txt |
| Address Line2 | PO BOX 1497 | AddressLine2Txt |
| City | LAFAYETTE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47902 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| LISA ROBERTSON | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $73,514 | $0 | $0 | |
| DEB ROBARGE | ||||||
| PRESIDENT | 2.00 | $0 | $0 | $0 | Yes (X) | |
| AMNAH ANWAR | ||||||
| SECRETARY | 2.00 | $0 | $0 | $0 | Yes (X) | |
| ELIZABETH MCCARTY | ||||||
| TREASURER | 2.00 | $0 | $0 | $0 | Yes (X) | |
| KAREN LONG | ||||||
| NURSE PLANNE | 2.00 | $0 | $0 | $0 | Yes (X) | |
| KARLA LOKEN BOHM | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| CARLA CHANCE | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| AMANDA GRIPE | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| AMANDA ORGANIST | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| JANICE VANMETRE | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| AMANDA GONZALEZ | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| LAUREN CLARK | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $73,514 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $1,425,085 | GovernmentGrantsAmt |
| All Other Contributions | $56,343 | AllOtherContributionsAmt |
| Total Contributions | $1,481,428 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADMINISTRATION FEE INCOME | Desc |
| Business | 611710 | BusinessCd |
| Total Revenue Column | $79,043 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $79,043 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $79,043 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $119 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,560,590 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $79,162 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,879 | TotalAmt |
| Program Services | $62,879 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,514 | TotalAmt |
| Program Services | $66,163 | ProgramServicesAmt |
| Management And General | $7,351 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,265 | TotalAmt |
| Program Services | $350,191 | ProgramServicesAmt |
| Management And General | $34,074 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,825 | TotalAmt |
| Program Services | $27,127 | ProgramServicesAmt |
| Management And General | $2,698 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,107 | TotalAmt |
| Management And General | $34,107 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,413 | TotalAmt |
| Program Services | $82,413 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,036 | TotalAmt |
| Program Services | $7,528 | ProgramServicesAmt |
| Management And General | $15,508 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,497 | TotalAmt |
| Program Services | $715 | ProgramServicesAmt |
| Management And General | $782 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,859 | TotalAmt |
| Program Services | $14,859 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,730 | TotalAmt |
| Program Services | $27,657 | ProgramServicesAmt |
| Management And General | $3,073 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,808 | TotalAmt |
| Program Services | $49,848 | ProgramServicesAmt |
| Management And General | $2,960 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,579 | TotalAmt |
| Program Services | $10,606 | ProgramServicesAmt |
| Management And General | $973 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,194 | TotalAmt |
| Program Services | $10,075 | ProgramServicesAmt |
| Management And General | $1,119 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $359,545 | $359,545 | |
| DIGITAL MKTG / EDUCATION | $128,245 | $128,245 | |
| OUTREACH & ADVOCACY | $75,160 | $75,160 | |
| EDUCATIONAL MATERIALS | $65,991 | $65,609 | $382 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,909 | TotalAmt |
| Management And General | $2,909 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,444,556 | TotalAmt |
| Program Services | $1,338,620 | ProgramServicesAmt |
| Management And General | $105,936 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,568 | BOYAmt |
| EOY | $323,247 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,774 | BOYAmt |
| EOY | $193,575 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,768 | BOYAmt |
| EOY | $2,768 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $82,316 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,748 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,259 | BOYAmt |
| EOY | $69,568 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,369 | BOYAmt |
| EOY | $590,158 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,479 | BOYAmt |
| EOY | $102,531 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,489 | BOYAmt |
| EOY | $148,281 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,911 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,968 | BOYAmt |
| EOY | $256,723 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,401 | BOYAmt |
| EOY | $333,435 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,401 | BOYAmt |
| EOY | $333,435 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,369 | BOYAmt |
| EOY | $590,158 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $116,034 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $301,871 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $305,172 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $428,565 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $739,120 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,481,428 | CurrentTaxYearAmt |
