LIFENET FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
LIFENET FOUNDATION (EIN 54-2015370)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-05
IRS object ID
202222789349300012
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2022-10-05T11:07:51-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18350 BROAD STREET SUITE 900AddressLine1Txt
CityMCLEANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN542015370EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LIFENET FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLIFEBusinessNameControlTxt
Phone7574644761PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11864 CONCERT DRIVEAddressLine1Txt
CityVIRGINIA BEACHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23453ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDARRELL JESSEEPersonNm
Person TitleCFOPersonTitleTxt
Phone7574644761PhoneNum
Signature2022-10-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDARRELLPersonFirstNm
Person LastJESSEEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJONATHAN LISTPreparerPersonNm
PTINP01679255PTIN
Phone7032868000PhoneNum
Preparation2022-10-03PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRONY THOMASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11864 CONCERT DRAddressLine1Txt
CityVIRGINIA BEACHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23453ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$214,242GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LIFENETHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$89,986PYContributionsGrantsAmt
CY Contributions Grants$169,742CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,219PYInvestmentIncomeAmt
CY Investment Income$173CYInvestmentIncomeAmt
PY Other Revenue$16,817PYOtherRevenueAmt
CY Other Revenue$8,103CYOtherRevenueAmt
PY Total Revenue$109,022PYTotalRevenueAmt
CY Total Revenue$178,018CYTotalRevenueAmt
PY Grants And Similar Paid$68,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$69,946CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$22,358PYOtherExpensesAmt
CY Other Expenses$50,827CYOtherExpensesAmt
PY Total Expenses$90,358PYTotalExpensesAmt
CY Total Expenses$120,773CYTotalExpensesAmt
PY Revenues Less Expenses$18,664PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$57,245CYRevenuesLessExpensesAmt
Total Assets BOY$1,764,992TotalAssetsBOYAmt
Total Assets EOY$1,766,197TotalAssetsEOYAmt
Total Liabilities BOY$65,544TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,504TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,699,448NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,756,693NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$120,773ExpenseAmt
Grant$69,946GrantAmt
DescSPONSORED GRIEF SERVICES AND PURCHASED PUBLIC EDUCATION MATERIALS FOR DISTRIBUTION TO THE GENERAL PUBLIC.Desc
Total Program Service Expenses$120,773TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDARRELL JESSEEPersonNm
Phone7574644761PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11864 CONCERT DRIVEAddressLine1Txt
CityVIRGINIA BEACHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23453ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
MR RONY THOMAS
BOARD MEMBER1.0044.00Yes (X)$0$2,446,833$159,944
MR DOUG WILSON
CHAIR1.0044.00Yes (X)$0$748,611$159,113Yes (X)
MR DARRELL JESSEE
CFO1.0044.00Yes (X)$0$516,760$137,360Yes (X)
MRS ANN LANGE
BOARD MEMBER1.002.00Yes (X)$0$13,000$0
MR GORDON BERKSTRESSER
SECRETARY (FORMER CFO)1.002.00Yes (X)$0$415,646$3,308
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,140,850TotReportableCompRltdOrgAmt
Total Other Compensation$459,725TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$58,400FundraisingAmt
All Other Contributions$111,342AllOtherContributionsAmt
Total Contributions$169,742TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$173TotalRevenueColumnAmt
Exclusion$173ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$44,327FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$58,400ContriRptFundraisingEventAmt
