2018-11-14T16:27:09-06:00 2017-12-31 752393478 WHITLEY PENN LLP 8343 DOUGLAS AVENUE SUITE 400 DALLAS TX 75225 990 2017-01-01 750945939 SOUTHWESTERN MEDICAL FOUNDATION SOUT 2143516143 3889 MAPLE AVENUE NO 100 DALLAS TX 75219 KATHLEEN M GIBSON PRESIDENT 2143516143 2018-11-14 1 CURTIS MAXFIELD P00445178 2143939300 12.0.230.112 2018-11-14 16:25:48 CS P 21B5010BE9AD4BBB5B3A835E8F1FF103F3BAAE96 21B5010BE9AD4BBB5B3A835E8F1FF103F3BAAE96 2017 2019-02-21 02:37:17Z KATHLEEN M GIBSON 3889 MAPLE AVENUE NO 100 DALLAS TX 75219 182841388 0 X WWW.SWMEDICAL.ORG X 1939 TX SOUTHWESTERN MEDICAL FOUNDATION (THE "FOUNDATION") WAS ORGANIZED IN 1939 AS A TEXAS NON-PROFIT CORPORATION, COMMITTED TO THE DEVELOPMENT AND IMPROVEMENT OF MEDICAL EDUCATION, MEDICAL RESEARCH AND PATIENT CARE IN THE NORTH TEXAS COMMUNITY AND THROUGHOUT THE WORLD. IN 1943, THE FOUNDATION ESTABLISHED SOUTHWESTERN MEDICAL COLLEGE, NOW KNOWN AS UT SOUTHWESTERN MEDICAL CENTER (THE "CENTER"). THE FOUNDATION CONTINUES TO RAISE AND MANAGE PRIVATE PHILANTHROPIC DOLLARS PRIMARILY FOR CONTINUED SUPPORT OF THE CENTER THROUGH GRANTS AND SCHOLARSHIPS. 129 128 17 0 0 -1769685 27649003 31161363 0 0 30857839 36689199 1254650 1883603 59761492 69734165 32675128 32360315 0 0 1675301 1758478 0 0 1677367 3343307 3517802 37693736 37636595 22067756 32097570 824050479 931439069 5342796 6411193 818707683 925027876 X SOUTHWESTERN MEDICAL FOUNDATION (THE "FOUNDATION") WAS ORGANIZED IN 1939 AS A TEXAS NON-PROFIT CORPORATION, COMMITTED TO THE DEVELOPMENT AND IMPROVEMENT OF MEDICAL EDUCATION, MEDICAL RESEARCH AND PATIENT CARE IN THE NORTH TEXAS COMMUNITY AND THROUGHOUT THE WORLD. IN 1943, THE FOUNDATION ESTABLISHED SOUTHWESTERN MEDICAL COLLEGE, NOW KNOWN AS THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER (THE "CENTER"). THE FOUNDATION CONTINUES TO RAISE AND MANAGE PRIVATE PHILANTHROPIC DOLLARS PRIMARILY FOR CONTINUED SUPPORT OF THE CENTER THROUGH GRANTS AND SCHOLARSHIPS. 0 0 33158515 32360315 SOUTHWESTERN MEDICAL FOUNDATION ("FOUNDATION") WAS ORGANIZED IN 1939 AS A TEXAS NONPROFIT CORPORATION. THE FOUNDATION IS EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AS A CHARITABLE ORGANIZATION.PROGRAMS SUPPORTED BY THE FOUNDATION ARE PRIMARILY BENEFITTING UT SOUTHWESTERN MEDICAL CENTER AS A LEADING BIOMEDICAL INSTITUTION IN EDUCATION, RESEARCH AND PATIENT CARE, AND ITS PRINCIPAL AFFILIATED INSTITUTIONS. THE FOUNDATION ALSO PROVIDES SUPPORT TO OTHER EXEMPT CIVIC AND MEDICAL ORGANIZATIONS, AND PROVIDES SCHOLARSHIP AWARDS TO MEDICAL STUDENTS AND OTHER HEALTH CARE PROVIDERS. THE FOUNDATION SPONSORS INFORMATIONAL LECTURES THAT FEATURE EXPERT SPEAKERS IN VARIOUS FIELDS. 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MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FOUNDATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR YEARS PRIOR TO 2014. SCHEDULE D, FORM 990, PART V: LINE 4 DONORS MAKE PERMANENT ENDOWMENTS TO SUPPORT THE ONGOING CHARITABLE SERVICES AND MISSION OF THE ORGANIZATION. 