2019-11-04T12:29:04-06:00 2018-12-31 381357951 PLANTE & MORAN PLLC 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 990 2018-01-01 320087353 CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION CHIL 3139646994 3011 W GRAND BLVD NO 218 DETROIT MI 48202 LAWRENCE BURNS PRESIDENT & CEO 3139646994 2019-10-24 1 LYNNE HUISMANN P00053811 2483522500 2019-10-24 67.59.56.30 2019-10-24 10:43:15 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 EBB51160BF2136090E0706D858221EDFD566B897 2018 2020-04-17 16:48:07Z LAWRENCE BURNS 3011 W GRAND BLVD NO 218 DETROIT MI 48202 79838807 0 X WWW.CHMFOUNDATION.ORG X 2003 MI THE MISSION OF CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION IS TO SUPPORT PEDIATRIC (SEE SCH O) RESEARCH, EDUCATION, COMMUNITY BENEFIT PROGRAMS, AND OTHER INITIATIVES TO IMPROVE THE HEALTH OF CHILDREN IN MICHIGAN. 33 33 31 107 7946 47068 6563557 6818315 0 0 9530054 7479794 -97625 109358 15995986 14407467 5624747 5670014 0 0 1941248 2026091 0 0 797797 2315025 2615552 9881020 10311657 6114966 4095810 122202293 113221583 1998076 1352296 120204217 111869287 X CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION SUPPORTS PEDIATRIC RESEARCH, EDUCATION, COMMUNITY BENEFIT PROGRAMS, AND OTHER INITIATIVES TO IMPROVE THE HEALTH OF CHILDREN IN MICHIGAN. 0 0 1623487 1275147 TO SUPPORT RESEARCH PROGRAMS TO IMPROVE THE HEALTH OF CHILDREN IN MICHIGAN. 2018 AWARDS INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: FUNDING FOR THE CHILDREN'S RESEARCH CENTER OF MICHIGANFUNDING FOR ENDOWED CHAIR AND PROFESSORSHIPSFUNDING VARIOUS STUDIES ON THE TREATMENT OF PEDIATRIC ACUTE MYELOID LEUKEMIAFUNDING A STUDY ON THE USE OF STEROIDS IN MILD TO MODERATE PEDIATRIC ASTHMA EXACERBATIONSFUNDING FOR VARIOUS STUDIES ON THE TREATMENT OF PEDIATRIC EPILEPSYFUNDING FOR A STUDY ON THE IMPACT OF AN ELECTRONIC ALERT SCREENING SYSTEM FOR SUSPECTED PHYSICAL ABUSEFUNDING FOR STUDIES ON PROMISING INHIBITORS AND AGENTS FOR TARGETING STEM CELLS IN DIFFUSE INTRINSIC PONTINE GLIOMA 640184 502825 TO SUPPORT EDUCATION PROGRAMS TO IMPROVE THE HEALTH OF CHILDREN IN MICHIGAN. 2018 AWARDS INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: FUNDING FOR ENDOWED CHAIR AND PROFESSORSHIPSFUNDING TO PROMOTE EXCELLENCE IN NURSING BY PROVIDING ACCESS TO INFORMATION AND NETWORKING OPPORTUNITIESEDUCATIONAL FUNDING FOR CARDIOLOGY FELLOWS, DENTISTRY FELLOWS, THORACIC AND CARDIOVASCULAR SURGERY TEAM, AND POISON CONTROL TEAMFUNDING FOR CONFERENCES FOR VARIOUS POSITIONSFUNDING FOR LECTURES ON HEMATOLOGY-ONCOLOGY, SURGERY, IMAGING, AND NEONATOLOGYFUNDING TO SUPPORT THE PSYCHOLOGY INTERNSHIP PROGRAM AT THE CHILDREN'S HOSPITAL OF MICHIGAN 4706830 3892042 TO SUPPORT COMMUNITY BENEFIT PROGRAMS TO IMPROVE THE HEALTH OF CHILDREN IN MICHIGAN. 