DEREK SHEELY FOUNDATION INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
DEREK SHEELY FOUNDATION INC (EIN 45-3553641)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-03-29
IRS object ID
201900889349300830
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-03-29T14:16:08-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521273734PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LINTON SHAFER WARFIELD & GARRETT PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11803 RESEARCH BLVD SUITE 404AddressLine1Txt
CityROCKVILLECityNm
State AbbreviationMDStateAbbreviationCd
ZIP20850ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453553641EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE DEREK SHEELY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDEREBusinessNameControlTxt
Phone2408998579PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114001 FALCONCREST ROADAddressLine1Txt
CityGERMANTOWNCityNm
State AbbreviationMDStateAbbreviationCd
ZIP208742280ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTEN SHEELYPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2408998579PhoneNum
Signature2019-03-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonC EVA WEBBPreparerPersonNm
PTINP01251814PTIN
Phone3016629200PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address70.91.66.142IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-03-29IPDt
IP Tm14:10:52IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdD969FAEFE241F4C4BF72D38A75B4970310017497AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKRISTEN SHEELYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line114001 FALCONCREST ROADAddressLine1Txt
CityGERMANTOWNCityNm
State AbbreviationMDStateAbbreviationCd
ZIP208742280ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,124GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THEDEREKSHEELYFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionINCREASE AWARENESS AND RESEARCH OF TRAUMATIC BRAIN INJURIES, INCLUDING SUPPORTING ADVANCEMENTS IN EDUCATION, PREVENTION, AND TREATMENT OF TRAUMATIC BRAIN INJURIES WITH A FOCUS ON YOUTH SPORTS.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,280PYContributionsGrantsAmt
CY Contributions Grants$18,482CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,314PYInvestmentIncomeAmt
CY Investment Income$1,352CYInvestmentIncomeAmt
PY Other Revenue$1,587PYOtherRevenueAmt
CY Other Revenue$900CYOtherRevenueAmt
PY Total Revenue$18,181PYTotalRevenueAmt
CY Total Revenue$20,734CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$288CYTotalFundraisingExpenseAmt
PY Other Expenses$4,926PYOtherExpensesAmt
CY Other Expenses$4,436CYOtherExpensesAmt
PY Total Expenses$4,926PYTotalExpensesAmt
CY Total Expenses$4,436CYTotalExpensesAmt
PY Revenues Less Expenses$13,255PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,298CYRevenuesLessExpensesAmt
Total Assets BOY$479,703TotalAssetsBOYAmt
Total Assets EOY$496,001TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$479,703NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$496,001NetAssetsOrFundBalancesEOYAmt
MissionTO INCREASE AWARENESS AND RESEARCH OF TRAUMATIC BRAIN INJURIES, WITH A FOCUS ON YOUTH SPORTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,574ExpenseAmt
DescCONCUSSION AWARENESS KITS ARE PROVIDED TO ATHLETES AND THEIR FAMILIES TO EDUCATE THEM ON THE SIGNS, SYMPTOMS, DANGERS, AND PREVENTION OF TRAUMATIC BRAIN INJURIES. APPROXIMATELY 1,200 KITS WERE DISTRIBUTED IN THREE STATES IN 2018.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$0ExpenseAmt
Revenue$0RevenueAmt
DescSCHOLARSHIPS ARE AVAILABLE FOR STUDENTS OF FROSTBURG STATE UNIVERSITY WITH A GRADE POINT AVERAGE OF 3.4 OR HIGHER WHO EXEMPLIFY LEADERSHIP QUALITIES AND PROVIDE 40 HOURS OF COMMUNITY SERVICE TO INCREASE AWARENESS OF CONCUSSIONS AND TRAUMATIC BRAIN INJURIES IN SPORTS. NO SCHOLARSHIPS WERE AWARDED IN 2018.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,574TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRISTEN SHEELYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2408998579PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114001 FALCONCREST ROADAddressLine1Txt
CityGERMANTOWNCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20874ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
STEPHEN P KADNER
DIRECTOR0.00Yes (X)$0$0$0
KEYTON SHEELY
CHAIRMAN2.00Yes (X)$0$0$0Yes (X)
MICHAEL HAASE
DIRECTOR0.00Yes (X)$0$0$0
KRISTEN SHEELY
EXECUTIVE DIRECTOR8.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$4,855FundraisingAmt
All Other Contributions$13,627AllOtherContributionsAmt
Total Contributions$18,482TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,352TotalRevenueColumnAmt
Exclusion$1,352ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$2,290FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$4,855ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,390FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$900TotalRevenueColumnAmt
Exclusion$900ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,734TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,252ExclusionAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$750TotalAmt
Management And General$750ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$130TotalAmt
Management And General$130ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$262TotalAmt
Program Services$262ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$634TotalAmt
Management And General$634ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
CONCUSSION AWARENESS KI$2,312$2,312
ON-LINE COLLECTION FEES$288$288
POSTAGE AND SHIPPING$60$60

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,436TotalAmt
Program Services$2,574ProgramServicesAmt
Management And General$1,574ManagementAndGeneralAmt
Fundraising$288FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$192,503BOYAmt
EOY$207,449EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$287,200BOYAmt
EOY$288,552EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$479,703BOYAmt
EOY$496,001EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$479,703BOYAmt
EOY$496,001EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$479,703BOYAmt
EOY$496,001EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$479,703BOYAmt
EOY$496,001EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$16,298ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,062CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,561CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,228,965CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,280CurrentTaxYearMinus1YearAmt
Current Tax Year$18,482CurrentTaxYearAmt
Total$1,315,350TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,062CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,561CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,228,965CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,280CurrentTaxYearMinus1YearAmt
Current Tax Year$18,482CurrentTaxYearAmt
Total$1,315,350TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,315,350PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$150CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$381CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,314CurrentTaxYearMinus1YearAmt
Current Tax Year$1,352CurrentTaxYearAmt
Total$3,398TotalAmt
FieldValueIRS element (for citing)
Total Support$1,318,748TotalSupportAmt
Public Support CY1700.99740PublicSupportCY170Pct
Public Support PY1700.99840PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2KRISTEN AND KEYTON SHEELY ARE MOTHER AND DAUGHTER SERVING THE FOUNDATION IN HONOR OF THEIR SON AND BROTHER WHO DIED FROM A TRAUMATIC BRAIN INJURY.
FORM 990, PART VI, SECTION A, LINE 8BTHE FOUNDATION HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FOUNDATION'S FORM 990 IS PROVIDED TO EACH BOARD MEMBER FOR REVIEW AND APPROVAL PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 18DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION AT THE ORGANIZATION'S OFFICE BY APPOINTMENT.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST BY CONTACTING KRISTEN SHEELY AT ADDRESS OF THE FOUNDATION.

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