| Total | $3,256,156 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $301,871 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $305,172 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $428,565 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $739,120 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,481,428 | CurrentTaxYearAmt |
| Total | $3,256,156 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $3,256,156 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $437 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $924 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $262 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $119 | CurrentTaxYearAmt |
| Total | $1,742 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $232,935 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,474 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $111,559 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $97,175 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,043 | CurrentTaxYearAmt |
| Total | $538,186 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,796,084 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $100,725 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.85780 | PublicSupportCY170Pct |
| Public Support PY170 | 0.81650 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, LINE 10 | PRIVATE GRANTS & PROGRAM SERVICES 538,186 |
| SUPPLEMENTAL INFORMATION | INCOME FROM PRIVATE GRANTS & PROGRAM SERVICES INCLUDES GRANT REVENUE FROM FOR-PROFIT CORPORATIONS INCLUDING PFIZER, MERCK, AND SANOFI PASTEUR. GRANT MONIES WERE USED TO SUPPORT THE INDIANA IMMUNIZATION COALITION'S MISSION OF PROMOTING VACCINE AWARENESS, EDUCATION, AND ADVOCACY. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $82,316 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,748 | DepreciationAmt |
| Book Value | $69,568 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $69,568 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PAYROLL LIABILITIES | Desc |
| Amt | $5,911 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,911 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $1,560,590 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $1,560,590 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,560,590 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,444,556 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,444,556 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,444,556 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN CANCER SOCIETY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5635 W 96TH STREET SUITE 100 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46278 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 131788491 | RecipientEIN |
| IRC Section | 501C3 | IRCSectionDesc |
| Cash Grant | $62,879 | CashGrantAmt |
| Non Cash Assistance | TRAVEL EXPENSE | NonCashAssistanceDesc |
| Purpose Of Grant | HPV STAFF SALARY | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE COALITION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES INCLUDE REQUESTING A DETAILED ACCOUNTING OF GRANT SPENDING FROM THE RECIPIENTS. DESCRIPTIONS OF ITEMS PURCHASED, STAFF SUPPORTED, AND SERVICES PAID WITH GRANT FUNDS ARE SUBMITTED TO THE COALITION'S EXECUTIVE DIRECTOR, ALONG WITH THE CORRESPONDING DOLLAR AMOUNTS. COST REIMBURSEMENT GRANTS ARE ALSO UTILIZED, WHEREBY GRANT RECIPIENTS SUBMIT DETAILED REIMBURSEMENT REQUEST VOUCHERS AND SUPPORTING RECEIPTS/INVOICES TO THE COALITION'S EXECUTIVE DIRECTOR, WHO THEN AUTHORIZES PAYMENTS FOR REIMBURSEMENT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE COALITION'S EXECUTIVE DIRECTOR WAS GIVEN A COPY OF THE COMPLETED FORM 990 TO REVIEW PRIOR TO ITS FILING. ANY QUESTIONS ARISING DURING THE REVIEW OF THE FORM 990 WERE ADDRESSED PRIOR TO FILING. A COPY OF THE COMPLETED FORM 990 WILL BE MADE AVAILABLE TO THE ENTIRE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE COALITION PROVIDES A COPY OF ITS CONFLICT OF INTEREST POLICY TO ITS BOARD OF DIRECTORS, OFFICERS, AND STAFF. ANNUALLY, THE BOARD MUST SIGN AND COMPLETE AN ACKNOWLEDGEMENT FORM, DISCLOSING ANY POTENTIAL CONFLICTS. ADDITIONALLY, DISCLOSURE IS REQUIRED THROUGHOUT THE YEAR, WHENEVER A CONFLICT ARISES WITH ANY BOARD MEMBER, OFFICER, OR STAFF PERSON. DISINTERESTED MEMBERS OF THE BOARD MAKE A DETERMINATION AS TO WHETHER A CONFLICT EXISTS AND WHAT SUBSEQUENT ACTION IS NEEDED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION FOR THE EXECUTIVE DIRECTOR IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. THE BOARD VOTES ON THE COMPENSATION THAT WILL BE GIVEN TO THE EXECUTIVE DIRECTOR AT AN ANNUAL MEETING WHERE THE UPCOMING BUDGET IS REVIEWED. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION FOR EMPLOYEES IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. THE BOARD VOTES ON THE COMPENSATION THAT WILL BE GIVEN TO EMPLOYEES AT AN ANNUAL MEETING WHERE THE UPCOMING BUDGET IS REVIEWED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE COALITION'S ARTICLES OF INCORPORATION HAVE BEEN FILED WITH THE INDIANA SECRETARY OF STATE (SOS) AND ARE AVAILABLE FOR VIEWING AT THE SOS'S WEBSITE. GOVERNING DOCUMENTS, A CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE COALITION CAN BE REACHED BY THE PUBLIC VIA PHONE, WEBSITE, USPS MAIL, FACEBOOK, TWITTER, AND E-MAIL. |