BETA

VITALOGY FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
VITALOGY FOUNDATION (EIN 20-1030462)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201843189349313339
Schema version
2017v2.3
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)
Return2018-11-14T20:07:23-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911194016PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLARK NUBER PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110900 NE 4TH STREET SUITE 1400AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201030462EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VITALOGY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVITABusinessNameControlTxt
Phone6153299902PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O FBMM INC PO BOX 340020AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP372030020ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMIE CHEEKPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6153299902PhoneNum
Signature2018-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJANE M SEARINGPreparerPersonNm
PTINP00000565PTIN
Phone4254544919PhoneNum
Preparation2018-11-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.158.230.194IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-07IPDt
IP Tm10:50:48IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCD989A29B3516D8BA8B2D753A8BF0A7AAB1B012EAtSubmissionCreationDeviceId
At Submission Filing Device IdA8F8671919AEAF184819608176B45343F82BD7C9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTONE C GOSSARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O FBMM INC PO BOX 340020AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP372030020ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$276,690GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTHE VITALOGY FOUNDATION IS A PUBLIC NON-PROFIT ORGANIZATION THAT WAS FOUNDED IN 2006 BY THE MEMBERS OF PEARL JAM AND THEIR MANAGER. THE FOUNDATION SUPPORTS THE EFFORTS OF NON-PROFIT ORGANIZATIONS DOING COMMENDABLE WORK IN THE FIELDS OF COMMUNITY HEALTH, THE ENVIRONMENT, ARTS & EDUCATION AND SOCIAL CHANGE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,465,361PYContributionsGrantsAmt
CY Contributions Grants$253,384CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,026PYInvestmentIncomeAmt
CY Investment Income$1,048CYInvestmentIncomeAmt
PY Other Revenue-$25PYOtherRevenueAmt
CY Other Revenue$18,414CYOtherRevenueAmt
PY Total Revenue$2,466,362PYTotalRevenueAmt
CY Total Revenue$272,846CYTotalRevenueAmt
PY Grants And Similar Paid$1,679,261PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$974,903CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,526PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$46,739CYTotalFundraisingExpenseAmt
PY Other Expenses$206,871PYOtherExpensesAmt
CY Other Expenses$165,092CYOtherExpensesAmt
PY Total Expenses$1,898,658PYTotalExpensesAmt
CY Total Expenses$1,139,995CYTotalExpensesAmt
PY Revenues Less Expenses$567,704PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$867,149CYRevenuesLessExpensesAmt
Total Assets BOY$1,848,278TotalAssetsBOYAmt
Total Assets EOY$981,128TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,658TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,848,278NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$955,470NetAssetsOrFundBalancesEOYAmt
MissionTHE FOUNDATION SUPPORTS THE EFFORTS OF NON-PROFIT ORGANIZATIONS DOING COMMENDABLE WORK IN THE FIELDS OF COMMUNITY HEALTH, THE ENVIRONMENT, ARTS & EDUCATION AND SOCIAL CHANGE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,022,074ExpenseAmt
Grant$974,903GrantAmt
DescGRANTS AWARDED TO SPECIFIC CHARITABLE ORGANIZATIONS AND INDIVIDUALS CHOSEN BY THE OFFICERS OF THE FOUNDATION IN ACCORDANCE WITH THE PRIMARY PURPOSE OF VITALOGY FOUNDATION'S EXEMPT STATUS.Desc
Total Program Service Expenses$1,022,074TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMIE CHEEK CO FBMM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6153299902PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 340020AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP372030020ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JEFFREY A AMENT
PRESIDENT1.0020.00Yes (X)Yes (X)$0$0$0
MICHAEL D MCCREADY
VICE PRESIDENT1.0020.00Yes (X)Yes (X)$0$0$0
EDDIE J VEDDER
VICE PRESIDENT1.0020.00Yes (X)Yes (X)$0$0$0
KELLY CURTIS
SECRETARY1.0020.00Yes (X)Yes (X)$0$0$0
STONE C GOSSARD
TREASURER1.0020.00Yes (X)Yes (X)$0$0$0
MATTHEW D CAMERON
DIRECTOR1.00Yes (X)$0$0$0
JAMIE CHEEK
TREASURER1.00Yes (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

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VANDENBERG COMMUNICATIONS LLCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11900 SOUTH CORGIAT DRIVEAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98108ZIPCd
FieldValueIRS element (for citing)
ServicesPUBLIC RELATIONSServicesDesc
Compensation$103,201CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$22,530FundraisingAmt
All Other Contributions$230,854AllOtherContributionsAmt
Noncash Contributions$3,844NoncashContributionsAmt
Total Contributions$253,384TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,048TotalRevenueColumnAmt
Exclusion$1,048ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$3,220FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$22,530ContriRptFundraisingEventAmt
Fundraising Direct Expenses$3,220FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$19,038GrossSalesOfInventoryAmt
Cost Of Goods Sold$624CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,414TotalRevenueColumnAmt
Exclusion$18,414ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$272,846TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$19,462ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$974,903TotalAmt
Program Services$974,903ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,791TotalAmt
Program Services$6,130ProgramServicesAmt
Management And General$508ManagementAndGeneralAmt
Fundraising$6,153FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,724TotalAmt
Management And General$17,724ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$115,438TotalAmt
Program Services$31,845ProgramServicesAmt
Management And General$51,748ManagementAndGeneralAmt
Fundraising$31,845FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Management And General$500ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,019TotalAmt
Program Services$7,868ProgramServicesAmt
Management And General$702ManagementAndGeneralAmt
Fundraising$7,449FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,328TotalAmt
Program Services$1,328ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmt
PRIZES$1,100$1,100
PROCESSING FEES$192$192