2018 AWARDS INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: FUNDING TO TEACH CHILDREN'S HOSPITAL OF MICHIGAN ("CHM") PATIENTS AND FAMILIES ABOUT SAFETY TO REDUCE THE NUMBER OF UNINTENTIONAL INJURIES TO CHILDREN FUNDING TO ASSIST FAMILIES WHO ARE EXPERIENCING FINANCIAL HARDSHIP RELATED TO MEDICAL CARE AND SPECIAL NEEDS OF THEIR CHILDRENFUNDING FOR PSYCHOSOCIAL AND SUPPORTIVE SERVICES FOR CHILDREN AND FAMILIES FACING CHRONIC AND ACUTE LIFE-THREATENING ILLNESSESFUNDING FOR A COMPREHENSIVE CONTINUUM OF CARE, PREVENTION, AND EDUCATION FOR AT-RISK YOUTH AND ESPECIALLY YOUNG WOMEN, WHO ARE AFFECTED BY HIVFUNDING TO SUPPORT FITKIDS 360, AN OBESITY INTERVENTION PROGRAM FOR CHILDREN AGES 6-17 AND THEIR FAMILIESFUNDING TO SUPPORT AN INTEGRATED BEHAVIORAL HEALTH PROGRAM FOR CHILDREN AND TEENSFUNDING TO PROVIDE EYE SCREENINGS AND GLASSES TO STUDENTS IN NEEDFUNDING TO SUPPORT APPLIED BEHAVIOR ANALYSIS SERVICES AT THE UNIVERSITY PEDIATRICIANS AUTISM CENTER 6970501 1 1 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 28 0 1 31 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 33 33 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MI FL NJ NY OH X KURT MILLER RDM ASSOCIATES 2486207100 7457 M E CAD BLVD SUITE 200 CLARKSTON MI 48348 MATTHEW A FRIEDMAN CHAIRMAN 1.00 1.00 X X 0 0 0 CYNTHIA FORD VICE-CHAIR 1.00 0.00 X X 0 0 0 FRED MINTURN VICE-CHAIR AND TREASURER 1.00 1.00 X X 0 0 0 RITA MARGHERIO SECRETARY 1.00 0.00 X X 0 0 0 JOHN D BAKER MD TRUSTEE 1.00 0.00 X 0 0 0 JAMES F CARR JR TRUSTEE 1.00 0.00 X 0 0 0 DOUGLAS M ETKIN TRUSTEE 1.00 0.00 X 0 0 0 PETER GINOPOLIS TRUSTEE 1.00 0.00 X 0 0 0 JOHNNY GINOPOLIS TRUSTEE 1.00 0.00 X 0 0 0 BRIAN HERMELIN TRUSTEE 1.00 0.00 X 0 0 0 JACK KRASULA TRUSTEE 1.00 0.00 X 0 0 0 STEVEN R LEFKOFSKY TRUSTEE 1.00 0.00 X 0 0 0 EDWARD C LEVY JR TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL J MADISON CFA TRUSTEE 1.00 0.00 X 0 0 0 ANITA MASTERS PENTA TRUSTEE 1.00 0.00 X 0 0 0 DICK PURTAN TRUSTEE 1.00 0.00 X 0 0 0 LYLE M WOLBERG CFP TRUSTEE 1.00 0.00 X 0 0 0 MABLE V JONES PHD TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL BEN TRUSTEE 1.00 1.00 X 0 0 0 TOM CONSTAND TRUSTEE 1.00 0.00 X 0 0 0 ANDREW ZALESKI TRUSTEE 1.00 0.00 X 0 0 0 STEVEN BLAHUNKA TRUSTEE 1.00 0.00 X 0 0 0 AJAY CHAWLA TRUSTEE 1.00 0.00 X 0 0 0 CHARLES BULLOCK TRUSTEE 1.00 0.00 X 0 0 0 LORRON JAMES TRUSTEE 1.00 0.00 X 0 0 0 HON KURTIS WILDER TRUSTEE 1.00 0.00 X 0 0 0 LAURA KOWALCHIK TRUSTEE 1.00 0.00 X 0 0 0 ERIK MORGANROTH TRUSTEE 1.00 0.00 X 0 0 0 JOHN BARKER TRUSTEE 1.00 0.00 X 0 0 0 DAN CORNWELL TRUSTEE 1.00 0.00 X 0 0 0 STEVE HYLANT TRUSTEE 1.00 0.00 X 0 0 0 RYAN RUZZICONI TRUSTEE 1.00 0.00 X 0 0 0 TRAVIS WEBER TRUSTEE 1.00 0.00 X 0 0 0 LAWRENCE BURNS PRESIDENT AND CEO 40.00 1.00 X 311908 0 26709 JODI L WONG VICE PRESIDENT OF OPERATIONS 40.00 1.00 X 136471 0 9569 TRACY EPPLER ASSISTANT SECRETARY 40.00 1.00 X 52347 0 3851 