LIFENET FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
LIFENET FOUNDATION (EIN 54-2015370)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202103199349319710
Schema version
2020v4.1
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)
Return2021-11-15T14:58:20-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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
Signature2021-11-15SignatureDt
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 PersonANDREW ROEPreparerPersonNm
PTINP01876391PTIN
Phone7032868000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDARRELL JESSEEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11864 CONCERT DRAddressLine1Txt
CityVIRGINIA BEACHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23453ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$111,429GrossReceiptsAmt
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$429,444PYContributionsGrantsAmt
CY Contributions Grants$89,986CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$4,320PYInvestmentIncomeAmt
CY Investment Income$2,219CYInvestmentIncomeAmt
PY Other Revenue-$129,347PYOtherRevenueAmt
CY Other Revenue$16,817CYOtherRevenueAmt
PY Total Revenue$304,417PYTotalRevenueAmt
CY Total Revenue$109,022CYTotalRevenueAmt
PY Grants And Similar Paid$171,487PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$68,000CYGrantsAndSimilarPaidAmt
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$40,988PYOtherExpensesAmt
CY Other Expenses$22,358CYOtherExpensesAmt
PY Total Expenses$212,475PYTotalExpensesAmt
CY Total Expenses$90,358CYTotalExpensesAmt
PY Revenues Less Expenses$91,942PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,664CYRevenuesLessExpensesAmt
Total Assets BOY$1,962,994TotalAssetsBOYAmt
Total Assets EOY$1,764,992TotalAssetsEOYAmt
Total Liabilities BOY$282,210TotalLiabilitiesBOYAmt
Total Liabilities EOY$65,544TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,680,784NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,699,448NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$90,358ExpenseAmt
Grant$68,000GrantAmt
DescSPONSORED GRIEF SERVICES AND PURCHASED PUBLIC EDUCATION MATERIALS FOR DISTRIBUTION TO THE GENERAL PUBLIC.Desc
Total Program Service Expenses$90,358TotalProgramServiceExpensesAmt
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
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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
RONY THOMAS
BOARD MEMBER1.0044.00Yes (X)$0$2,286,277$158,520
GORDON BERKSTRESSER
BOARD MEMBER/CFO1.0044.00Yes (X)$0$960,922$52,920Yes (X)
DOUG WILSON
CHAIR1.0044.00Yes (X)$0$713,115$133,420Yes (X)
DARRELL JESSEE
SECRETARY/CFO1.0044.00Yes (X)$0$371,318$84,316Yes (X)
ANN LANGE
BOARD MEMBER1.002.00Yes (X)$0$16,000$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,347,632TotReportableCompRltdOrgAmt
Total Other Compensation$429,176TotalOtherCompensationAmt
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$11,500FundraisingAmt
All Other Contributions$78,486AllOtherContributionsAmt
Total Contributions$89,986TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,219TotalRevenueColumnAmt
Exclusion$2,219ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$19,224FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$11,500ContriRptFundraisingEventAmt
Fundraising Direct Expenses$2,407FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,817TotalRevenueColumnAmt
Exclusion$16,817ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$109,022TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$19,036ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$68,000TotalAmt
Program Services$68,000ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,553TotalAmt
Program Services$2,553ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$76TotalAmt
Program Services$76ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,562TotalAmt
Program Services$1,562ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,773TotalAmt
Program Services$2,773ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOTHER EXPENSESDesc
Total$15,394TotalAmt
Program Services$15,394ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$90,358TotalAmt
Program Services$90,358ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,962,994BOYAmt
EOY$1,764,992EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,962,994BOYAmt
EOY$1,764,992EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$282,210BOYAmt
EOY$53,794EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$282,210BOYAmt
EOY$65,544EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,680,784BOYAmt
EOY$1,699,448EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,680,784BOYAmt
EOY$1,699,448EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,962,994BOYAmt
EOY$1,764,992EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$18,664ReconcilationRevenueExpnssAmt
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$103,572CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$151,178CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$152,745CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$429,444CurrentTaxYearMinus1YearAmt