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,139,995TotalAmt
Program Services$1,022,074ProgramServicesAmt
Management And General$71,182ManagementAndGeneralAmt
Fundraising$46,739FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$385,118BOYAmt
EOY$88,920EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,463,160BOYAmt
EOY$889,208EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,848,278BOYAmt
EOY$981,128EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$25,658EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$25,658EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,848,278BOYAmt
EOY$955,470EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,848,278BOYAmt
EOY$955,470EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,848,278BOYAmt
EOY$981,128EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$867,149ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$25,659OtherChangesInNetAssetsAmt
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$1,066,775CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$881,984CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,118,345CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,465,361CurrentTaxYearMinus1YearAmt
Current Tax Year$253,384CurrentTaxYearAmt
Total$5,785,849TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,066,775CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$881,984CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,118,345CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,465,361CurrentTaxYearMinus1YearAmt
Current Tax Year$253,384CurrentTaxYearAmt
Total$5,785,849TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$43,040SubstantialContributorsTotAmt
Public Support Total170$5,742,809PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,083CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$837CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,026CurrentTaxYearMinus1YearAmt
Current Tax Year$1,048CurrentTaxYearAmt
Total$5,709TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year$18,414CurrentTaxYearAmt
Total$18,414TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,878CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,570CurrentTaxYearMinus3YearsAmt
Total$37,448TotalAmt
FieldValueIRS element (for citing)
Total Support$5,847,420TotalSupportAmt
Public Support CY1700.98210PublicSupportCY170Pct
Public Support PY1700.99180PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationREFUND - 2013 AMOUNT: $ 33,236. 2014 AMOUNT: $ 2,570. EXPENSE REIMBURSEMENT - 2013 AMOUNT: $ 1,642.ExplanationTxt

