A SILVER LINING FOUNDATION CHICAGOLAND CANCER INFO COALITION: Form 990, tax year 2018
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- Organization
- A SILVER LINING FOUNDATION CHICAGOLAND CANCER INFO COALITION (EIN 90-0097495)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-02-13
- IRS object ID
- 202000449349302050
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-02-13T17:00:41-06:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 625 N NORTH COURT SUITE 200 | AddressLine1Txt |
| City | PALATINE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60067 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900097495 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A SILVER LINING FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ASIL | BusinessNameControlTxt |
| Phone | 3123451322 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 134 NORTH LASALLE STREET NO 1218 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60602 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR SANDRA A GOLDBERG | PersonNm |
| Person Title | FOUNDER AND CEO | PersonTitleTxt |
| Phone | 3123451322 | PhoneNum |
| Signature | 2020-02-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES O GIESE | PreparerPersonNm |
| PTIN | P00040837 | PTIN |
| Phone | 8473581170 | PhoneNum |
| Preparation | 2020-02-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.187.112.90 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-02-11 | IPDt |
| IP Tm | 14:12:50 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A1E9C2D2B70E4335E26891B58FBE33F7E2870F79 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-11-19 02:30:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR SANDRA A GOLDBERG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 134 NORTH LASALLE STREET NO 1218 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,187,865 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ASILVERLININGFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE RESPECTFUL AND EQUAL ACCESS TO COST-FREE BREAST HEALTH TESTING THROUGH A NETWORK OF PARTNERSHIPS WITH COMMUNITY, ADVOCACY AND HEALTHCARE ORGANIZATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 3 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $991,781 | PYContributionsGrantsAmt |
| CY Contributions Grants | $925,371 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $73 | PYInvestmentIncomeAmt |
| CY Investment Income | $60 | CYInvestmentIncomeAmt |
| PY Other Revenue | $35,891 | PYOtherRevenueAmt |
| CY Other Revenue | $72,265 | CYOtherRevenueAmt |
| PY Total Revenue | $1,027,745 | PYTotalRevenueAmt |
| CY Total Revenue | $997,696 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $625,172 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $509,434 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $212,226 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $216,838 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $84,355 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $158,715 | PYOtherExpensesAmt |
| CY Other Expenses | $152,018 | CYOtherExpensesAmt |
| PY Total Expenses | $996,113 | PYTotalExpensesAmt |
| CY Total Expenses | $878,290 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $31,632 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $119,406 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $178,414 | TotalAssetsBOYAmt |
| Total Assets EOY | $208,068 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $158,650 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $68,898 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $19,764 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $139,170 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE RESPECTFUL AND EQUAL ACCESS TO COST-FREE BREAST HEALTH TESTING THROUGH A NETWORK OF PARTNERSHIPS WITH COMMUNITY, ADVOCACY AND HEALTHCARE ORGANIZATIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $736,364 | ExpenseAmt |
| Grant | $509,434 | GrantAmt |
| Desc | CHICAGOLAND CANCER INFORMATION COALITION (CCIC) IS COMPRISED OF ADVOCACY GROUPS, SOCIAL SERVICE, VOLUNTARY AND COMMUNITY-BASED HEALTH ORGANIZATIONS AS WELL AS CITY AND COUNTY DEPARTMENT DEDICATED AND COMMITTED IN THE FIGHT AGAINST CANCER. CCIC PARTICIPATING ORGANIZATIONS BELIEVE THAT ALL INDIVIDUALS DESERVE ACCESS TO QUALITY CANCER RESOURCE INFORMATION REGARDLESS OF AGE, RACE, GENDER OR FINANCIAL CONDITION. CCIC IS A PROGRAM OF A SILVER LINING FOUNDATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTABLISHED IN 2006, BUY A MOM A MAMMOGRAM FUNDS COST-FREE BREAST HEALTH TESTING FOR THOSE WHO ARE UNINSURED, UNDERINSURED AND/OR INELIGIBLE FOR OTHER BREAST HEALTH TESTING PROGRAMS. ASLF DOESN'T EXCLUDE ANYONE BASED ON AGE, RESIDENCY, OR SOCIOECONOMICS. THE ONLY REQUIREMENT IS NEED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ON SEPTEMBER 24, 2012 THE EVELYN GOLDBERG MAMMOGRAPHY CENTER, NAMED IN HONOR OF DR. SANDY'S LATE MOTHER, WAS UNVEILED. PREVIOUSLY KNOWN AS THE EVELYN GOLDBERG CENTER (EST. 2004), AS AN INFORMATIONAL AND RESOURCE HUB, THE NEW EVELYN GOLDBERG MAMMOGRAPHY CENTER IS AN OUTGROWTH OF ASLF'S BUY A MOM A MAMMOGRAM PROGRAM. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| DescDesc |
|---|