Current Tax Year$89,986CurrentTaxYearAmt
Total$926,925TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,759CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$277,959CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,042CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$110,028CurrentTaxYearMinus1YearAmt
Current Tax Year$19,224CurrentTaxYearAmt
Total$450,012TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$120,331CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$429,137CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$178,787CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$539,472CurrentTaxYearMinus1YearAmt
Current Tax Year$109,210CurrentTaxYearAmt
Total$1,376,937TotalAmt

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$1,376,937PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,406CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,093CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,082CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,320CurrentTaxYearMinus1YearAmt
Current Tax Year$2,219CurrentTaxYearAmt
Total$16,120TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,406CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,093CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,082CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,320CurrentTaxYearMinus1YearAmt
Current Tax Year$2,219CurrentTaxYearAmt
Total$16,120TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$122,737CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$432,230CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$182,869CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$543,792CurrentTaxYearMinus1YearAmt
Current Tax Year$111,429CurrentTaxYearAmt
Total$1,393,057TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98840PublicSupportCY509Pct
Public Support PY5090.98850PublicSupportPY509Pct
Investment Income CY0.01160InvestmentIncomeCYPct
Investment Income PY0.01150InvestmentIncomePYPct
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$29,724GrossReceiptsEvent1Amt
Charitable Contri Event1$11,500CharitableContriEvent1Amt
Gross Revenue Event1$18,224GrossRevenueEvent1Amt
Non Cash Prizes Event1$100NonCashPrizesEvent1Amt
Entertainment Event1$275EntertainmentEvent1Amt
Other Direct Expenses Event1$2,032OtherDirectExpensesEvent1Amt
Gross Receipts Total$29,724GrossReceiptsTotalAmt
Charitable Contributions Tot$11,500CharitableContributionsTotAmt
Gross Revenue Total Events$18,224GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$100NonCashPrizesTotalEventsAmt
Entertainment Total Events$275EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$2,032OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$2,407DirectExpenseSummaryEventsAmt
Net Income Summary$15,817NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
LIFENET HEALTH
1864 CONCERT DRIVEVIRGINIA BEACHVA23453521273592501(C)(3)$34,000DONOR FAMILY SERVICES
CHIPPENHAM & JOHNSON-WILLIS HOSPITAL INC
7101 JAHNKE ROADRICHMONDVA23225541779911501(C)(3)$8,500DONOR FAMILY SERVICES
HENRICO'S DOCTORS HOSPITAL
PO BOX 402478ATLANTAGA30384621113733501(C)(3)$8,500DONOR FAMILY SERVICES
CENTRAL HEALTH INC
1920 ATERHOLT DRIVELYNCHBURGVA24501540715569501(C)(3)$8,500DONOR FAMILY SERVICES
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
5801 BREMO ROADRICHMONDVA23226540793767501(C)(3)$8,500DONOR FAMILY SERVICES
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
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
RONY THOMAS
BOARD MEMBER$0$828,348$0$1,339,220$0$118,709$0$136,334$0$22,186$0$2,444,797$0$104,932
GORDON BERKSTRESSER
BOARD MEMBER/CFO$0$461,509$0$484,459$0$14,954$0$36,334$0$16,586$0$1,013,842$0$0
DOUG WILSON
CHAIR$0$462,924$0$206,531$0$43,660$0$111,334$0$22,086$0$846,535$0$26,233
DARRELL JESSEE
SECRETARY/CFO$0$272,000$0$33,723$0$65,595$0$59,402$0$24,914$0$455,634$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 2020. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. RONY THOMAS $104,932 GORDON BERKSTRESSER $0 DOUG WILSON $26,233 DARRELL JESSEE $0 THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN IN 2020: RONY THOMAS $100,000 GORDON BERKSTRESSER $0 DOUG WILSON $75,000 DARRELL JESSEE $25,000ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1: MISSIONTHE 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 2020, THE LIFENET HEALTH FOUNDATION HOSTED A VIRTUAL 5K WALK/RUN, GOLF CLASSIC TOURNAMENT, AND EMPLOYEE CONTRIBUTION CAMPAIGN THAT FUNDED A NEW 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: ORGANIZATION MISSIONTHE 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 2020, THE LIFENET HEALTH FOUNDATION HOSTED A VIRTUAL 5K WALK/RUN, GOLF CLASSIC TOURNAMENT, AND EMPLOYEE CONTRIBUTION CAMPAIGN THAT FUNDED A NEW 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, 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.
FORM 990, PART VI, SECTION B, LINE 13WHISTLEBLOWER 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 B, LINE 10ALOCAL CHAPTERS & AFFILIATES LIFENET FOUNDATION HAS NO LOCAL CHAPTERS, BRANCHES, OR AFFILIATES.

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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