THERESE MARIE QUATTROCIOCCHI-LONGE SENIOR PROGRAM AND GRANTS OFFICER 40.00 0.00 X 108350 0 19677 609076 0 59806 3 0 1 0 RDM ASSOCIATES 7457 M E CAD SUITE 200 CLARKSTON MI 48348 ACCOUNTING 166575 BLACKBAUD 65 FAIRCHILD CHARLESTON SC 29492 IT CONSULTING 149485 CRAIN COMMUNICATIONS INC 1725 MERRIMA RD 300 AKRON OH 44313 MARKETING & OUTREACH 138487 PAVILION ADVISORY GROUP 43 MAIN STREET SE MINNEAPOLIS MN 55414 FINANCIAL CONSULTING 117545 4 273268 403033 6142014 172448 6818315 2510866 7946 2502920 70211683 65242755 4968928 4968928 4968928 273793 273268 161626 112167 112167 24150 26959 -2809 -2809 14407467 0 7946 7581206 5474894 5474894 195120 195120 545043 178312 234913 131818 1135890 206567 641055 288268 27037 10049 8503 8485 197966 42931 101457 53578 120155 28936 62197 29022 48803 48803 195077 195077 250807 250807 169161 32575 132339 4247 390071 337102 52969 432646 -29219 262625 199240 130880 130880 42088 28451 10381 3256 44676 44676 36338 570 35153 615 COMMUNITY OUTREACH 735068 735068 DONOR RELATIONS 51722 34963 12757 4002 DUES & MEMBERSHIP 44814 30294 11053 3467 OTHER NONOPERATING EXPE 28401 990 23581 3830 15000 15000 10311657 6970501 2543359 797797 5043139 4740151 714409 708484 504695 223390 99589 134795 319737 124802 168143 194935 96806884 68484334 18148144 38035528 717290 699966 122202293 113221583 331932 422886 1666144 929410 1998076 1352296 X 30810564 26887383 40627420 35577915 48766233 49403989 120204217 111869287 122202293 113221583 X 4095810 -12735618 304878 X X 0 1 X 1 0 X 6020612 4160038 7432956 6563557 6818315 30995478 6020612 4160038 7432956 6563557 6818315 30995478 5016023 25979455 1376446 1209750 1744705 1990131 2510866 8831898 121313 211578 183422 149792 297943 964048 40791424 0.63690 0.66640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3 112075 189400 1451913 1 1 76066908 636954 -3294503 773884 507454 72128021 68940166 176245 9249354 1733117 565740 76066908 67229865 607276 3406635 1807642 495968 68940166 71311920 147413 -1551542 2178388 499538 67229865 72226954 158609 1571803 1863605 781841 71311920 0.00380 0.68490 0.31130 0 0 7173 7173 312564 124802 187762 194935 ALTERNATIVE INVESTMENTS 38035528 F 38035528 1383701 -12735618 20573 432367 -12282678 13666379 250807 490281 741088 14407467 9706324 20573 420060 440633 9265691 250807 795159 1045966 10311657 PART V, LINE 4: TO SUPPORT CHILDREN'S PROGRAMS PER THE STIPULATIONS OF THE DONOR. PART XI, LINE 2D - OTHER ADJUSTMENTS: LEGACY CHM REVENUE REPORTED ON LEGACY CHM 990 432,367. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION FROM LEGACY CHM ELIMINATED ON CONSOLIDATED FINANCIALS 403,033. CHANGE IN CASH VALUE OF LIFE INSURANCE 5,543. SPECIAL EVENT EXPENSES PER FS NOT REPORTED AS SUCH ON 990 81,705. PART XII, LINE 2D - OTHER ADJUSTMENTS: LEGACY CHM EXPENSES REPORTED ON LEGACY CHM 990 420,060. PART XII, LINE 4B - OTHER ADJUSTMENTS: REFUNDED GRANT PAYMENTS 310,421. CONTRIBUTION FROM LEGACY CHM ELIMINATED ON CONSOLIDATED FINANCIALS 403,033. SPECIAL EVENT EXPENSES PER FS NOT REPORTED AS SUCH ON 990 81,705. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 8418651 0 0 0 0 0 0 8418651 0 8418651 1 0 1 1 0 0 CHEERS FOR CHILDREN 2016 110040 76693 33347 32434 9722 4200 20745 DERBY FOR KIDS 193906 135650 58256 19700 9700 25726 13 243115 60925 182190 39399 547061 273268 273793 32434 29422 13900 85870 161626 112167 24150 3195 23314 450 0 24150 3195 23314 450 26959 -2809 MI 1 0 0 0 1.00000 CHILDREN'S HOSPITAL OF MICHIGAN FDN 3011 W GRAND BLVD NO 218 DETROIT MI 48202 0 JODI WONG 1197 SUPERVISES EMPLOYEES WHO KEEP RECORDS, COUNT MONEY, OVERSEE GAMING ACTIVITIES DURING EVENTS, AND PREPARE STATE MANDATED FINANCIAL REPORTS. X 0 FORM 990, SCHEDULE G, PART II THE NET ECONOMIC PROFIT EARNED FROM SPECIAL EVENTS IS $385,435, AS FOLLOWS: SCH. G, PART II, LINE 1 TOTAL GROSS RECEIPTS: $547,061 SCH. G, PART II, LINE 10 - LESS DIRECT EXPENSES ($161,626) NET ECONOMIC PROFIT EARNED FROM SPECIAL EVENTS $385,435 SCH. G, PART II LINE 11 RESULTS IN A LOWER NET INCOME DUE TO THE REQUIREMENT TO SEPARATELY STATE THE AMOUNT OF CONTRIBUTIONS, $273,268, REQUIRED BY THE IRS TO BE ACKNOWLEDGED TO DONORS AS CHARITABLE CONTRIBUTIONS. 1 DETROIT SYMPHONY ORCHESTRA 3711 WOODWARD AVE DETROIT MI 48201 381385132 501(C)(3) 20000 TO FUND LOBBY CONCERTS AT CHM PERFORMED BY DSO MUSICIANS. HAMTRAMCK PUBLIC SCHOOLS 11410 CHAREST HAMTRAMCK MI 48221 386004194 133046 TO SUPPORT SALARIES AND SUPPLIES FOR THE HAMTRAMCK SCHOOL BASED HEALTH CENTER TO DELIVER FREE HEALTH CARE SERVICES TO THE STUDENTS OF HAMTRAMCK PUBLIC SCHOOLS AND SUPPORT SERVICES TO THEIR FAMILIES. KIDS KICKING CANCER 645 GRISWOLD SUITE 444 DETROIT MI 48226 383500655 501(C)(3) 387000 TO CONTINUE THE EXPANSION OF THE HEROES CIRCLE PROGRAM AT CHM, TEACHING PAIN AND STRESS MANAGEMENT TECHNIQUES TO PEDIATRIC PATIENTS. TO EXPAND THE KIDS KICKING CANCER PROGRAM TO CHILDREN THROUGHOUT SOUTHEAST MICHIGAN. SCDAA MI CHAPTER INC 18516 JAMES COUZENS HIGHWAY DETROIT MI 48235 381963640 501(C)(3) 35000 TO SUPPORT PROJECT ENRICH, AN EDUCATIONAL ENRICHMENT PROGRAM FOR CHILDREN WITH SICKLE CELL CONDITIONS THE CHILDREN'S CENTER OF WAYNE COUNTY 79 W ALEXANDRINE DETROIT MI 48201 381359505 501(C)(3) 53310 TO PURCHASE BEDS FOR CHILDREN IN NEED, AS WELL AS SUPPORT A HEALTHY LIVING INITIATIVE FEATURING FITNESS ACTIVITIES AND INTERACTIVE NUTRITION EDUCATION. UNIVERSITY PEDIATRICIANS 3901 BEAUBIEN ROOM 1K40 DETROIT MI 48201 383336414 501(C)(3) 391489 TO SUPPORT PEDIATRIC MEDICAL EDUCATION AND RESEARCH VHS CHILDREN'S HOSPITAL OF MICHIGAN INC 3901 BEAUBIEN DETROIT MI 48201 272845064 1520029 TO SUPPORT PEDIATRIC MEDICAL EDUCATION, RESEARCH, AND OTHER COMMUNITY BENEFIT PROGRAMS WAYNE