| A SILVER LINING FOUNDATION HAS EXPANDED OUR BAMAM PROGRAM BY ADDING SURVIVE TO THRIVE. THIS PROGRAM IS DESIGNED SPECIFICALLY FOR WOMEN AND MEN WHO HAVE BEEN PREVIOUSLY DIAGNOSED WITH BREAST CANCER. THE PROGRAM IS TAILORED TO FIT THE UNIQUE NEEDS OF SURVIVORS WHO ARE UN-INSURED OR UNDER-INSURED BY OFFERING NO COST DIAGNOSTIC TESTING. |
| KEEP ABREAST IS A FACE TO FACE, MULTIMEDIA BREAST HEALTH PRESENTATION THAT INCLUDES A STRAIGHTFORWARD DISCUSSION BETWEEN BREAST CANCER SURVIVORS AND YOUNG WOMEN. THE GOAL IS TWO-FOLD: TO TEACH YOUNG WOMEN TO BECOME ADVOCATES FOR THEIR OWN BREAST HEALTH AND TO RAISE AWARENESS OF THE NEED FOR BREAST CANCER SCREENING TO THOSE WHO ARE UNINSURED OR UNDERINSURED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $736,364 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 3 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR SANDRA A GOLDBERG | PersonNm |
| Phone | 3123451322 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 134 NORTH LASALLE STREET NO 1218 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60602 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| NANCY AMICANGELO | ||||||
| SECRETARY | 25.00 | Yes (X) | Yes (X) | $31,300 | $0 | $0 |
| BRENDA ARELANO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SEEMA W BHATIA MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH D CALANDRA MD FACR | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LINDA CARADINE-POINSETT MBA MJ PHD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| FREDERICK W CHURCH MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SANDRA A GOLDBERG PHD | ||||||
| FOUNDER AND CEO | 40.00 | Yes (X) | Yes (X) | $130,008 | $0 | $0 |
| GREGORY N HINES | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STEPHANIE A JOE MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BELA NAND MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CAROLINE SHOENBERGER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BEN SOLDINGER CPA | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SCOTT STEPHENS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LARRY WERT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BETH WITCZAK | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $161,308 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $209,026 | FundraisingAmt |
| All Other Contributions | $716,345 | AllOtherContributionsAmt |
| Total Contributions | $925,371 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60 | TotalRevenueColumnAmt |
| Exclusion | $60 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $250,024 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $209,026 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $190,169 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,855 | TotalRevenueColumnAmt |
| Exclusion | $59,855 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $12,410 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,410 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,410 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $997,696 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,410 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $59,915 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,434 | TotalAmt |
| Program Services | $509,434 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,308 | TotalAmt |
| Program Services | $94,806 | ProgramServicesAmt |
| Management And General | $12,091 | ManagementAndGeneralAmt |
| Fundraising | $54,411 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,213 | TotalAmt |
| Program Services | $40,213 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,317 | TotalAmt |
| Program Services | $10,262 | ProgramServicesAmt |
| Management And General | $919 | ManagementAndGeneralAmt |
| Fundraising | $4,136 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,015 | TotalAmt |
| Management And General | $27,015 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,143 | TotalAmt |
| Program Services | $9 | ProgramServicesAmt |
| Management And General | $2,994 | ManagementAndGeneralAmt |
| Fundraising | $140 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,522 | TotalAmt |
| Program Services | $20,262 | ProgramServicesAmt |
| Management And General | $6,938 | ManagementAndGeneralAmt |
| Fundraising | $4,322 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,384 | TotalAmt |
| Program Services | $7,038 | ProgramServicesAmt |
| Management And General | $845 | ManagementAndGeneralAmt |
| Fundraising | $1,501 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,748 | TotalAmt |
| Program Services | $35,811 | ProgramServicesAmt |
| Management And General | $4,297 | ManagementAndGeneralAmt |
| Fundraising | $7,640 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,051 | TotalAmt |
| Program Services | $10,538 | ProgramServicesAmt |
| Management And General | $1,265 | ManagementAndGeneralAmt |
| Fundraising | $2,248 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,388 | TotalAmt |
| Program Services | $1,790 | ProgramServicesAmt |
| Management And General | $216 | ManagementAndGeneralAmt |
| Fundraising | $382 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,569 | TotalAmt |
| Program Services | $1,927 | ProgramServicesAmt |
| Management And General | $231 | ManagementAndGeneralAmt |
