AMYOTROPHIC LATERAL SCLEROSIS: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- AMYOTROPHIC LATERAL SCLEROSIS (EIN 35-2029321)
- Tax period
- 2019-02-01 to 2020-01-31
- Filed
- 2020-06-12
- IRS object ID
- 202001649349300220
- Schema version
- 2019v5.0
- 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 | 2020-06-12T10:00:08-05:00 | ReturnTs |
| Tax Period End | 2020-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 352043580 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALERDING CPA GROUP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4181 E 96TH ST STE 180 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352029321 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE INDIANA CHAPTER OF THE ALS | BusinessNameLine1Txt |
| Business Name Line2 | ASSOCIATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 3179159888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7202 EAST 87TH STREET SUITE 102 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46256 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TINA KAETZEL | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3179159888 | PhoneNum |
| Signature | 2020-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT K BRINKERS CPA | PreparerPersonNm |
| PTIN | P00409428 | PTIN |
| Phone | 3175694181 | PhoneNum |
| Preparation | 2020-06-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 68.143.44.218 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-12 | IPDt |
| IP Tm | 10:57:31 | IPTm |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DFDEF1E554E2ED9684C71E694DD0EE62F4BE8701 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | DFDEF1E554E2ED9684C71E694DD0EE62F4BE8701 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TINA KAETZEL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7202 EAST 87TH STREET SUITE 102 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46256 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $837,918 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ALSAINDIANA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | INDIANA CHAPTER OF THE ALS ASSOCIATION (ALSA), A NATIONAL NOT-FOR-PROFIT ORGANIZATION, PROVIDING SERVICES TO PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS (ALS) AND THEIR FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 7 | TotalEmployeeCnt |
| Total Volunteers | 155 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $876,630 | PYContributionsGrantsAmt |
| CY Contributions Grants | $659,906 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $116 | PYInvestmentIncomeAmt |
| CY Investment Income | $23,730 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$40,898 | PYOtherRevenueAmt |
| CY Other Revenue | -$30,255 | CYOtherRevenueAmt |
| PY Total Revenue | $835,848 | PYTotalRevenueAmt |
| CY Total Revenue | $653,381 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $42,753 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $52,377 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $306,400 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $340,167 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $44,954 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $326,705 | PYOtherExpensesAmt |
| CY Other Expenses | $291,725 | CYOtherExpensesAmt |
| PY Total Expenses | $675,858 | PYTotalExpensesAmt |
| CY Total Expenses | $684,269 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $159,990 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$30,888 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,261,180 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,218,424 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $67,481 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,231 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,193,699 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,184,193 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO DISCOVER TREATMENTS AND A CURE FOR ALS, AND TO SERVE, ADVOCATE FOR, AND EMPOWER PEOPLE AFFECTED BY ALS TO LIVE THEIR LIVES TO THE FULLEST. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $62,500 | ExpenseAmt |