STATE UNIVERSITY 5401 CASS AVE DETROIT MI 48202 386028429 115 1058309 TO SUPPORT THE CHILDREN'S RESEARCH CENTER OF MICHIGAN AS WELL AS VARIOUS ASPECTS OF PEDIATRIC HEALTH RESEARCH FOR AREAS SUCH AS BRAIN NETWORK DYSFUNCTION, HIV, DIABETES, CANCER, AND OPTHALMOLOGY DETROIT WAYNE COUNTY HEALTH AUTHORITY (SEMHA) 3031 W GRAND BOULEVARD 450 DETROIT MI 48202 381671500 501(C)(3) 136212 TO CONTINUE AND EXPAND THE CLINICAL COMPONENT OF THE COMMUNITY MEDICINE ROTATION PROGRAM, PROVIDING ACCESS TO CARE AND HEALTH EDUCATION TO PEDIATRIC PATIENTS AND THEIR FAMILIES, WHILE TEACHING MEDICAL RESIDENTS IN THIS TYPE OF COMMUNITY HEALTHCARE MODEL. NORTH STAR REACH 1050 HIGHLAND DR SUITE F ANN ARBOR MI 48108 260347065 501(C)(3) 25000 TO PROVIDE CAMPERSHIPS FOR TEN CHM PATIENTS TO ATTEND SICKLE CELL/HEMATOLOGY/PAIN MANAGEMENT WEEK AT NORTH STAR REACH IN AUGUST 2018. SEASONS HOSPICE FOUNDATION 6400 SHAFER COURT SUITE 700 ROSEMONT IL 60018 271825679 501(C)(3) 15000 TO SUPPORT A 3-DAY BEREAVEMENT CAMP FOR CHILDREN AGES 5-18 NEEDING SUPPORT FOLLOWING THE LOSS OF A LOVED ONE. DETROIT EDUCATION & RESEARCH 4201 ST ANTOINE ROOM 9C-25 UHC DETROIT MI 48201 455124360 501(C)(4) 180639 TO SEND FELLOWS TO VARIOUS EDUCATIONAL CONFERENCES THROUGHOUT THE US IN 2018. TO SUPPORT TWO APA ACCREDITED PSYCHOLOGY INTERNSHIPS AT CHM DURING THE 2018-2019 TRAINING YEAR. REGENTS OF THE UNIVERSITY OF MICHIGAN PO BOX 223131 PITTSBURGH PA 15251 386006309 501(C)(3) 165000 STUDY OF TUMOR DNA AND RNA TO IDENTIFY NEW DRUG TARGETS, TUMOR IMMUNE COMPOSITION TO PREDICT RESPONSES TO IMMUNOTHERAPY, AND NORMAL DNA TO IDENTIFY FAMILIAL CANCER SYNDROMES AND GENETIC CHANGES RESPONSIBLE FOR ALTERED CHEMOTHERAPY METABOLISM TO IMPROVE OUTCOMES. MICHIGAN STATE UNIVERSITY 3408 WOODWARD AVE DETROIT MI 48201 386005984 501(C)(3) 117700 TO SUPPORT THE SALARY AND BENEFITS OF TWO PART-TIME MUSIC THERAPISTS TO PROVIDE SERVICES TO CHM PATIENTS. DETROIT EDUCATIONAL TELEVISION FOUNDATION 1 CLOVER COURT WIXOM MI 48393 381440200 501(C)(3) 99038 TO PRODUCE EIGHT HEALTHY KIDS VIDEOS FOR ONLINE AND SOCIAL MEDIA DISTRIBUTION, AND ON-AIR BROADCAST. THE VIDEOS WILL ADDRESS FOUR OF CHMF'S FIVE PRIORITY AREAS. BOYS & GIRLS CLUBS OF OAKLAND & MACOMB 1545 EAST LINCOLN ROYAL OAK MI 48067 381579180 501(C)(3) 70000 TO LAUNCH A PROGRAM TO REDUCE ANTISOCIAL BEHAVIOR, DEPRESSION, AND ANXIETY AMONG AT-RISK, DELINQUENT, AND TRANSITIONING YOUTH. WAYNE CHILDREN'S HEALTHCARE ACCESS PROGRAM INC 3031 WEST GRAND BOULEVARD SUITE 650 650 DETROIT MI 48202 454949783 501(C)(3) 69000 TO SUPPORT THE FITKIDS 360 AND FITKIDS ON THE MOVE PROGRAMS CARE HOUSE OF OAKLAND COUNTY 44765 WOODWARD AVE PONTIAC MI 48341 382305297 501(C)(3) 64901 TO EXPAND CHILD ABUSE PREVENTION PROGRAMMING AT CARE HOUSE OF OAKLAND COUNTY. LEADERS ADVANCING AND HELPING COMMUNITIES 835 MASON STREET SUITE