| Fundraising | $411 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| FUNDRAISING | $9,164 | $9,164 | ||
| OUTREACH | $2,372 | $2,372 | ||
| VOLUNTEER | $1,902 | $1,902 | ||
| DUES & SUBSCRIPTIONS | $735 | $735 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25 | TotalAmt |
| Management And General | $25 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $878,290 | TotalAmt |
| Program Services | $736,364 | ProgramServicesAmt |
| Management And General | $57,571 | ManagementAndGeneralAmt |
| Fundraising | $84,355 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,544 | BOYAmt |
| EOY | $38,294 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,579 | BOYAmt |
| EOY | $75,639 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,430 | BOYAmt |
| EOY | $79,623 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,565 | BOYAmt |
| EOY | $5,124 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,756 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,868 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,796 | BOYAmt |
| EOY | $5,888 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,500 | BOYAmt |
| EOY | $3,500 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,414 | BOYAmt |
| EOY | $208,068 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,956 | BOYAmt |
| EOY | $63,147 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,694 | BOYAmt |
| EOY | $5,751 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,650 | BOYAmt |
| EOY | $68,898 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$116,860 | BOYAmt |
| EOY | $3,175 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,624 | BOYAmt |
| EOY | $135,995 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,764 | BOYAmt |
| EOY | $139,170 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,414 | BOYAmt |
| EOY | $208,068 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $119,406 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,054,787 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $743,582 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $828,541 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,027,745 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $925,371 | CurrentTaxYearAmt |
| Total | $4,580,026 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,054,787 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $743,582 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $828,541 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,027,745 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $925,371 | CurrentTaxYearAmt |
| Total | $4,580,026 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,151,181 | SubstantialContributorsTotAmt |
| Public Support Total170 | $3,428,845 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $967 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $104 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $73 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60 | CurrentTaxYearAmt |
| Total | $1,489 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,581,515 | TotalSupportAmt |
| Public Support CY170 | 0.74840 | PublicSupportCY170Pct |
| Public Support PY170 | 0.66280 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,756 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,868 | DepreciationAmt |
| Book Value | $5,888 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,888 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT | Desc |
| Amt | $5,751 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,751 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,095,050 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $97,354 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $97,354 | RevenueNotReportedAmt |
| Revenue Subtotal | $997,696 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $997,696 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $975,644 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $97,354 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $97,354 | ExpensesNotReportedAmt |
| Expenses Subtotal | $878,290 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $878,290 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | SEE SCHEDULE D SUPPLEMENTAL INFORMATION |
| PART X. LINE 2: | THE FOUNDATION IS GENERALLY EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTIONS 501 (C) (3), 509 (A) (1) AND 170 (B) (1) (A) (VI) OF THE CODE. THE FOUNDATION HAS ADOPTED THE REQUIREMENTS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND MANAGEMENT HAS DETERMINED THAT THE FOUNDATION WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2019 AND 2018. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | A STERLING EVENT | Event1Nm |
| Gross Receipts Event1 | $329,302 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $149,851 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $179,451 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $63,949 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $10,980 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $75,899 | OtherDirectExpensesEvent1Amt |
| Event2 | TASTING STARS | Event2Nm |
