ADVOCARE FOUNDATION: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
ADVOCARE FOUNDATION (EIN 47-4090375)
Tax period
2018-01-01 to 2018-12-31
Filed
2020-03-30
IRS object ID
202020909349100507
Schema version
2018v3.1
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)
Return2020-03-30T11:26:45-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN946214841PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ARMANINO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line115950 N DALLAS PKWY 600AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75248ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN474090375EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADVOCARE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlADVOBusinessNameControlTxt
Phone9656655800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14475 TRINITY MILLS RD PO BOX 701533AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75370ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEBBIE COOKPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9656655800PhoneNum
Signature2020-02-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKELLY M GILLETTEPreparerPersonNm
PTINP00548846PTIN
Phone9726611843PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,192,755FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$2,270,674ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$46,761DividendsRevAndExpnssAmt
Dividends Net Invst Incm$46,761DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$15,079NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$850,130GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$15,079CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$17,243OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$17,243OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$0OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$2,349,757TotalRevAndExpnssAmt
Total Net Invst Incm$79,083TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$158,296OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$158,286OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$141,872OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$141,872OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$1,558TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,558TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$75,478OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$75,478OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$377,204TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$377,194TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$205,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$205,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$582,204TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$377,194TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$205,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,767,553ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$50,563CashBOYAmt
Cash EOY$212,120CashEOYAmt
Cash EOYFMV$212,120CashEOYFMVAmt
Other Investments BOY$1,720,181OtherInvestmentsBOYAmt
Other Investments EOY$2,959,620OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,959,620OtherInvestmentsEOYFMVAmt
Other Assets BOY$0OtherAssetsBOYAmt
Other Assets EOY$21,015OtherAssetsEOYAmt
Other Assets EOYFMV$21,015OtherAssetsEOYFMVAmt
Total Assets BOY$1,770,744TotalAssetsBOYAmt
Total Assets EOY$3,192,755TotalAssetsEOYAmt
Total Assets EOYFMV$3,192,755TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$1,770,744UnrestrictedBOYAmt
Unrestricted EOY$3,192,755UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$1,770,744TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,192,755TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,770,744TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,192,755TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,770,744TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,767,553ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,538,297SubtotalAmt
Other Decreases$345,542OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,192,755TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIESP$294,142$305,899-$11,757-$11,757
PUBLICLY TRADED SECURITIESP$527,078$529,152-$2,074-$2,074
CAPITAL GAINS DIVIDENDSP$28,910$28,910$28,910
FieldValueIRS element (for citing)
Capital Gain Net Income$15,079CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss-$11,757NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$149,882AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,593,245NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.094073DistributionYr1Rt
Adjusted Qlfy Distri Yr2$146,930AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,048,394NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.140148DistributionYr2Rt
Adjusted Qlfy Distri Yr3$0AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$367,475NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.000000DistributionYr3Rt
Total Distribution0.234221TotalDistributionRt
Average Distribution0.078074AverageDistributionRt
Net Vl Noncharitable Assets$2,793,219NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$218,078AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$0NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$218,078AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$205,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$1,875ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$1,875TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$1,875OverpaymentAmt
Applied To ES Tax$1,875AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateTXOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressHTTPS://ADVOCAREFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksTHE FOUNDATIONIndividualWithBooksNm
Phone9656655800PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12801 SUMMIT AVEAddressLine1Txt
CityPLANOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75074ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
STACEY CERNICKY
500 BRISTOL DRIVEALLENTX75013SECRETARY2.00$0$0$0
JENNI MCGAHA
6821 LEMANS COURTPLANOTX75024BOARD MEMBER2.00$0$0$0
DEBBIE COOK