| Grant | $52,377 | GrantAmt |
| Desc | ALS CLINICS AND CERTIFIED CENTER SUPPORT: TO SUPPORT THE HIGHEST QUALITY HEALTHCARE FOR PEOPLE WITH ALS, THE ORGANIZATION PARTNERS WITH AND FINANCIALLY SUPPORTS COMMUNITY HEALTHCARE PROVIDERS IN OFFERING ALS MULTIDISCIPLINARY CLINICS. THESE CLINICS ARE EVIDENCE BASED MODELS THAT PROMOTE COORDINATED CARE FOR PEOPLE WITH ALS. THESE CLINICS ARE HELD AT ONE OF THE ALS ASSOCIATION CERTIFIED CENTERS OF EXCELLENCE AT IU NEUROSCIENCE CENTER, RECOGNIZED ALS CENTER AT RICHARD L. ROUDEBUSH VA MEDICAL CENTER, AS WELL AS THE NEWLY ESTABLISHED ALS CLINIC, OPENED NOVMEBER 2019, IN PARTNERSHIP WITH PARKVIEW NEUORSCIENCE. THE CHAPTER HAS ASSISTED WITH LICENSED SOCIAL WORK STAFFING, NUTRITION CART, SUPPLIES, AND FINANCIAL COMMITTMENT. DURING THE YEAR ENDED JANUARY 31, 2020, THE CHAPTER SUPPORTED 831 CLINIC APPOINTMENTS FOR FAMILIES WITH ALS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $472,538 | ExpenseAmt |
| Desc | EDUCATION & SUPPORT PROGRAMS: STRATEGICALLY BASED IN AND NEAR PATIENT'S HOME COMMUNITIES, CARE SERVICE COORDINATORS WORK DIRECTLY WITH PEOPLE WITH ALS AND THEIR FAMILIES TO HELP THEM NAVIGATE MANAGEMENT OF ALS AS WELL AS ACCESS COMMUNITY RESOURCES. IN FISCAL YEAR END JANUARY 31, 2020 CARE SERVICE COORDINATORS SERVED 515 PATIENTS PROVIDING 3,308 HOURS OF SOCIAL WORK. COORDINATORS ARE OFTEN THE CRUCIAL SUPPORT PEOPLE NEED WITH GUIDANCE ON FINANCE, EMPLOYMENT ISSUES, INSURANCE QUESTIONS, SOCIAL SECURITY DISABILITY, MEDICARE, MEDICAID AND LONG-TERM CARE PLANNING. COORDINATORS ASSISTED 7 MONTHLY SUPPORT GROUPS ACROSS THE REGION WITH 418 ENGAGEMENTS. CARE SERVICES STAFF ALSO PROVIDED PROFESSIONAL EDUCATION FOR COMMUNITY PARTNERS SUCH AS HOSPICE, HOME HEALTH AND HOME CARE AGENCIES TO INCREASE THEIR KNOWLEDGE OF ALS. THE CHAPTER HAS A VERY EXTENSIVE LENDING PROGRAM. WE RECOGNIZE THE IMPORTANCE OF PROPER EQUIPMENT AND ASSISTIVE DEVICES IN MAINTAINING SAFETY, INDEPENDENCE AND IN MAXIMIZING PATIENTS FUNCTIONALITY AND MINIMIZING FINANCIAL COST ASSOCIATED WITH ALS. THE EQUIPMENT LOAN CLOSET PROGRAM PROVIDES ACCESS TO THE NEEDED MEDICAL EQUIPMENT EITHER AS A BRIDGE WHILE AWAITING INSURANCE APPROVAL OR TO THOSE PATIENTS WITH NO INSURANCE COVERAGE FOR THE EQUIPMENT BEING REQUESTED. THE SUCCESS OF THIS PROGRAM IS DUE TO THE GENEROSITY OF OUR SUPPORTERS AND VENDORS WHO DONATE EQUIPMENT AND TO THE FUNDS RAISED THROUGH OUR WALK TO DEFEAT ALS PROGRAMS WHICH ALLOW US TO PURCHASE NEW ITEMS, REPAIR/REPLACE EXISTING ITEMS, AND ENSURES PROPER MAINTENANCE TO THE VARIOUS DME ITEMS IN THE LOAN CLOSET. DURING THE YEAR ENDED JANUARY 31, 2020, THE CHAPTER LOANED 567 PIECES OF EQUIPMENT TO 189 PATIENTS. PATIENT FINANCIAL GRANT PROGRAMS SUPPORTED 55 PATIENTS FOR CAREGIVER RELIEF, NUTRITION, DME ITEMS NOT AVAILABLE IN CHAPTER LOAN CLOSET, MEDICAL TRANSPORTATION TO/FROM MEDICAL APPOINTMENTS, AND MEDICAL COPAYS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $41,951 | ExpenseAmt |
| Desc | AWARENESS EVENTS: EVENTS SPONSORED BY THE CHAPTER INCLUDE THE WALK TO DEFEAT ALS, BOB KRAVITZ GOLF OUTING, CRUISIN' FOR A CURE CAR SHOW, ALS RESEARCH UPDATE, MAY ALS AWARENESS MONTH, AND MISSION CONNECTED SOCIAL MEDIA. NOVEMBER NATIONAL CAREGIVERS' MONTH ACTIVITIES SERVED AS OPPORTUNITIES TO BRING HOPE AND COMMUNITY TO PEOPLE WITH ALS AND THEIR FAMILIES. BY COMING TOGETHER AT AWARENESS EVENTS, PEOPLE WITH ALS AND THEIR FAMILIES, AS WELL AS THOSE WHO HAVE LOST A LOVED ONE TO ALS, FIND STRENGTH AND SUPPORT WITH ONE ANOTHER. MORE THAN 5,000 PEOPLE PARTICIPATE IN THESE EFFORTS TO RAISE THE PROFILE OF THE CHAPTER AND ENGAGE COMMUNITY AWARENESS OF THE SERVICES AND RESOURCES AVAILABLE FROM THE INDIANA CHAPTER. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,900 | ExpenseAmt |