1 UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5000 COMMUNITY EVENT - BALL FOR EYE RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 1666666 GIFT RECEIVED FROM ONCE UPON A TIME (OUAT) FOUNDATION FUND FOR HUMAN GENOMICS CENTER UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 6000 GIFT RECEIVED FROM MRS. RICHARD D. EISEMAN TO SUPPORT ACTIVITIES UNDER THE DIRECTION OF DR. BELINDA A. VICIOSO FOR GERIATRICS UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5543 GIFT RECEIVED FROM VARIOUS DONORS TO SUPPORT ACTIVITIES UNDER THE FRIENDS OF THE HAROLD C. SIMMONS COMPREHENSIVE CANCER CENTER UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5000 GIFT RECEIVED FROM MRS. RICHARD D. EISEMAN TO SUPPORT ACTIVITIES UNDER THE DIRECTION OF DR. JARETT D. BERRY FOR CARDIOLOGY UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 15000 GIFT RECEIVED FROM MARSHA H. AND MICHAEL R. BAYLOR CHARITABLE GIFT FUND TO SUPPORT BREAST CANCER DEPARTMENT AT THE HAROLD C. SIMMONS COMPREHENSIVE CANCER CENTER UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 25000 GIFT RECEIVED FROM THE ABE ZALE FOUNDATION TO SUPPORT DR. ROGER ROSENBERG'S RESEARCH ON DNA ABETS42 UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 27500 GIFT RECEIVED FROM THE JUDITH AND JEAN PAPE ADAMS CHARITABLE FOUNDATION TO SUPPORT CAMPAIGN FOR THE BRAIN FUND (ALS RESEARCH UNDER DR. 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JAY HORTON UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 8000 GIFT RECEIVED FROM MARNIE AND KERN WILDENTHAL DESIGNATED FUND FOR THE BENEFIT OF UT SOUTHWESTERN MEDICAL CENTER MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVENUE WHITE PLAINS NY 01605 131846366 170(B)(1)(A)(VI) 5000 COMMUNITY EVENT UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5000 GIFT RECEIVED FROM DR. AND MRS. MARVIN J. STONE TO SUPPORT THE CAROLYN AND ERWIN R. THAL, M.D. CHAIR IN TRAUMA SURGERY UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 10000 GIFT RECEIVED FROM MR. AND MRS. ERIC REEVES TO SUPPORT UTSW CIRCLE OF FRIENDS UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 15168 GIFT RECEIVED FROM MR. AND MRS. DANIEL G. ROUTMAN TO SUPPORT THE PRESIDENT'S ADVISORY BOARD AT UT SOUTHWESTERN UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 61150 GIFTS RECEIVED FROM VARIOUS DONORS TO SUPPORT ACTIVITIES BENEFITTING UTSW UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 1045000 TO SUPPORT THE WILLIAM P. CLEMENTS, JR UNIVERSITY HOSPITAL CONSTRUCTION PROJECT UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 7704489 SEMI-ANNUAL DISTRIBUTION TO SUPPORT RESEARCH CENTERS, ENDOWED CHAIRS, PROFESSORSHIPS, AND OTHER PROGRAMS TEXAS WOMEN'S UNIVERSITY - THE STROKE CENTER 1810 INWOOD ROAD DALLAS TX 75235 751292762 170(B)(1)(A)(V) 10000 GIFT FROM THE JOSEPHINE SIMONSON APHASIA TRUST FUND TO SUPPORT INDIVIDUALS WITH APHASIA FOLLOWING A STROKE UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 75000 GIFT FROM BETH F. KAHN ROOTS AND WINGS FUND TO SUPPORT BRAIN CANCER RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 100000 GIFT FROM EDGAR AND RUTH ROBINSON CANCER RESEARCH FUND TO SUPPORT CANCER RESEARCH UNDER THE DIRECTION OF DR. ROBERT COLLINS UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 400000 GIFT FROM KARL AND ESTHER HOBLITZELLE FUND TO PURCHASE MEG EQUIPMENT UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 6727 GIFTS FROM VARIOUS DONORS TO SUPPORT THE LUNG TRANSPLANT PROGRAM UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 11188 GIFTS FROM VARIOUS DONORS TO SUPPORT UTSW CIRCLE OF FRIENDS UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 10000 GIFT FROM MR. AND MRS. BEN SPARKMAN TO SUPPORT UT RESEARCH IN INTERNAL MEDICINE UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 53850 GIFTS FROM VARIOUS DONORS TO SUPPORT DR. ENRICO BARTOLUCCI LECTURESHIP IN ENDOCRINE SURGERY, THE UTSW ANNUAL ALUMNI FUND AND OTHER MISCELLANEOUS PROGRAMS AT UTSW UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 32614 GIFT FROM BETH F. KAHN ROOTS AND WINGS FUND TO SUPPORT BRAIN CANCER RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 32875 GIFT FROM DAVID LEE FRANKFURT FAMILY FUND TO SUPPORT BRAIN CANCER RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 1000000 GIFT FROM GAYDEN FAMILY FOUNDATION FUND TO ASSIST IN PURCHASING A 3T MRI UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 50000 TO SUPPORT THE WILLIAM P. CLEMENTS, JR UNIVERSITY HOSPITAL CONSTRUCTION PROJECT UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 600000 GIFT FROM HAROLD & ANNETTE SIMMONS COMPREHENSIVE CENTER FOR RESEARCH AND TREATMENT IN BRAIN AND NEUROLOGICAL DISORDERS TO PURCHASE A CONFOCAL MICROSCOPE FOR THE DEPARTMENT OF NEURSCIENCE UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 1000000 GIFT FROM THE HERSH FOUNDATION TO SUPPORT THE CENTER FOR DEPRESSION RESEARCH AND CLINICAL CARE UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5000 GIFT FROM SIEMENS MEDICAL SOLUTIONS USA TO SPONSOR A MEDICAL EDUCATION EVENT AT UTSW THE TEXAS ASSOCIATION FOR THE PROTECTION OF CHILDREN 2904 FLOYD STREET SUITE A DALLAS TX 75204 461332547 170(B)(1)(A)(VI) 5000 COMMUNITY EVENT CHILDREN'S MEDICAL CENTER OF DALLAS 2777 STEMMONS FREEWAY SUITE 1089 DALLAS TX 75207 750800628 501(C)(3) 248000 GIFT FROM ONCE UPON A TIME (OUAT) FOUNDATION FUND TO SUPPORT DR. SEAN MORRISON'S RESEARCH ON MELANOMA CHILDREN'S MEDICAL CENTER OF DALLAS 2777 STEMMONS FREEWAY SUITE 1089 DALLAS TX 75207 750800628 501(C)(3) 250000 GIFT FROM ONCE UPON A TIME (OUAT) FOUNDATION FUND TO SUPPORT DR. DEBERARDINIS' RESEARCH ON CHILDHOOD METABOLIC DISEASES TEXAS BUSINESS HALL OF FAME 4550 POST OAK PLACE SUITE 342 HOUSTON TX 77027 751842638 170(B)(1)(A)(VI) 5000 COMMUNITY EVENT UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 21891 GIFT FROM IDA M. GREEN FUND TO SUPPORT THE 2018 WOMEN IN SCIENCE AND MEDICINE ACTIVITIES UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 40000 GIFT FROM SOPHIE S. BASS FOUNDATION FUND FOR THE DIVISION OF PEDIATRIC ONCOLOGY AT UTSW TO SUPPORT PEDIATRIC ONCOLOGY RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 300000 GIFT FROM MEADOWS FOUNDATION TO SUPPORT ACTIVITIES AT THE CENTER FOR DEPRESSION RESEARCH AND CLINICAL CARE UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 7497 GIFT FROM MARNIE AND KERN WILDENTHAL TO BENEFIT UT SOUTHWESTERN MEDICAL CENTER THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON 7000 FANNIN HOUSTON TX 77030 741761309 170(B)(1)(A)(V) 50000 GIFT FROM SPINE EDUCATION AND RESEARCH FUND TO SUPPORT SPINE EDUCATION AND RESEARCH UNDER THE DIRECTION OF MARK PRASARN, M.D. METHODIST HEALTH SYSTEM FOUNDATION 1441 N BECKLEY AVENUE DALLAS