A-160 DEARBORN MI 48124 383081799 501(C)(3) 60000 TO EXPAND A HEALTHY LIVING PROGRAM SERVING EVERY 2ND-5TH GRADE STUDENT IN FOUR DETROIT ELEMENTARY SCHOOLS. COMMON GROUND 1410 S TELEGRAPH ROAD BLOOMFIELD HILLS MI 48302 381997712 501(C)(3) 58000 TO SUPPORT ONE FULL TIME AND ONE PART TIME CRISIS INTERVENTION SPECIALIST TO PROVIDE IN-HOME STABILIZATION TO CHILDREN WHO HAVE RECEIVED SERVICES AT OACIS. OAKLAND FAMILY SERVICES 114 ORCHARD LAKE ROAD PONTIAC MI 48341 381358388 501(C)(3) 55362 TO SUPPORT SALARY AND BENEFITS FOR ONE FULL TIME STAFF MEMBER TO PROVIDE DIRECT, HOME-BASED SERVICES TO FAMILIES WITH CHILDREN AGES 0-3 WHO HAVE SELF-REGULATION CONCERNS, DIFFICULTY SLEEPING/EATING, OR BEHAVIOR DIFFICULTIES. BRILLIANT DETROIT 5675 LARKINS DETROIT MI 48210 473446334 501(C)(3) 50000 TO SUPPORT THE RENOVATION OF A HOME IN THE SPRINGWELLS NEIGHBORHOOD OF DETROIT, WHERE FAMILIES CAN GATHER TO PARTICIPATE IN PROGRAMMING TO IMPROVE CHILD HEALTH, WELL-BEING, AND SCHOOL READINESS. LOYOLA HIGH SCHOOL 15325 PINEHURST DETROIT MI 48238 383107318 501(C)(3) 50000 TO SUPPORT THE EXPANSION OF THE KITCHEN AT LOYOLA HIGH SCHOOL, TO PROVIDE HEALTHY MEALS FOR STUDENTS AND IMPLEMENT A CULINARY ARTS PROGRAM FOR STUDENTS INTERESTED IN PURSUING THIS AVENUE AS A CAREER. JEWISH FEDERATION OF METRO DETROIT 6735 TELEGRAPH ROAD BLOOMFIELD HILLS MI 48301 381359214 501(C)(3) 50000 TO PRODUCE TEN "WE NEED TO TALK" MULTIMEDIA CONTENT PACKAGES AIMED AT YOUTH MENTAL HEALTH NEEDS IN THE JEWISH COMMUNITY. RUTH ELLIS CENTER 77 VICTOR STREET HIGHLAND PARK MI 48203 383501697 501(C)(3) 50000 TO SUPPORT THE IMPLEMENTATION OF THE FAMILY ACCEPTANCE PROJECT (FAP), INTEGRATING A SUPPORT MODEL OF WELLNESS, PREVENTION, AND CARE INTO SERVICES FOR LGBTQ CHILDREN AND YOUTH WHO HAVE EXPERIENCED FAMILY ABUSE AND NEGLECT. FRIENDSHIP CIRCLE 6892 WEST MAPLE ROAD WEST BLOOMFIELD MI 48322 383613944 501(C)(3) 50000 TO CONTINUE SUPPORT OF AN EXPERIENTIAL LIFE LESSONS PROGRAM FROM STUDENTS WITH SPECIAL NEEDS. LIFELAB KIDS FOUNDATION 42450 HAYES ROAD SUITE 3 CLINTON TWP MI 48038 811334117 501(C)(3) 50000 TO SUPPORT THE EXPANSION OF THE KITCHEN AT LOYOLA HIGH SCHOOL, TO PROVIDE HEALTHY MEALS FOR STUDENTS AND IMPLEMENT A CULINARY ARTS PROGRAM FOR STUDENTS INTERESTED IN PURSUING THIS AVENUE AS A CAREER. BEAUMONT HEALTH FOUNDATION 15500 LUNDY PARKWAY DEARBORN MI 48126 364852171 501(C)(3) 50000 TO SUPPORT THE SALARY AND BENEFITS OF A 0.8 FTE SOCIAL WORKER, TO HELP EXPAND BEHAVIORAL HEALTH SERVICES AT THE BEAUMONT TEEN HEALTH CENTER, RIVER ROUGE. REQUEST IS FOR $50,000 PER YEAR FOR TWO YEARS. DETROIT PUBLIC SAFETY FOUNDATION 1301 THIRD STREET SUITE 547 DETROIT MI 48226 300056848 501(C)(3) 45000 TO SUPPORT PERSONNEL EXPENSES FOR CITI CAMP, A CAMP THAT PROVIDES PREVENTION AND INTERVENTION STRATEGIES AIMED AT REDUCING CRIME AND VIOLENCE INVOLVING