| Desc | OUTREACH & ADVOCACY: AS ONE OF 39 CHAPTERS AFFILIATED WITH THE NATIONAL ALS ASSOCIATION, THE INDIANA CHAPTER PROVIDES ONGOING FINANCIAL SUPPORT FOR THE NATIONAL ALS ASSOCIATION TO SUPPORT FEDERAL PUBLIC POLICY INITIATIVES TO IMPROVE THE LIVES OF FAMILIES LIVING WITH ALS, OUTREACH EFFORTS TO RAISE PUBLIC AWARENESS ABOUT ALS, AS WELL AS GLOBAL RESEARCH WORKING TOWARDS TREATMENTS AND A CURE FOR ALS. PUBLIC POLICY ACCOMPLISHMENTS DURING THE YEAR ENDED JANUARY 31, 2020 INCLUDE SENDING A SUCCESSFUL DELEGATION OF PEOPLE WITH ALS TO WASHINGTON D.C. TO ADVOCATE FOR THE NATIONAL ALS REGISTRY, THE ALS RESEARCH PROGRAM AT THE DEPARTMENT OF DEFENSE, AND PROMOTING FEDERAL SUPPORT FOR ALS RESEARCH. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $9,900 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $586,889 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 7 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | REBECCA STARKS | PersonNm |
| Phone | 5012503624 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7202 EAST 87TH STREET SUITE 102 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46256 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| TINA KAETZEL | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $93,681 | $0 | $0 | |
| JOSH NICHOLSON | ||||||
| PRESIDENT | 10.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MANUEL ORTIZ SMITH | ||||||
| TREASURER | 10.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BRETT GLAZE | ||||||
| SECRETARY | 10.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MONA EULER | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| ERIC BEDEL | ||||||
| DIRECTOR | 10.00 | $0 | $0 | $0 | Yes (X) | |
| GEOFF DAVIS | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| NATE FELTMAN | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| DEREK FRENCH | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| AIMEE HARVEY | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| JT LOUGHMILLER | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| TRENT MCBRIDE | ||||||
| DIRECTOR | 10.00 | $0 | $0 | $0 | Yes (X) | |
| DEREK MILLER | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| MICHAEL MILLIKAN | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $93,681 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $390,212 | FundraisingAmt |
| All Other Contributions | $269,694 | AllOtherContributionsAmt |
| Noncash Contributions | $50,881 | NoncashContributionsAmt |
| Total Contributions | $659,906 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,981 | TotalRevenueColumnAmt |
| Exclusion | $25,981 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $112,195 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $114,446 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$2,251 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,251 | TotalRevenueColumnAmt |
| Exclusion | -$2,251 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $39,836 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $390,212 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $70,091 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$30,255 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $653,381 | TotalRevenueColumnAmt |
| Exclusion | $23,730 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,000 | TotalAmt |
| Program Services | $30,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,377 | TotalAmt |
| Program Services | $22,377 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,817 | TotalAmt |
| Program Services | $81,621 | ProgramServicesAmt |
| Management And General | $5,629 | ManagementAndGeneralAmt |
| Fundraising | $6,567 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,455 | TotalAmt |
| Program Services | $187,446 | ProgramServicesAmt |
| Management And General | $12,927 | ManagementAndGeneralAmt |
| Fundraising | $15,082 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,446 | TotalAmt |
| Program Services | $689 | ProgramServicesAmt |
| Management And General | $533 | ManagementAndGeneralAmt |
| Fundraising | $5,224 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,449 | TotalAmt |
| Program Services | $21,027 | ProgramServicesAmt |