11756 GREENWOOD SPRINGRIDGE DRIVESHREVEPORTLA71129PRESIDENT2.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,473,580AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$362,175AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,835,755TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,835,755AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$42,536CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,793,219NetVlNoncharitableAssetsAmt
Minimum Investment Return$139,661MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$139,661MinimumInvestmentReturnAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$139,661DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$139,661DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$139,661DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$205,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$205,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$205,000AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$139,661DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr2$76,136ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$70,456ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$146,592TotalExcessDistributionCyovAmt
Qualifying Distributions$205,000QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$139,661AppliedToCurrentYearAmt
Remaining Distri From Corpus$65,339RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$211,931TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$211,931ExcessDistriCyovToNextYrAmt
Excess From Year2$76,136ExcessFromYear2Amt
Excess From Year1$70,456ExcessFromYear1Amt
Excess From Current Year$65,339ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonWHITNEY STRAUSSRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line12801 SUMMIT AVEAddressLine1Txt
CityPLANOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75074ZIPCd
FieldValueIRS element (for citing)
Recipient Phone9726655812RecipientPhoneNum
Recipient Email AddressWSTRAUSS@ADVOCARE.COMRecipientEmailAddressTxt
Form And Info And MaterialsADVOCARE FOUNDATION GRANT APPLICATION, BRIEF DESCRIPTION OF THE ORGANIZATION'S MISSION, STATEMENT OF NEED, NUMBER AND DESCRIPTION OF PEOPLE WHO WILL BENEFIT FROM THIS PROGRAM, TIMELINE FOR PROJECT START-UP, COMPLETION AND EXPENDITURE OF FUNDS, DESCRIPTION OF DESIRED IMPACT FROM THE PROGRAM AND WHAT EVALUATION COMPONENT(S) WILL BE USED TO MEASURE SUCCESS, ENTITIES ASKED TO GIVE SIGNIFICANT FINANCIAL SUPPORT TO THE PROPOSED PROGRAM, ORGANIZATIONAL BUDGET, PROJECT BUDGET, MOST RECENT AUDITED FINANCIAL STATEMENT, LIST OF BOARD OF DIRECTORS AND COPY OF TAX STATUS LETTER.FormAndInfoAndMaterialsTxt
Submission DeadlinesAPRIL 20, 2018SubmissionDeadlinesTxt
Restrictions On AwardsGRANT REQUESTS FOR ENDOWMENT FUNDS WILL NOT BE CONSIDERED. GRANT AMOUNTS RANGE FROM $10,000 TO $250,000 (MULTI-YEAR PAYMENT). GRANTS WILL BE AWARDED IN MID-JULY.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (8 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BOYS & GIRLS CLUBS OF METRO ATLANTA
1275 PEACHTREE STREET NE SUITE 500ATLANTAGA30309501(C)(3)TO INCREASE AWARENESS IN CHILDHOOD OBESITY$25,000
CHOICES
125 ELLIS STREET NEATLANTAGA30303501(C)(3)TO INCREASE AWARENESS IN CHILDHOOD OBESITY$25,000
LA'S BEST
200 N SPRING STREET SUITE M-120LOS ANGELESCA90012501(C)(3)TO INCREASE AWARENESS IN CHILDHOOD OBESITY$30,000
MISSION 2 MOVE
902 GORHAM DRIVECINCINNATIOH45245501(C)(3)TO INCREASE AWARENESS IN CHILDHOOD OBESITY$25,000
VETRI COMMUNITY PARTNERSHIP
211 N 13TH STREET SUITE 303PHILADELPHIAPA19107501(C)(3)TO INCREASE AWARENESS IN CHILDHOOD OBESITY$35,000
UNITED WAY OF METROPOLITAN DALLAS
1800 N LAMAR STREETDALLASTX75202501(C)(3)TO INCREASE AWARENESS IN CHILDHOOD OBESITY$25,000
YMCA OF METROPOLITAN DALLAS
601 N AKARD STREETDALLASTX75201501(C)(3)TO INCREASE AWARENESS IN CHILDHOOD OBESITY$30,000
SERVICIOS DE LA RAZA
3131 W 14TH AVENUEDENVERCO80204501(C)(3)TO INCREASE AWARENESS IN CHILDHOOD OBESITY$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$205,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$46,761ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion15ExclusionCd
Exclusion$17,243ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$15,079ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$79,083ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$79,083TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (5 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionIndPayroll ContributionPayrollContributionIndNoncash ContributionNoncashContributionInd
ADVOCARE INTERNATIONAL LP
12801 SUMMIT AVEPLANOTX75074$1,213,551Yes (X)Yes (X)Yes (X)
BRIAN CONNELLY
27 CROYDON RDMORRISTOWNNJ07960$10,000Yes (X)
DEBBIE COOK
311756 GREENWOOD SPRINGRIDGE DRSHREVEPORTLA71129$250,000Yes (X)
JENNI MCGAHA
46821 LEMANS COURTPLANOTX75024$250,000Yes (X)
STACEY CERNICKY
5500 BRISTOL DRALLENTX75013$250,000Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash PropertyPERSONNEL COSTS AND PROFESSIONAL AND OTHER SERVICE FEESNoncashPropertyDesc
Fair Market Value$309,551FairMarketValueAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemINVESTMENTSCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$2,959,620BookValueAmt
EOYFMV$2,959,620EOYFMVAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescPREPAID EXPENSESDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$21,015EOYBookValueAmt
EOYFMV$21,015EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN / (LOSS) ON INVESTMENTSDesc
Amt$345,542Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OTHER EXPENSES$6,879$6,879$0$0
SUPPLIES AND TRAVEL$68,263$68,263$0$0
INVESTMENT EXPENSES$336$336$0$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescROYALTY INCOMEDesc
Revenue And Expenses Per Books$17,243RevenueAndExpensesPerBooksAmt
Net Investment Income$17,243NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROFESSIONAL FEES$118,774$118,774$0$0
INVESTMENT MANAGEMENT FEES$23,098$23,098$0$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXES PAIDCategoryTxt
Amt$1,558Amt
Net Investment Income$1,558NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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