YOUTH. GLEANERS COMMUNITY FOOD BANK OF SE MI 2131 BEAUFAIT DETROIT MI 48207 382156255 501(C)(3) 35000 AS PART OF THE MAKING INVESTMENTS IN THE LIVES OF KIDS (MILK) MOVEMENT, TO PROVIDE 43,200 GALLONS OF FRESH MILK TO BE GIVEN TO FAMILIES IN NEED BY GLEANERS COMMUNITY FOOD BANK. DETROIT CRISTO REY HIGH SCHOOL 5679 W VERNOR DETROIT MI 48209 263176934 501(C)(3) 30850 TO SUPPORT A VISION AND EYEGLASSES PROGRAM FOR THE STUDENT AT DETROIT CRISTO REY HIGH SCHOOL. PLAY-PLACE AUTISM & SPECIAL NEEDS CENTER 41105 TECHNOLOGY PARK DRIVE STERLING HEIGHTS MI 48314 275374352 501(C)(3) 28834 TO SUPPORT THE EXPANSION OF A KITCHEN AT THE PLAY-PLACE AUTISM & SPECIAL NEEDS CENTER, WITH THE GOAL OF PROVIDING SPECIAL NEEDS STUDENTS OPPORTUNITIES AND SKILLS USING A HOSPITALITY AND CULINARY CURRICULUM. MATRIX HUMAN SERVICES 1400 WOODBRIDGE DETROIT MI 48207 381358015 501(C)(3) 27348 TO PURCHASE HEALTH RELATED EQUIPMENT AND SUPPLIES FOR THE MATRIX HEAD START PROGRAM. SCARLET'S SMILE 8345 DICKERT STREET COMMERCE TOWNSHIP MI 48382 474367604 501(C)(3) 25270 TO PURCHASE SENSORY EQUIPMENT AS PART OF SCARLET'S PLAYGROUND AT DODGE PARK. RONALD MCDONALD HOUSE OF DETROIT 3911 BEAUBIEN ST DETROIT MI 48201 382182406 501(C)(3) 25000 TO PROVIDE TRANSPORTATION TO AND FROM CHM FOR THE FAMILIES OF SICK CHILDREN AUTISM ALLIANCE OF MICHIGAN 30100 TELEGRAPH ROAD SUITE 250 BINGHAM FARMS MI 48025 270472137 501(C)(3) 10000 TO SUPPORT EXPENSES OF THE 2019 NAVIGATING AUTISM TODAY REGIONAL PARENT CONFERENCE YMCA OF METROPOLITAN DETROIT 1401 BROADWAY SUITE 3A DETROIT MI 48226 381358055 501(C)(3) 10000 TO PROVIDE WATER SAFETY AND SWIMMING INSTRUCTION TO LOW-INCOME CHILDREN IN DETROIT. ARAB AMERICAN CHALDEAN COUNCIL 363 WEST BIG BEAVER ROAD SUITE 1300 1300 TROY MI 48084 382311840 501(C)(3) 10000 TO PROVIDE FOOD AND WARM WINTER CLOTHING FOR CHILDREN IN NEED. AMERICAN DIABETES ASSOCIATION 20700 CIVIC CENTER DRIVE SUITE 100 SOUTHFIELD MI 48076 131623888 501(C)(3) 6000 TO SUPPORT TRANSPORTATION, VOLUNTEER STAFF, AND MATERIALS FOR 20 CHM PATIENTS WITH TYPE 1 DIABETES TO ATTEND CAMP MIDICHA. 37 2 GIFTS TO PEDIATRIC PATIENTS 287845 195120 DONOR VALUES BOOKS, GAMES, TOYS, ETC. PART I, LINE 2: AT THE END OF THE GRANT PERIOD, THE ORGANIZATION REQUIRES A FINAL REPORT OF GRANT ACTIVITIES AND A FINAL FINANCIAL ACCOUNTING REPORT. ADDITIONALLY, ANY GRANTS THAT ARE ON A REIMBURSEMENT BASIS MUST BE ACCOMPANIED BY A DETAILED INVOICE FOR REIMBURSEMENT. SCHEDULE I, PART III, COLUMN B: THE NUMBER OF RECIPIENTS IS AN ESTIMATE, WHICH IS BASED ON THE NUMBER OF PEDIATRIC PATIENTS SEEN DURING THE YEAR FOR INPATIENT, OUTPATIENT, AND EMERGENCY ROOM SERVICES. X X X X 0 0 0 0 0 0 0 0 0 LAWRENCE BURNS PRESIDENT AND CEO 288946 0 0 0 22962 0 8250 0 18459 0 338617 0 0 0 X 2 17599 FAIR MARKET VALUE X MISCELLANEOUS 13 149177 COST X TOYS & CRAFTS 1 5258 