| Management And General | $1,711 | ManagementAndGeneralAmt |
| Fundraising | $1,711 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,777 | TotalAmt |
| Program Services | $5,815 | ProgramServicesAmt |
| Management And General | $2,700 | ManagementAndGeneralAmt |
| Fundraising | $1,262 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,869 | TotalAmt |
| Management And General | $2,869 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,085 | TotalAmt |
| Program Services | $1,835 | ProgramServicesAmt |
| Management And General | $852 | ManagementAndGeneralAmt |
| Fundraising | $398 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239 | TotalAmt |
| Fundraising | $239 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,799 | TotalAmt |
| Program Services | $14,006 | ProgramServicesAmt |
| Management And General | $5,364 | ManagementAndGeneralAmt |
| Fundraising | $3,429 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,152 | TotalAmt |
| Program Services | $21,811 | ProgramServicesAmt |
| Management And General | $9,236 | ManagementAndGeneralAmt |
| Fundraising | $4,105 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,024 | TotalAmt |
| Program Services | $39,005 | ProgramServicesAmt |
| Management And General | $2,411 | ManagementAndGeneralAmt |
| Fundraising | $4,608 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,572 | TotalAmt |
| Program Services | $10,772 | ProgramServicesAmt |
| Management And General | $1,000 | ManagementAndGeneralAmt |
| Fundraising | $1,800 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,109 | TotalAmt |
| Program Services | $88,109 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,067 | TotalAmt |
| Program Services | $60,046 | ProgramServicesAmt |
| Management And General | $5,021 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,405 | TotalAmt |
| Program Services | $1,960 | ProgramServicesAmt |
| Management And General | $256 | ManagementAndGeneralAmt |
| Fundraising | $189 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Total | $2,627 | TotalAmt |
| Program Services | $370 | ProgramServicesAmt |
| Management And General | $1,917 | ManagementAndGeneralAmt |
| Fundraising | $340 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $684,269 | TotalAmt |
| Program Services | $586,889 | ProgramServicesAmt |
| Management And General | $52,426 | ManagementAndGeneralAmt |
| Fundraising | $44,954 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $573,584 | BOYAmt |
| EOY | $513,913 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,843 | BOYAmt |
| EOY | $6,428 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,986 | BOYAmt |
| EOY | $2,231 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $232,068 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $176,799 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,368 | BOYAmt |
| EOY | $55,269 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $602,734 | BOYAmt |
| EOY | $637,918 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,665 | BOYAmt |
| EOY | $2,665 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,261,180 | BOYAmt |
| EOY | $1,218,424 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,579 | BOYAmt |
| EOY | $20,004 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,902 | BOYAmt |
| EOY | $14,227 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,481 | BOYAmt |
| EOY | $34,231 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,193,699 | BOYAmt |
| EOY | $1,184,193 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,193,699 | BOYAmt |
| EOY | $1,184,193 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,261,180 | BOYAmt |
| EOY | $1,218,424 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$30,888 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $21,614 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$232 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $779,678 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $770,102 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $578,662 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $876,630 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $659,906 | CurrentTaxYearAmt |