TX 75203 750800661 170(B)(1)(A)(III) 5000 COMMUNITY EVENT UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 7294541 SEMI-ANNUAL DISTRIBUTION TO SUPPORT RESEARCH CENTERS, ENDOWED CHAIRS, PROFESSORSHIPS, AND OTHER PROGRAMS PHOENIX HOUSES OF TEXAS INC 2351 WEST NORTHWEST HIGHWAY DALLAS TX 75220 133810073 501(C)(3) 22124 GIFT FROM T. BOONE PICKENS SCHOLARSHIP ENDOWMENT FUND TO SUPPORT HILL FEINBERG ACADEMY COLLIN COUNTY HEALTH CARE FOUNDATION 825 NORTH MCDONALD STREET MCKINNEY TX 75069 756000873 501(C)(3) 40943 GIFT FROM HENRY L. & LAURA H. SHOAP MEMORIAL FUND TO SUPPORT THE PROGRAMS OF THE COLLIN COUNTY HEALTH DEPARTMENT UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 315705 GIFT FROM JOHN D. MCCONNELL, M.D. HOSPITAL FUND TO SUPPORT RESEARCH IN THE FIELD OF UROLOGY UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 125000 GIFT RECEIVED FROM ONCE UPON A TIME (OUAT) FOUNDATION FUND TO SUPPORT DR. ROBERT TIMMERMAN'S I-SABR RESEARCH THE UNIVERSITY OF TEXAS AT DALLAS 800 WEST CAMPBELL ROAD RICHARDSON TX 75080 741305566 170(B)(1)(A)(V) 100000 GIFT RECEIVED FROM CH AND MS HOILES CHARITABLE TRUST FUND TO SUPPORT DR. MARJORIE ZIELKE'S PROJECT THE EMOTIVE VIRTUAL REALITY PATIENT UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 83333 GIFT RECEIVED FROM ONCE UPON A TIME (OUAT) FOUNDATION FUND TO SUPPORT DR. YULL ARRIAGA'S ADVANCED BLADER CLINICAL TRIALS UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 1790000 2017-2018 UNRESTRICTED ANNUAL GRANT DFW SCHWEITZER FELLOWS PROGRAM DEDMAN COLLEGE OF HUMANITIES & SCIENCES SMU PO BOX 750235 DALLAS TX 75275 170800689 170(B)(1)(A)(V) 5000 GIFT FROM CHARLES C. SPRAGUE, M.D. MEMORIAL FUND TO SUPPORT THE ALBERT SCHWEITZER FELLOWSHIP DFW CHAPTER UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) -268437 RETURNED PART OF PRIOR YEAR PLEDGE PAYMENT GRANT CALLED FROM OUAT FOR MS RESEARCH - TO BE GRANTED TO UNIVERSITY OF TEXAS AT DALLAS FOR MULTIPLE SCLEROSIS RESEARCH THE UNIVERSITY OF TEXAS AT DALLAS 800 WEST CAMPBELL ROAD RICHARDSON TX 75080 741305566 170(B)(1)(A)(V) 268437 GIFT RECEIVED FROM ONCE UPON A TIME (OUAT) FOUNDATION FUND TO SUPPORT ROBERT L. RENNAKER'S MULTIPLE SCLEROSIS RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 25000 GIFT RECEIVED FROM IRWIN GROSSMAN RESTRICTED FUND FOR DIABETES RESEARCH TO SUPPORT DR. OLGA GUPTA FOR HER EFFORTS IN TYPE 1 DIABETES RESEARCH THE UNIVERSITY OF TEXAS AT DALLAS 800 WEST CAMPBELL ROAD RICHARDSON TX 75080 741305566 170(B)(1)(A)(V) 305000 GIFT RECEIVED FROM ONCE UPON A TIME (OUAT) FOUNDATION FUND TO SUPPORT ROBERT L. RENNAKER'S MULTIPLE SCLEROSIS RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 25000 GIFT RECEIVED FROM MR. CHARLES ZODY TO SUPPORT A NEW SL UNDER THE DIRECTION OF DR. STEVE VERNINO FOR MORVAN SYNDROME RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 25000 GIFT RECEIVED FROM MMK FOUNDATION TO SUPPORT THE KING FOUNDATION PEDIATRIC NEPHROLOGY RESEARCH FUND AT UT SOUTHWESTERN AND USED TO SUPPORT NEPHROLOGY RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5188 GIFT RECEIVED FROM BNY MELLON CORP COMMUNITY PARTNERSHIP MATCHING FUNDS AND FROM MR. AND MRS. DANIEL P. NOVAKOV TO SUPPORT UT SOUTHWESTERN CIRCLE OF FRIENDS UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 10000 GIFT RECEIVED FROM BEN E. KEITH FOUNDATION TRUST TO SUPPORT BREAST CANCER RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 5000 GIFT RECEIVED FROM ALCON LABORATORIES TO SUPPORT OPTHALMOLOGY RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 34883 GIFTS RECEIVED FROM VARIOUS DONORS TO SUPPORT ACTIVITIES BENEFITTING UTSW CHILDREN'S MEDICAL CENTER OF DALLAS 2777 STEMMONS FREEWAY SUITE 1089 DALLAS TX 75207 750800628 501(C)(3) 300000 GIFT RECEIVED FROM THE HOBLITZELLE FOUNDATION TO SUPPORT CAPITAL EQUIPMENT PURCHASED FOR CHILDREN'S MEDICAL CENTER RESEARCH INSTITUTE AT UT SOUTHWESTERN UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 600000 GIFT RECEIVED FROM HAROLD AND ANNETTE SIMMONS TO SUPPORT THE HAROLD C. SIMMONS COMPREHENSIVE NEUROSCIENCE FACILITY FOR RESEARCH AND TREATMENT IN BRAIN AND NEUROLOGICAL DISORDERS THE CHARTER 100 OF DALLAS 12900 PRESTON ROAD SUITE 1210 DALLAS TX 75230 161727212 501(C)(3) 7555 COMMUNITY EVENT THE ACADEMY OF MEDICINE ENGINEERING & SCIENCE OF TEXAS 1616 GUADALUPE STREET SUITE 3304 AUSTIN TX 78701 201014851 501(C)(3) 5000 COMMUNITY EVENT DALLAS BUSINESS JOURNAL 2515 MCKINNEY AVENUE SUITE 100 DALLAS TX 75201 431366184 N/A 5000 COMMUNITY EVENT UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 15000 GIFT RECEIVED FROM GASTON EPISCOPAL HOSPITAL FOUNDATION TO SUPPORT THE MOOD DISORDERS NETWORK UNDER THE DIRECTION OF DR. MADHUKAR TRIVEDI UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 100000 GIFT RECEIVED FROM THE MEADOWS FOUNDATION TO SUPPORT TRANSVERSE MYELITIS RESEARCH UNDER THE DIRECTION OF DR. BENJAMIN GREENBERG UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 2506209 GIFT RECEIVED FROM MR. AND MRS. MILLEDGE HART TO SUPPORT THE HART CENTER FOR THERAPEUTIC TRIALS FOR COGNITIVE AND MEMORY DISORDERS UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 6000 GIFT RECEIVED FROM GENETECH TO SUPPORT MS RESEARCH IN HAWAII PROGRAM AMERICAN ACADEMY OF RESTORATIVE DENTISTRY PO BOX 1764 BROKEN ARROW OK 74013 410843827 501(C)(3) 15000 TO SUPPORT THE EDUCATIONAL EFFORTS OF THE AMERICAN ACADEMY OF RESTORATIVE DENTISTRY PHOENIX HOUSES OF TEXAS INC 2351 WEST NORTHWEST HIGHWAY DALLAS TX 75220 133810073 501(C)(3) 22124 GIFT RECEIVED FROM T. BOONE PICKENS SCHOLARSHIP ENDOWMENT FUND TO SUPPORT HILL FEINBERG ACADEMY COLLIN COUNTY HEALTH CARE FOUNDATION 825 NORTH MCDONALD STREET MCKINNEY TX 75069 756000873 501(C)(3) 40943 GIFT RECEIVED FROM HENRY L. & LAURA H. SHOAP MEMORIAL FUND TO SUPPORT THE PROGRAMS OF THE COLLIN COUNTY HEALTH DEPARTMENT UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 100000 GIFT RECEIVED FROM THE HAWN FOUNDATION TO SUPPORT THE JOHN SLOAN (TREY) LEONARD III FUND FOR BIPOLAR RESEARCH UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 50000 GIFT RECEIVED FROM WILLIAM A. AND ELIZABETH B. MONCRIEF FOUNDATION TO SUPPORT DR. ELIZABETH MAHER'S RESEARCH IN GLIOBLASTOMA UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 2048719 TO SUPPORT THE WILLIAM P. CLEMENTS, JR UNIVERSITY HOSPITAL CONSTRUCTION PROJECT UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 10000 GIFT RECEIVED FROM ONE WING FOUNDATION TO SUPPORT THE MEDICAL DISTRICT RESOLVE THROUGH SHARING