| Gross Receipts Event2 | $94,350 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $24,105 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $70,245 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $19,084 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $899 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $15,454 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $35,398 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $35,070 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $328 | GrossRevenueOtherEventsAmt |
| Food And Beverage Other Events | $3,444 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $460 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $459,050 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $209,026 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $250,024 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $86,477 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $11,879 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $91,813 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $190,169 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $59,855 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ADVOCATE IL MASONIC | |||||||
| 836 W WELLINGTON AVE | CHICAGO | IL | 60657 | 362171705 | 3 | $38,160 | MAMMOGRAMS |
| ADVOCATE MEDICAL CENTER | |||||||
| 4440 W 95TH STREET | OAK LAWN | IL | 60453 | 362169147 | 3 | $64,125 | MAMMOGRAMS |
| INGALLS HEALTH SYSTEM | |||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363181170 | 3 | $20,580 | MAMMOGRAMS |
| PRESENCE HOLY FAMILY | |||||||
| 100 N RIVER ROAD | DES PLAINES | IL | 60016 | 362439318 | 3 | $19,285 | MAMMOGRAMS |
| PRESENCE SAINT JOSEPH HOSPITAL | |||||||
| 77 N AIRLITE STREET | ELGIN | IL | 60123 | 364195126 | 3 | $49,550 | MAMMOGRAMS |
| ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION | |||||||
| 2400 N ROCKTON AVENUE | ROCKFORD | IL | 61103 | 363197918 | 3 | $9,830 | MAMMOGRAMS |
| ROSELAND | |||||||
| 45 W 111TH ST | CHICAGO | IL | 60628 | 361703630 | 3 | $3,075 | MAMMOGRAMS |
| SINAI HEALTH SYSTEM | |||||||
| 1500 S FAIRFIELD AVENUE | CHICAGO | IL | 60608 | 361509000 | 3 | $38,177 | MAMMOGRAMS |
| ST ANTHONY HOSPITAL | |||||||
| 2875 W 19TH STREET | CHICAGO | IL | 60623 | 510217097 | 3 | $44,315 | MAMMOGRAMS |
| ST FRANCIS HOSPITAL | |||||||
| 355 RIDGE AVENUE | EVANSTON | IL | 60202 | 362167800 | 3 | $59,010 | MAMMOGRAMS |
| SWEDISH AMERICAN HOSPITAL | |||||||
| 1401 E STATE ST | ROCKFORD | IL | 61104 | 362222696 | 3 | $3,010 | MAMMOGRAMS |
| SWEDISH COVENANT HOSPITAL | |||||||
| 5145 NORTH CALIFORNIA AVENUE | CHICAGO | IL | 60625 | 362179813 | 3 | $34,635 | MAMMOGRAMS |
| UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO | |||||||
| 1740 WEST TAYLOR SUITE 1400 | CHICAGO | IL | 60612 | 376000511 | 3 | $71,050 | MAMMOGRAMS |
| WEST SUBURBAN MEDICAL CENTER | |||||||
| 3 ERIE COURT | OAK PARK | IL | 60302 | 272071328 | 3 | $54,525 | MAMMOGRAMS |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DR SANDRA A GOLDBERG | |||
| FOUNDER AND CEO | $131,864 | SALARY | 0 |
| SCOTT STEPHENS | |||
| BOARD MEMBER | $5,630 | SEE BELOW SCOTT'S COMPANY - PROXIT TECHNOLOGY SOLUTIONS, INC. - FOR IT SERVICES | 0 |
| NANCY AMICANGELO | |||
| BOARD MEMBER | $31,300 | RECEIVED COMPENSATION FOR ACCOUNTING AND AUDIT FUNCTIONS AS WELL AS GRANT WRITING AND REPORTING | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L PART IV | FormAndLineReferenceDesc |
| Explanation | DR. SANDRA A. GOLDBERG, FOUNDER AND CEO, IS A PAID EMPLOYEE OF THE FOUNDATION, SHE IS MARRIED TO GREGORY N. HINES, A BOARD MEMBER OF THE FOUNDATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | SANDRA A. GOLDBERG, PHD AND GREGORY N. HINES ARE SPOUSES |
| FORM 990, PART VI, SECTION B, LINE 11B | ONCE A DRAFT HAS BEEN COMPLETED, THE FORM 990 IS DISTRIBUTED TO THE MEMBERS OF THE BOARD OF DIRECTORS WHO ARE ABLE TO REVIEW, COMMENT, AND RESPOND WITH QUESTIONS. AT THE END OF THE REVIEW PERIOD, THE BOARD OF DIRECTORS ARE ASKED TO APPROVE THE 990 FILING. UPON APPROVAL, THE 990 IS THEN FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS AND EMPLOYEES HAVE AN OBLIGATION TO: 1. AVOID CONFLICTS OF INTEREST, OR THE APPEARANCE OF CONFLICTS, BETWEEN THEIR PERSONAL INTEREST AND THOSE OF THE ORGANIZATION IN DEALING WITH OUTSIDE ENTITIES OR INDIVIDUALS. 2. DISCLOSE REAL AND APPARENT CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS, AND 3. REFRAIN FROM PARTICIPATION IN ANY DECISIONS ON MATTERS THAT INVOLVE A REAL CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT. ALL REAL OR APPARENT CONFLICTS OF INTERST SHALL BE DISCLOSED TO THE BOARD OF DIRECTORS AND THE EXECUTIVE DIRECTOR OF THE ORGANIZATION. FAILURE TO COMPLY WITH THE STANDARDS CONTAINED IN THIS POLICY WILL RESULT IN DISCIPLINARY ACTION THAT MAY INCLUDE TERMINATION, REFERRAL FOR CRIMINAL PROSECUTION, AND REIMBURSEMENT TO THE ORGANIZATION OR TO THE GOVERNMENT, FOR ANY LOSS OR DAMAGE RESULTING FROM THE VIOLATION. AS WITH ALL MATTERS INVOLVING DISCIPLINARY ACTION, PRINICPLES OF FAIRNESS WILL APPLY. ANY EMPLOYEE CHARGED WITH A VIOLATION OF THIS POLICY WILL BE AFFORDED AN OPPORTUNITY TO EXPLAIN HER/HIS ACTIONS BEFORE DISCIPLINARY ACTION IS TAKEN. |
| FORM 990, PART VI, SECTION B, LINE 15A | EXECUTIVE PAY IS DETERMINED BY REVIEWING SIMILAR ORGANIZATIONS, FORM 990, AND COMPENSATION SURVEYS, AND IS APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
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