| Total | $3,664,978 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $779,678 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $770,102 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $578,662 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $876,630 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $659,906 | CurrentTaxYearAmt |
| Total | $3,664,978 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $78,608 | SubstantialContributorsTotAmt |
| Public Support Total170 | $3,586,370 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,322 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,930 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,641 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,927 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,981 | CurrentTaxYearAmt |
| Total | $119,801 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,784,779 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $115,976 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.94760 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94820 | 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 | $191,276 | OtherCostOrOtherBasisAmt |
| Depreciation | $139,808 | DepreciationAmt |
| Book Value | $51,468 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,792 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,991 | DepreciationAmt |
| Book Value | $3,801 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $55,269 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTY | Desc |
| Amt | $14,227 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,227 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $745,968 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $21,614 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $3,750 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $70,092 | OtherRevenueAmt |
| Revenue Not Reported | $95,456 | RevenueNotReportedAmt |
| Revenue Subtotal | $650,512 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $2,869 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $2,869 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $653,381 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $755,474 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $3,750 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $70,324 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $74,074 | ExpensesNotReportedAmt |
| Expenses Subtotal | $681,400 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $2,869 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $2,869 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $684,269 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | MANAGEMENT OF THE ORGANIZATION EVALUATES ALL SIGNIFICANT TAX POSITIONS TO ENSURE COMPLIANCE WITH THE EXEMPT PURPOSE OF THE ORGANIZATION AS REQUIRED BY U.S. GAAP, INCLUDING CONSIDERATION OF ANY UNRELATED BUSINESS INCOME TAX. AS OF JANUARY 31, 2020, MANAGEMENT DOES NOT BELIEVE THE ORGANIZATION HAS TAKEN ANY TAX POSITIONS THAT ARE NOT IN COMPLIANCE WITH THE EXEMPT PURPOSE OF THE ORGANIZATION. THE ORGANIZATIONS FEDERAL AND STATE TAX RETURNS REMAIN OPEN AND SUBJECT TO EXAMINATION BEGINNING WITH THE CALENDAR TAX YEAR ENDED JANUARY 31, 2017. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | DIRECT FUNDRAISING EXPENSES 70,092 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | DIRECT FUNDRAISING EXPENSES 70,092 DEPRECIATION 232 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | INDY WALK | Event1Nm |
| Gross Receipts Event1 | $219,164 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $215,767 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $3,397 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $13,143 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $538 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $10,864 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING | Event2Nm |