Fundraising Direct Expenses$36,224FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,103TotalRevenueColumnAmt
Exclusion$8,103ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$178,018TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,276ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$69,946TotalAmt
Program Services$69,946ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$26,893TotalAmt
Program Services$26,893ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$896TotalAmt
Program Services$896ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,920TotalAmt
Program Services$1,920ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,744TotalAmt
Program Services$7,744ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOTHER EXPENSESDesc
Total$13,374TotalAmt
Program Services$13,374ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$120,773TotalAmt
Program Services$120,773ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,764,992BOYAmt
EOY$1,718,822EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$47,375EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,764,992BOYAmt
EOY$1,766,197EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$53,794BOYAmt
EOY$9,504EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,750BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$65,544BOYAmt
EOY$9,504EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,699,448BOYAmt
EOY$1,756,693EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,699,448BOYAmt
EOY$1,756,693EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,764,992BOYAmt
EOY$1,766,197EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$57,245ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$151,178CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$152,745CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$429,444CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$89,986CurrentTaxYearMinus1YearAmt
Current Tax Year$169,742CurrentTaxYearAmt
Total$993,095TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$277,959CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,042CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$110,028CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,224CurrentTaxYearMinus1YearAmt
Current Tax Year$44,327CurrentTaxYearAmt
Total$477,580TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$429,137CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$178,787CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$539,472CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,210CurrentTaxYearMinus1YearAmt
Current Tax Year$214,069CurrentTaxYearAmt
Total$1,470,675TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,470,675PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,093CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,082CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,320CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,219CurrentTaxYearMinus1YearAmt
Current Tax Year$173CurrentTaxYearAmt
Total$13,887TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,093CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,082CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,320CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,219CurrentTaxYearMinus1YearAmt
Current Tax Year$173CurrentTaxYearAmt
Total$13,887TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$432,230CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$182,869CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$543,792CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$111,429CurrentTaxYearMinus1YearAmt
Current Tax Year$214,242CurrentTaxYearAmt
Total$1,484,562TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99060PublicSupportCY509Pct
Public Support PY5090.98840PublicSupportPY509Pct
Investment Income CY0.00940InvestmentIncomeCYPct