COST X ENTERTAINMENT 6 414 MARKET RATE 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES JOHNNY GINOPOLIS AND PETER GINOPOLIS HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES HAVE BEEN AMENDED TO ADD A VARIANCE POWER WHICH ALLOWS CHMF TO MODIFY A RESTRICTION OR CONDITION IMPOSED BY A DONOR WHEN IT BECOMES UNNECESSARY, INCAPABLE OF FULFILLMENT, OR INCONSISTENT WITH THE PURPOSE OF CHMF. FORM 990, PART VI, SECTION B, LINE 11B AFTER CHMF'S MANAGEMENT HAS REVIEWED THE FORM 990, THE RETURN IS PROVIDED TO THE BOARD CHAIR, TREASURER, AND PRESIDENT AND CEO. THESE INDIVIDUALS REVIEW THE FORM 990 WITH THE AUDIT COMMITTEE. ANY NECESSARY CHANGES WILL THEN BE UPDATED ON THE FORM. ONCE ALL NECESSARY CHANGES ARE MADE AND THE CHMF BOARD CHAIR IS IN AGREEMENT WITH THE AUDIT COMMITTEE ABOUT THE FINISHED FORM 990, IT WILL BE SIGNED BY THE CHMF PRESIDENT AND CEO, DATED AND SUBMITTED BY THE FILING DEADLINE. PRIOR TO FILING, A COPY OF THE APPROVED FORM 990 WILL BE MADE AVAILABLE TO ALL OF THE CHMF BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO THE ORGANIZATION'S BOARD TRUSTEES, OFFICERS, KEY EMPLOYEES AND STAFF MEMBERS. THE COVERED PARTIES DISCLOSE INTERESTS THROUGH A QUESTIONNAIRE. EACH COVERED PERSON IS REQUIRED TO ACKNOWLEDGE, NOT LESS THAN ANNUALLY, THAT HE OR SHE HAS READ AND IS IN COMPLIANCE WITH THE POLICY AND MUST RE-ATTEST IN WRITING THAT THERE ARE NO CONFLICTS OR DISCLOSE ANY CONFLICTS THAT DO EXIST. AN ANNUAL REVIEW IS DONE BY THE EXECUTIVE COMMITTEE. IF A CONFLICT ARISES, THE INVOLVED PERSON(S) RECUSE THEMSELVES FROM VOTING ON THE MATTER. COVERED MEMBERS ALSO MUST DECLARE ANY CONFLICT(S) OF INTEREST THAT ARISE BETWEEN ANNUAL DECLARATIONS AS THEY EMERGE. FAILURE TO DISCLOSE, DEPENDING ON GRAVITY, CAN LEAD TO BEING REMOVED FROM THEIR POSITION. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION HAS A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS CURRENTLY SERVING ON THE BOARD OF TRUSTEES. PERSONS WITH A CONFLICT OF INTEREST REGARDING THE PRESIDENT AND CEO'S COMPENSATION ARRANGEMENT ARE NOT INVOLVED IN THIS PROCESS. COMPARABILITY DATA SHOWING COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS IS REVIEWED WHEN DETERMINING THE PRESIDENT AND CEO'S COMPENSATION. CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION WAS MAINTAINED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: REFUND OF GRANT PAYMENTS 310,421. CHANGE IN CASH VALUE OF LIFE INSURANCE -5,543. FORM 990, PART XII, LINE 2C: THE PROCESS FOR SELECTION AND OVERSIGHT HAS NOT CHANGED FROM THE PROCESS USED IN PRIOR YEARS. LEGACY CHM 3011 W GRAND BLVD NO 218 DETROIT MI 48202 381357994 PEDIATRIC HEALTH CARE - IMPROVING HEALTH/WELLBEING OF CHILDREN MI 501(C)(3) LINE 12A, I CHILDREN'S HOSPITAL OF MI FOUNDATION 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LEGACY CHM C 403033 CASH