| Gross Receipts Event2 | $89,801 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $53,362 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $36,439 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $28,978 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $6,773 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $3,103 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 5 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $121,083 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $121,083 | CharitableContriOtherEventsAmt |
| Rent Fclty Costs Other Events | $2,037 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $1,760 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $2,895 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $430,048 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $390,212 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $39,836 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $44,158 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $9,071 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $16,862 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $70,091 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$30,255 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IU NEUROSCIENCE CENTER | BusinessNameLine1Txt |
| Business Name Line2 | ALS MULTIDISCIPLINARY CLINIC | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 362 WEST 15TH STREET | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 264529479 | RecipientEIN |
| IRC Section | 501C3 | IRCSectionDesc |
| Cash Grant | $25,000 | CashGrantAmt |
| Purpose Of Grant | CLINIC SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| CAREGIVER RESPITE | 12 | $15,924 |
| NUTRITION SUPPLEMENTS | 9 | $1,862 |
| TRANSPORTATION | 6 | $1,052 |
| DURABLE MEDICAL EQUIPMENT | 24 | $2,498 |
| MEDICAL CO-PAYS | 4 | $1,041 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE I, PAGE 1, PART I, LINE 2 | THE CHAPTER'S DIRECTOR OF PATIENT SERVICES IS A MEMBER OF THE CLINIC'S MULTI-DISCIPLINARY TEAM AND MONITORS HOW THE FUNDS ARE SPENT. |
| SCHEDULE I, PAGE 4, PART IV | PART III, LINE 1, COLUMN (F): EMERGENCY CAREGIVER RESPITE - IN 2019, THE CHAPTER PROVIDED 343 HOURS OF IN-HOME HEALTH CARE SUPPORT RESOURCES. RESPITE PROVIDES A TEMPORARY BREAK FROM THE ONGOING ACTIVITIES ASSOCIATED WITH PROVIDING CARE TO A LOVED ONE LIVING WITH ALS. PART III, LINE 2, COLUMN (F): NUTRITION SUPPLEMENT ASSISTANCE - IN 2019, THE CHAPTER'S NUTRITION SUPPLEMENT ASSISTANCE PROGRAM PROVIDED 1,094 UNITS TO OUR ALS FAMILIES. ADDRESSING COMPROMISED NUTRITION LEADING TO WEIGHT AND MUSCLE LOSS IS A COMMON AND SIGNIFICANT PROBLEM FOR PEOPLE LIVING WITH ALS. THE PROGRAM PROVIDES RESOURCES AND INFORMATION TO ASSIST WITH THE NUTRITIONAL NEEDS FOR ALL STAGES OF DISEASE PROGRESSION. PART III, LINE 3, COLUMN (F): TRANSPORTATION - IN 2019, THE CHAPTER PROVIDED TRANSPORTATION FOR 6 PATIENTS LIVING WITH ALS. PART III, LINE 4, COLUMN (F): DURABLE MEDICAL EQUIPMENT - IN 2019, THE CHAPTER PROVIDED MEDICAL EQUIPMENT NOT AVAILABLE IN THE CHAPTER EQUIPMENT LOAN CLOSET FOR 24 PATIENTS LIVING WITH ALS. |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 8 | ContributionCnt |
| Noncash Contributions Rpt F990 | $46,200 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | EVENT FOOD/BEV | Desc |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $4,681 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | ALS CLINICS AND CERTIFIED CENTER SUPPORT: TO SUPPORT THE HIGHEST QUALITY HEALTHCARE FOR PEOPLE WITH ALS, THE ORGANIZATION PARTNERS WITH AND FINANCIALLY SUPPORTS COMMUNITY HEALTHCARE PROVIDERS IN OFFERING ALS MULTIDISCIPLINARY CLINICS. THESE CLINICS ARE EVIDENCE BASED MODELS THAT PROMOTE COORDINATED CARE FOR PEOPLE WITH ALS. THESE CLINICS ARE HELD AT ONE OF THE ALS ASSOCIATION CERTIFIED CENTERS OF EXCELLENCE AT IU NEUROSCIENCE CENTER, RECOGNIZED ALS CENTER AT RICHARD L. ROUDEBUSH VA MEDICAL CENTER, AS WELL AS THE NEWLY ESTABLISHED ALS CLINIC, OPENED NOVMEBER 2019, IN PARTNERSHIP WITH PARKVIEW NEUORSCIENCE. THE CHAPTER HAS ASSISTED WITH LICENSED SOCIAL WORK STAFFING, NUTRITION CART, SUPPLIES, AND FINANCIAL COMMITTMENT. DURING THE YEAR ENDED JANUARY 31, 2020, THE CHAPTER SUPPORTED 831 CLINIC APPOINTMENTS FOR FAMILIES WITH ALS. |