Investment Income PY0.01160InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE COMPANY APPLIES THE PROVISIONS OF FASB ASC TOPIC 740, INCOME TAXES, IN ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC TOPIC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC TOPIC 740.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1LOVE 5KEvent1Nm
Gross Receipts Event1$38,466GrossReceiptsEvent1Amt
Charitable Contri Event1$5,800CharitableContriEvent1Amt
Gross Revenue Event1$32,666GrossRevenueEvent1Amt
Non Cash Prizes Event1$4,052NonCashPrizesEvent1Amt
Food And Beverage Event1$169FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$10,358OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$64,261GrossReceiptsEvent2Amt
Charitable Contri Event2$52,600CharitableContriEvent2Amt
Gross Revenue Event2$11,661GrossRevenueEvent2Amt
Non Cash Prizes Event2$4,716NonCashPrizesEvent2Amt
Rent Facility Costs Event2$6,727RentFacilityCostsEvent2Amt
Food And Beverage Event2$5,302FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$4,900OtherDirectExpensesEvent2Amt
Gross Receipts Total$102,727GrossReceiptsTotalAmt
Charitable Contributions Tot$58,400CharitableContributionsTotAmt
Gross Revenue Total Events$44,327GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$8,768NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$6,727RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$5,471FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$15,258OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$36,224DirectExpenseSummaryEventsAmt
Net Income Summary$8,103NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
LIFENET HEALTH
1864 CONCERT DRIVEVIRGINIA BEACHVA23453521273592501(C)(3)$46,005$0DONOR FAMILY SERVICES
LIFENET HEALTH NORTHWEST
501 SW 39TH STREETRENTONWA98057800798511501(C)(3)$9,400$0DONOR FAMILY SERVICES
LIFENET HEALTH FLORIDA
1864 CONCERT DRIVEVIRGINIA BEACHVA23453593605624501(C)(3)$8,000$0DONOR FAMILY SERVICES
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANT MONITORING GRANTS ARE SUBMITTED BY THE REQUESTOR TO THE CHAIRMAN OF THE LIFENET HEALTH FOUNDATION FOR INCLUSION ON THE FOUNDATION'S AGENDA. THE GRANTS ARE EVALUATED BY THE FOUNDATION TO DETERMINE ALLIANCE TO THE MISSION AND FOR ANTICIPATED BENEFIT AND PURPOSE. DETERMINATION OF APPROVAL OR REJECTION IS RECORDED IN THE MINUTES OF THE FOUNDATION AND COMMUNICATED TO THE REQUESTOR BY THE SECRETARY OF THE FOUNDATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MR RONY THOMAS
BOARD MEMBER$0$886,416$0$1,425,992$0$134,425$0$136,713$0$23,231$0$2,606,777$0$116,613
MR DOUG WILSON
CHAIR$0$485,618$0$229,609$0$33,384$0$136,713$0$22,400$0$907,724$0$26,216
MR DARRELL JESSEE
CFO$0$360,231$0$152,702$0$3,827$0$111,713$0$25,647$0$654,120$0$0
MR GORDON BERKSTRESSER
SECRETARY (FORMER CFO)$0$19,830$0$295,244$0$100,572$0$1,867$0$1,441$0$418,954$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN IN 2021. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. RONY THOMAS $116,613 DOUG WILSON $26,216 DARRELL JESSEE $0 THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN IN 2021: RONY THOMAS $100,000 DOUG WILSON $100,000 DARRELL JESSEE $75,000ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1:THE LIFENET HEALTH FOUNDATION IS A 501(C)3 CHARITABLE ORGANIZATION THAT IS DEDICATED TO RAISING FUNDS FOR DONOR FAMILY SUPPORT PROGRAMS, PUBLIC AND PROFESSIONAL AWARENESS CAMPAIGNS THAT PROMOTE THE VITAL NEED FOR DONATION, AND RESEARCH AND DEVELOPMENT EFFORTS SURROUNDING TRANSPLANTATION. GRANTS PROVIDE SUPPORT FOR NETWORKING EVENTS FOR DONOR FAMILIES, PUBLIC AND HEALTHCARE PROFESSIONAL TRAINING AND AWARENESS OF ORGAN AND TISSUE DONATION, AND FUNDING VITAL BIOMEDICAL RESEARCH IN THE FIELD OF TRANSPLANTATION. IN 2021, THE LIFENET HEALTH FOUNDATION HOSTED A VIRTUAL 5K WALK/RUN, GOLF CLASSIC TOURNAMENT, AND EMPLOYEE CONTRIBUTION CAMPAIGN THAT FUNDED LAW ENFORCEMENT OFFICER TRAINING, NUMEROUS DONOR FAMILY NETWORKING EVENTS AND PROGRAMS TO ASSIST DONOR FAMILIES THROUGH THE GRIEVING AND HEALING PROCESS OF LOSING THEIR LOVED ONE.