PROGRAM UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 100000 GIFT RECEIVED FROM MS. NANCY WIENER MARCUS TO SUPPORT PANCREATIC CANCER RESEARCH UNDER THE DIRECTION OF DR. NISA KUBILIUM UT SOUTHWESTERN 5323 HARRY HINES BOULEVARD DALLAS TX 75390 746000203 170(B)(1)(A)(V) 150000 GIFTS AND TICKET SALES FROM CARY COUNCIL DOCSTARS EVENT TO SUPPORT RESEARCH WORK OF DRS. PICCIRILLO, WANG AND LUX (AWARDS OF $50,000 EACH) 7 10 SCHOLARSHIPS 174 235500 0 PART I, LINE 2: THE ORGANIZATION THOROUGHLY REVIEWS AND APPROVES THE USE OF GRANT FUNDS MADE TO THE UT SOUTHWESTERN MEDICAL CENTER AND OTHER CHARITABLE ORGANIZATIONS. SCHEDULE I, PART III: THE FOUNDATION MAKES SCHOLARSHIPS AND STUDENT LOANS AVAILABLE TO MEDICAL STUDENTS BASED UPON THE RECOMMENDATIONS OF THE SCHOLARSHIP AWARDS COMMITTEE OF THE UT SOUTHWESTERN MEDICAL SCHOOL. THE COMMITTEE IS COMPOSED OF THE ASSOCIATE DEANS FOR STUDENT AFFAIRS, THE VICE PRESIDENT FOR STUDENT & ALUMNI AFFAIRS, THE DIRECTOR OF ADMISSIONS, THE REGISTRAR & THE DIRECTOR OF FINANCIAL AID. SCHOLARSHIP AWARDS MAY BE BASED EITHER UPON FINANCIAL NEED OR UPON PRIOR OUTSTANDING ACADEMIC PERFORMANCE. ALL APPLICANTS ARE SCREENED WITH THE MANDATES OF THE STATE OF TEXAS. FELLOWSHIPS ARE MADE UPON THE RECOMMENDATION OF THE PRESIDENT OF THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AND THE APPROPRIATE MEDICAL CHAIRMAN. 1 X X X X X 0 1 0 0 0 0 0 0 0 KATHLEEN M GIBSON PRESIDENT AND CEO 457600 0 0 0 0 0 45304 0 14028 0 516932 0 0 0 KAY SCHLANKEY SENIOR VICE PRESIDENT & CFO 190750 0 0 0 0 0 19075 0 17280 0 227105 0 0 0 FORM 990, SCHEDULE J, LINE 4B KATHLEEN GIBSON AND KAY SCHLANKEY EACH PARTICIPATE IN AN EXECUTIVE NON-QUALIFIED PLAN. THEIR DEFERRALS AND CONTRIBUTIONS ARE: KATHLEEN GIBSON - $24,405 KAY SCHLANKEY - $5,723 X 35 3529770 FAIR MARKET VALUE X FOOD FOR EVENT 1 4800 FMV 0 1 1 PART I, LINE 32B: THE ORGANIZATION USES A BROKERAGE SERVICE TO PROCESS AND SELL THEIR NON-CASH CONTRIBUTIONS OF PUBLIC SECURITIES. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES HAS DELEGATED THE RESPONSIBILITY OF REVIEWING THE TAX RETURN TO THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE SECRETARY AND ASSISTANT SECRETARY ANNUALLY REVIEW THE CODE OF CONDUCT AND CONFLICT OF INTEREST STATEMENTS FOR ANY CHANGES AND/OR NEW DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DETERMINES COMPENSATION UPON THE REVIEW AND APPROVAL: - EXECUTIVE COMPENSATION COMMITTEE FOR THE PRESIDENT AND CEO - PERSONNEL COMMITTEE FOR ALL OTHER OFFICERS FORM 990, PART VI, SECTION C, LINE 19 IF THE ORGANIZATION RECEIVES A DOCUMENT REQUEST, THEY EVALUATE THE REQUESTS AND PROVIDE THE ORGANIZATIONAL AND GOVERNING DOCUMENTS ON A CASE BY CASE BASIS. FORM 990, PART XI, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT OVERSEES THE AUDIT AND THE SELECTION OF INDEPENDENT AUDITORS. FORM 990, PAGE 1, LINE 8: THE AMOUNT ON PAGE 1, LINE 8 INCLUDES AN ADJUSTMENT FOR THE INCREASE IN VALUE OF SPLIT INTEREST CONTRIBUTIONS OF $4,360,909. SWMF PROPERTIES INC 3889 MAPLE AVE SUITE 100 DALLAS TX 75219 752838956 PROVIDE FUNDS TO SUPPORT THE CHARITABLE ACTIVITIES OF SW MEDICAL FOUNDATION TX 501(C)(3) 11A N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 SWMF PROPERTIES INC C 1660000 FAIR VALUE