2021-08-20T10:49:23-05:00 2021-03-31 750807999 SPROLES WOODARD LLP 777 MAIN STREET SUITE 3250 FORT WORTH TX 761025304 990 2020-04-01 752267609 JEWEL CHARITY BALL INCORPORATED JEWE 8178709064 3301 HAMILTON AVENUE NO 121 FORT WORTH TX 76107 MICHELLE MARLOW PRESIDENT 8178709064 2021-08-20 1 MICHELLE MARLOW 999009999 JOHN VINCENT DAVILA P01434256 8173321328 2021-08-20 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MICHELLE MARLOW 3301 HAMILTON AVENUE NO 121 FORT WORTH TX 76107 1685096 0 X WWW.JEWELCHARITY.ORG X 1988 TX RAISE FUNDS TO PROVIDE HEALTH CARE FOR CHILDREN AT COOK CHILDREN'S MEDICAL CENTER. 7 7 0 66 0 0 3298543 1658151 0 0 7902 5195 -722118 -81899 2584327 1581447 0 2529171 0 0 0 0 0 0 0 70963 44752 70963 2573923 2513364 -992476 3300983 2501668 0 0 3300983 2501668 PROVIDE FINANCIAL SUPPORT TO FORT WORTH COOK CHILDREN'S MEDICAL CENTER. 0 0 2529171 2529171 JEWEL CHARITY BALL RAISES FUNDS FOR UNCOMPENSATED HEALTHCARE FOR CHILDREN AT COOK CHILDREN'S MEDICAL CENTER. FUNDRAISING IS ACCOMPLISHED BY SOLICITING DONATIONS FROM LOCAL, NATIONAL, AND INTERNATIONAL INDIVIDUALS, BUSINESSES AND FOUNDATIONS. ALL PROCEEDS ARE DONATED TO COOK CHILDREN'S MEDICAL CENTER FOR THE UNCOMPENSATED CARE FUND AND OTHER SPECIFIC FIELDS OF INTEREST AS DESIGNATED ANNUALLY BY THE JEWEL CHARITY BALL BOARD OF DIRECTORS. JEWEL CHARITY BALL'S 2020 DONATION TO COOK CHILDREN'S MEDICAL CENTER WAS $2.53 MILLION. 2529171 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X JENNIFER JOHNSON 8178109849 3301 HAMILTON AVENUE SUITE 121 FORT WORTH TX 76107 X MICHELLE MARLOW PRESIDENT 30.00 X X 0 0 0 SHANNON BAUMGARDNER PRESIDENT-ELECT 5.00 X X 0 0 0 KATHY SNEED TREASURER 1.00 X X 0 0 0 SUZANNE SANDERS SECRETARY 1.00 X X 0 0 0 GAIL LANDRETH PARLIAMENTARIAN 1.00 X X 0 0 0 JONI HORTON NOMINATING 2.00 X X 0 0 0 KIM CAREY MEMBERSHIP 1.00 X X 0 0 0 NOEL NOLET ANGEL CHAIR 5.00 X X 0 0 0 LEZLIE MONTELEONE ENDOWMENT CHAIR 1.00 X X 0 0 0 MARY ANNE POLSON LONG RANGE PLANNING 3.00 X X 0 0 0 DEBBIE REYNOLDS PAST PRESIDENT ADVISOR 1.00 X X 0 0 0 0 0 0 0 0 0 0 0 517800 762229 378122 1658151 5195 5195 21750 762229 103649 -81899 -81899 1581447 0 0 -76704 2529171 2529171 34265 34265 198 198 9132 9132 OTHER ADMIN EXP REIMBUR 1157 1157 2573923 2529171 44752 0 2646017 1555711 68393 40137 37388 28256 617578 917701 3300983 2501668 0 0 X 3197998 2298683 102985 202985 3300983 2501668 3300983 2501668 -992476 193161 0 X X 0 1 X 1 0 X 3095633 2737978 2759407 3464863 1658151 13716032 3095633 2737978 2759407 3464863 1658151 13716032 13716032 30234 32376 43206 7902 5195 118913 605378 681177 672403 337856 21750 2318564 16153509 0.84910 0.82340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 617578 70500 229623 917701 638764 -21186 617578 612426 1350 24988 638764 604219 6065 2140 612426 532478 7070 64671 604219 0.77890 0.22110 1 0 5440 1286 4154 62953 38851 24102 28256 2595510 193161 734403 120600 1048164 1547346 34101 34101 1581447 1966221 734403 1188376 1922779 43442 2530481 2530481 2573923 PART V, LINE 4: THE JEWEL CHARITY BALL (THE BALL) ENDOWMENT WAS FORMED TO PROVIDE ADDITIONAL OPERATING FUNDS FOR THE BALL SHOULD MEMBERSHIP DUES FAIL TO COVER THE COSTS OF ADMINISTRATION AND CONDUCTING THE BALL. THIS IS DONE SO THAT MORE (OFTEN ALL) OF THE FUNDS RAISED BY MEMBERS OF THE BALL AND THE BALL'S SPECIAL EVENTS CAN BE USED TO SUPPORT COOK CHILDREN'S MEDICAL CENTER. PART XI, LINE 2D - OTHER ADJUSTMENTS: DEFERRED REVENUE AT 3/31/20 120,600. PART XI, LINE 4B - OTHER ADJUSTMENTS: DEFERRED REVENUE RECEIVED IN CURRENT YEAR 137,750. FUNDRAISING EXPENSES -103,649. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 103,649. CMC PAYABLE ACCRUED EXPENSES 1,084,727. PART XII, LINE 4B - OTHER ADJUSTMENTS: PREPAID EXPENSES 1,310. CMC RECOGNIZED IN THE CY 2,529,171. JEWEL CHARITY BALL 783979 762229 21750 33126 8714 61809 1 783979 762229 21750 33126 8714 61809 103649 -81899 0 COOK CHILDREN'S MEDICAL -FORT WORTH 801 SEVENTH AVENUE FORT WORTH TX 76104 752051646 501(C)(3) 2529171 UNCOMPENSATED CARE AND GENERAL SUPPORT 1 PART 1, LINE 2 ALL GRANTS ARE GIVEN TO COOK CHILDREN'S MEDICAL-FORT WORTH FOR UNCOMPENSATED CARE AND GENERAL SUPPORT. COOK CHILDREN'S MEDICAL PROVIDES JEWEL CHARITY BALL WITH PERIODIC REPORTS REGARDING THE USE OF THE FUNDS. FORM 990, PART IV, LINE 2 SCHEDULE B, LIST OF CONTRIBUTORS: JEWEL CHARITY BALL IS A 501(C)(3) ORGANIZATION THAT MET THE 33 1/3% SUPPORT TEST UNDER SECTIONS 509(A)(1)/170(B)(1)(A)(VI). JEWEL CHARITY BALL RECEIVED TWO CONTRIBUTIONS OVER 2% OF THE AMOUNT ON FORM 990 PART VIII, LINE 1H ($69,295) AND IS REQUIRED TO FILE SCHEDULE B. FORM 990, PART VI, SECTION A, LINE 6 THERE ARE FOUR CLASSIFICATIONS OF MEMBERS: ACTIVE, NON-RESIDENT, LIFE, AND HONORARY. ACTIVE MEMBERS MAINTAIN THEIR PHYSICAL RESIDENCE WITHIN FIFTY MILES OF COOK CHILDREN'S MEDICAL CENTER SO AS TO ALLOW FOR ACTIVE PARTICIPATION IN JEWEL CHARITY BALL ACTIVITIES THROUGHOUT THE YEAR. NON-RESIDENT MEMBERS ARE THOSE ACTIVE MEMBERS WHOSE PHYSICAL RESIDENCE IS BEYOND A FIFTY MILE RADIUS OF COOK CHILDREN'S MEDICAL CENTER. LIFE MEMBERS ARE PREVIOUS ACTIVE MEMBERS IN GOOD STANDING WHO NO LONGER WISH TO ACCEPT THE OBLIGATIONS OF ACTIVE MEMBERSHIP, BUT WISH TO REMAIN INVOLVED WITH THE JEWEL CHARITY BALL. HONORARY MEMBERS ARE THOSE MEMBERS WHO HAVE BEEN PRESIDENT OF THE JEWEL CHARITY BALL. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS AND COMMITTEE CHAIRS. FORM 990, PART VI, SECTION B, LINE 11B THE PRESIDENT REVIEWS FORM 990 BEFORE IT IS SIGNED AND FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE SIGNED ANNUALLY BY THE BOARD OF DIRECTORS AND FILED IN THE JEWEL CHARITY OFFICES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST BY CONTACTING THE JEWEL CHARITY OFFICES. FORM 990, PART XII, LINE 2C FINANCIAL STATEMENTS AND REPORTING: JEWEL CHARITY BALL'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. FORM 990, SCHEDULE D, PART V, LINE 3A(I) ENDOWMENT FUNDS ADMINISTERED BY AN UNRELATED PARTY: JEWEL CHARITY BALL HAS PLACED ITS ENDOWMENT FUNDS WITH COOK CHILDREN'S MEDICAL CENTER TO BE ADMINISTERED AS A PART OF THE MEDICAL CENTER'S ENDOWMENT FUNDS. THIS KEEPS ADMINISTRATIVE AND INVESTMENT COSTS TO A MINIMUM. JEWEL CHARITY BALL CAN WITHDRAW FUNDS AT WILL SHOULD IT NEED TO.