FORM 990, PART III, LINE 1:THE LIFENET HEALTH FOUNDATION IS A 501(C)3 CHARITABLE ORGANIZATION THAT IS DEDICATED TO RAISING FUNDS FOR DONOR FAMILY SUPPORT PROGRAMS, PUBLIC AND PROFESSIONAL AWARENESS CAMPAIGNS THAT PROMOTE THE VITAL NEED FOR DONATION, AND RESEARCH AND DEVELOPMENT EFFORTS SURROUNDING TRANSPLANTATION. GRANTS PROVIDE SUPPORT FOR NETWORKING EVENTS FOR DONOR FAMILIES, PUBLIC AND HEALTHCARE PROFESSIONAL TRAINING AND AWARENESS OF ORGAN AND TISSUE DONATION, AND FUNDING VITAL BIOMEDICAL RESEARCH IN THE FIELD OF TRANSPLANTATION. IN 2021, THE LIFENET HEALTH FOUNDATION HOSTED A VIRTUAL 5K WALK/RUN, GOLF CLASSIC TOURNAMENT, AND EMPLOYEE CONTRIBUTION CAMPAIGN THAT FUNDED LAW ENFORCEMENT OFFICER TRAINING, NUMEROUS DONOR FAMILY NETWORKING EVENTS AND PROGRAMS TO ASSIST DONOR FAMILIES THROUGH THE GRIEVING AND HEALING PROCESS OF LOSING THEIR LOVED ONE.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS THE SOLE MEMBER OF THE FOUNDATION IS LIFENET HEALTH, ITS PARENT ORGANIZATION. LIFENET HEALTH HAS THE POWER TO APPOINT, ELECT, AND REMOVE MEMBERS OF THE FOUNDATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BMEMBER GOVERANCE RESERVED POWERS PER THE BYLAWS OF THE FOUNDATION, LIFENET HEALTH HAS ADDITIONAL RESERVED POWERS INCLUDING, BUT NOT LIMITED TO, MATTERS CONCERNING THE PURCHASE OF REAL OR PERSONAL PROPERTY, THE CONDUCT OF FINANCIAL AUDITS, THE CREATION OR ACQUISITION OF SUBSIDIARY ORGANIZATIONS, AND THE AMENDMENT OF THE ORGANIZATIONAL DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11B990 REVIEW THE COMPANY CONTRACTS WITH AN INDEPENDENT ACCOUNTING FIRM TO COMPLETE THE 990. THE 990 IS REVIEWED BY THE CFO AND CEO PRIOR TO FILING WITH THE IRS. THE 990 IS APPROVED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS AS PROXY FOR THE FULL BOARD PER RESOLUTION OF THE BOARD. DISTRIBUTION OF THE 990 IS TRANSMITTED TO THE FULL BOARD BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY THE FOUNDATION ADOPTS THE POLICIES OF LIFENET HEALTH - THE FOUNDATION DOES NOT HAVE SEPARATE POLICIES SPECIFIC TO THE ENTITY. THE FOUNDATION ADOPTED LIFENET HEALTH'S CONFLICT OF INTEREST POLICY (GA-120-011) DESIGNED TO PROTECT THE COMPANY'S INTEREST WHEN IT IS ENTERING OR CONTEMPLATING ENTRY INTO A TRANSACTION THAT MIGHT BENEFIT THE INTEREST OF ITS MEMBERS. THE POLICY COVERS ALL INTERESTED PERSONS WHO ARE DEFINED AS ANY PRINCIPAL OFFICER, BOARD MEMBER, EMPLOYEE AND THEIR IMMEDIATE FAMILY, AND THIRD PARTIES THAT ARE INVOLVED IN THE DECISION MAKING PROCESS AND HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. UPON COMMENCEMENT AND ANNUALLY THEREAFTER, OFFICERS AND KEY EMPLOYEES MUST COMPLETE A "CONFLICT OF INTEREST QUESTIONNAIRE AND UPDATE WHENEVER EMPLOYEE AFFILIATIONS CHANGE. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE COMPLIANCE OFFICER WILL INVESTIGATE AND DETERMINE THE FINAL ACTIONS NECESSARY TO ADDRESS THE CONFLICT. FORM 990, PART VI, LINE 13: WHISTLEBLOWER POLICY THE COMPANY HAS A WHISTLEBLOWER POLICY (GA-120-012) DESIGNED TO PROMOTE AND ENABLE EMPLOYEES TO RAISE ISSUES INTERNALLY BEFORE SEEKING RESOLUTION OUTSIDE OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19PUBLIC DISCLOSURE OF FINANCIAL STATEMENTS, ETC THE COMPANY DOES NOT MAKE ITS AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY OR GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACdAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdProvince Or StateForeignAddress/ProvinceOrStateNm
FLORIDA TISSUE SERVICES
1864 CONCERT DRIVEVIRGINIA BEACHVA23453593605624TISSUE SERVICEFL501(C)(3)PFLIFENET HEALTH0
LIFENET HEALTH
1864 CONCERT DRIVEVIRGINIA BEACHVA23453521273592TISSUE SERVICEVA501(C)(3)LINE 90N/A
LIFENET HEALTH EUROPE GMBH
999999999TISSUE SERVICELIFENET HEALTH025 DIETRICHGASSEVIENNAAU1030AU
LIFENET HEALTH OF CANADA
999999999TISSUE SERVICELIFENET HEALTH040 KING STREET WEST SUITE 5800TORONTOCACAONTARIO
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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