| FORM 990, PAGE 2, PART III, LINE 4B | EDUCATION & SUPPORT PROGRAMS: STRATEGICALLY BASED IN AND NEAR PATIENT'S HOME COMMUNITIES, CARE SERVICE COORDINATORS WORK DIRECTLY WITH PEOPLE WITH ALS AND THEIR FAMILIES TO HELP THEM NAVIGATE MANAGEMENT OF ALS AS WELL AS ACCESS COMMUNITY RESOURCES. IN FISCAL YEAR END JANUARY 31, 2020 CARE SERVICE COORDINATORS SERVED 515 PATIENTS PROVIDING 3,308 HOURS OF SOCIAL WORK. COORDINATORS ARE OFTEN THE CRUCIAL SUPPORT PEOPLE NEED WITH GUIDANCE ON FINANCE, EMPLOYMENT ISSUES, INSURANCE QUESTIONS, SOCIAL SECURITY DISABILITY, MEDICARE, MEDICAID AND LONG-TERM CARE PLANNING. COORDINATORS ASSISTED 7 MONTHLY SUPPORT GROUPS ACROSS THE REGION WITH 418 ENGAGEMENTS. CARE SERVICES STAFF ALSO PROVIDED PROFESSIONAL EDUCATION FOR COMMUNITY PARTNERS SUCH AS HOSPICE, HOME HEALTH AND HOME CARE AGENCIES TO INCREASE THEIR KNOWLEDGE OF ALS. THE CHAPTER HAS A VERY EXTENSIVE LENDING PROGRAM. WE RECOGNIZE THE IMPORTANCE OF PROPER EQUIPMENT AND ASSISTIVE DEVICES IN MAINTAINING SAFETY, INDEPENDENCE AND IN MAXIMIZING PATIENTS FUNCTIONALITY AND MINIMIZING FINANCIAL COST ASSOCIATED WITH ALS. THE EQUIPMENT LOAN CLOSET PROGRAM PROVIDES ACCESS TO THE NEEDED MEDICAL EQUIPMENT EITHER AS A BRIDGE WHILE AWAITING INSURANCE APPROVAL OR TO THOSE PATIENTS WITH NO INSURANCE COVERAGE FOR THE EQUIPMENT BEING REQUESTED. THE SUCCESS OF THIS PROGRAM IS DUE TO THE GENEROSITY OF OUR SUPPORTERS AND VENDORS WHO DONATE EQUIPMENT AND TO THE FUNDS RAISED THROUGH OUR WALK TO DEFEAT ALS PROGRAMS WHICH ALLOW US TO PURCHASE NEW ITEMS, REPAIR/REPLACE EXISTING ITEMS, AND ENSURES PROPER MAINTENANCE TO THE VARIOUS DME ITEMS IN THE LOAN CLOSET. DURING THE YEAR ENDED JANUARY 31, 2020, THE CHAPTER LOANED 567 PIECES OF EQUIPMENT TO 189 PATIENTS. PATIENT FINANCIAL GRANT PROGRAMS SUPPORTED 55 PATIENTS FOR CAREGIVER RELIEF, NUTRITION, DME ITEMS NOT AVAILABLE IN CHAPTER LOAN CLOSET, MEDICAL TRANSPORTATION TO/FROM MEDICAL APPOINTMENTS, AND MEDICAL COPAYS. |
| FORM 990, PAGE 2, PART III, LINE 4D | OUTREACH & ADVOCACY: AS ONE OF 39 CHAPTERS AFFILIATED WITH THE NATIONAL ALS ASSOCIATION, THE INDIANA CHAPTER PROVIDES ONGOING FINANCIAL SUPPORT FOR THE NATIONAL ALS ASSOCIATION TO SUPPORT FEDERAL PUBLIC POLICY INITIATIVES TO IMPROVE THE LIVES OF FAMILIES LIVING WITH ALS, OUTREACH EFFORTS TO RAISE PUBLIC AWARENESS ABOUT ALS, AS WELL AS GLOBAL RESEARCH WORKING TOWARDS TREATMENTS AND A CURE FOR ALS. PUBLIC POLICY ACCOMPLISHMENTS DURING THE YEAR ENDED JANUARY 31, 2020 INCLUDE SENDING A SUCCESSFUL DELEGATION OF PEOPLE WITH ALS TO WASHINGTON D.C. TO ADVOCATE FOR THE NATIONAL ALS REGISTRY, THE ALS RESEARCH PROGRAM AT THE DEPARTMENT OF DEFENSE, AND PROMOTING FEDERAL SUPPORT FOR ALS RESEARCH. |
| FORM 990, PAGE 6, PART VI, LINE 11B | AN ELECTRONIC COPY OF THE 990 WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE EXECUTIVE DIRECTOR SENDS TO ALL EMPLOYEES THE CONFLICT OF INTEREST POLICY WHICH MUST BE SIGNED BY THE EMPLOYEE. THE EXECUTIVE DIRECTOR MONITORS THE RETURNS AND, WHEN RECEIVED, PLACES THEM IN THE EMPLOYEE'S PERSONNEL FILE HELD IN THE BOOKKEEPER'S OFFICE. A NEW FORM IS COMPLETED AT THE BEGINNING OF EACH FISCAL YEAR. THE BOARD OF DIRECTORS CHAIR SENDS THE FORM TO ALL DIRECTORS AT THE BEGINNING OF THE YEAR AND RETAINS THE SIGNED FORMS IN THE BOOKKEEPER'S OFFICE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS APPROVE ALL SALARIES, RAISES, AND DISCRETIONARY BONUSES, IF APPLICABLE, BASED ON PERFORMANCE/OPERATIONS DURING THE FISCAL YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC IN THE CHAPTER OFFICE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | DIRECT FUNDRAISING EXPENSES 70,092 DIRECT FUNDRAISING EXPENSES -70,092 DEPRECIATION -232 TOTAL -232 |
Comments