Schedule B IRS990ScheduleB

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxt
NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES00FUNDRAISING
EUROPE (INCLUDING ICELAND & GREENLAND)00FUNDRAISING
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$0SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$0TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3(3):FormAndLineReferenceDesc
ExplanationVITALOGY FOUNDATION DOES FUNDRAISING IN NORTH AMERICA AND EUROPE THROUGH PEARL JAM CONCERTS. EXPENSES FOR THESE FUNDRAISING EVENTS ARE DONATED BY PEARL JAM TOURING, INC.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1AUCTIONEvent1Nm
Gross Receipts Event1$25,750GrossReceiptsEvent1Amt
Charitable Contri Event1$22,530CharitableContriEvent1Amt
Gross Revenue Event1$3,220GrossRevenueEvent1Amt
Other Direct Expenses Event1$3,220OtherDirectExpensesEvent1Amt
Gross Receipts Total$25,750GrossReceiptsTotalAmt
Charitable Contributions Tot$22,530CharitableContributionsTotAmt
Gross Revenue Total Events$3,220GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$3,220OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$3,220DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (48 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AFSP
120 WALL STREET 29TH FLOORNEW YORKNY10005133393329501(C)(3)$10,000AFSP IS DEDICATED TO SAVING LIVES AND BRINGING HOPE TO THOSE AFFECTED BY SUICIDE.
AMERICAN RED CROSS
431 18TH STREET NWWASHINGTONDC20006530196605501(C)(3)$10,050FOR HURRICANE HARVEY DISASTER RELIEF
ARTS CORPS
4408 DELRIDGE WAY SW 110SEATTLEWA98106912044679501(C)(3)$15,000"LA FESTA DEL ATRE AND "IT'S BIGGER THAN HIP HOP" PROJECTS
CENTRAL MONTANA FOUNDATION
PO BOX 334LEWISTOWNMT59457810425314501(C)(3)$160,000BIG SPRING SKATE PARK
CHILDREN'S CANCER ASSOCIATION
1200 NW NAITO PKWY SUITE 140PORTLANDOR97209931181662501(C)(3)$8,504TO SUPPORT MYMUSICRX DIGITAL
COLLEGE SUCCESS FOUNDATION
15500 SE 30TH PL SUITE 200BELLEVUEWA98007912036088501(C)(3)$6,250TO SUPPORT "LEADERSHIP 1000 SCHOLARSHIP"
CONSERVATION NORTHWEST
1829 10TH AVE W SUITE BSEATTLEWA98119943091547501(C)(3)$25,000TO SUPPORT "PROTECTING THE WILD CREST OF THE KETTLE RIVER RANGE"
CROHN'S & COLITIS FOUNDATION OF AMERICA
9 LAKE BELLEVUE DR STE 203BELLEVUEWA98005136193105501(C)(3)$25,000TO SUPPORT "CAMP OASIS 2017"
CROHN'S & COLITIS FOUNDATION OF AMERICA
9 LAKE BELLEVUE DR STE 203BELLEVUEWA98005136193105501(C)(3)$5,000TO SUPPORT "CCFA FLAG FOOTBALL TOURNAMENT 2017"
CROHN'S & COLITIS FOUNDATION OF AMERICA
9 LAKE BELLEVUE DR STE 203BELLEVUEWA98005136193105501(C)(3)$1,500TO SUPPORT "CCFA ANNUAL BENEFIT LUNCHEON TABLE"
CROHN'S & COLITIS FOUNDATION OF AMERICA
9 LAKE BELLEVUE DR STE 203BELLEVUEWA98005136193105501(C)(3)$7,962TO SUPPORT " CCFA TEAM CHALLENGE NEW ORLEANS 2017"
DESC
514 THIRD AVESEATTLEWA98103911275814501(C)(3)$50,553DONATION TO THE GENERAL FUND
EINSTEIN RISING
6523 25TH AVE NWSEATTLEWA98117464730931501(C)(3)$6,000DONATION TO THE GENERAL FUND
EVERY MOTHER COUNTS
180 VARICK ST 1116NEW YORKNY10014454102644501(C)(3)$41,000DONATION TO THE GENERAL FUND
FRANKIE'S FRIENDS
4208 LIND AVE SWRENTONWA98057593581823501(C)(3)$10,000DONATION TO THE GENERAL FUND
FRANKIE'S FRIENDS
4208 LIND AVE SWRENTONWA98057593581823501(C)(3)$2,000SPONSORSHIP
FRED HUTCH
PO BOX 19024 MS J5200SEATTLEWA98109237156071501(C)(3)$10,000TO SUPPORT "HUTCH AWARD LUNCHEON"
FRIENDS OF KEXP
472 1ST AVE NSEATTLEWA98109912061474501(C)(3)$13,000TO SUPPORT "KEXP'S NEW HOME"
GLOBAL POVERTY PROJECT INC
594 BROADWAY SUITE 207NEW YORKNY10012421772557501(C)(3)$60,000TO SUPPORT "CURTIS SCHOLARSHIP 2017"
HOUSTON PET SET
4265 SAN FELIPE ST SUITE 1100HOUSTONTX77027200800623501(C)(3)$10,050DONATION TO THE GENERAL FUND
INTERNATIONAL COMMITTEE OF THE RED CROSS
1100 CONNECTICUT AVE SUITE 500WASHINGTONDC20036986001029501(C)(3)$25,000TO SUPPORT "FOOD CRISIS APPEAL"
JAIL GUITAR DOORS
842 NO FAIRFAX 2ND FLOORLOS ANGELESCA90046270998581501(C)(3)$10,000DONATION TO THE GENERAL FUND
KULTURECITY
732 MONTGOMERY HIGHWAY PMB 392VESAVIA HILLSAL35216463701145501(C)(3)$13,400DONATION TO THE GENERAL FUND
MERCY CORPS
45 SW ANKENY STPORTLANDOR97204911148123501(C)(3)$25,000DONATION TO THE GENERAL FUND
MISSOULA FOOD BANK
219 S 3RD ST WMISSOULAMT59801810414143501(C)(3)$40,000TO SUPPORT "ONE IN SIX RELOCATION/KIDS EMPOWER PACK"
OLD DOG HAVEN
621 STATE ROUTE 9 NE PMB A-4LAKE STEVENSWA98258651249528501(C)(3)$7,500TO SUPPORT "OLD DOG HAVEN MARANDA FUND"
OPERATION NEW UNIFORM INC
8825 PERIMETER PARK BLVD SUIT 503JACKSONVILLEFL32216800962807501(C)(3)$12,852TO SUPPORT "FINDING THE UNIFORM PROGRAM"
OXFAM AMERICA
226 CAUSEWAY ST 5TH FLOORBOSTONMA02114237069110501(C)(3)$25,000TO SUPPORT "EMERGENCY RESPONSE TO FOOD CRISIS IN HORN OF AFRICA"
PROCLAIM JUSTICE
5900 BALCONES DR STE 235AUSTINTX78731461395681501(C)(3)$8,333DONATION TO THE GENERAL FUND
ROCK AND ROLL HALL OF FAME FOUNDATION
162 WEST 56TH ST SUITE 405NEW YORKNY10019133171867501(C)(3)$33,800DONATION TO THE GENERAL FUND
SEATTLE CHILDREN'S HOSPITAL FOUNDATION
PO BOX 5371 M/S S-200SEATTLEWA98145911156519501(C)(3)$10,000DONATION TO THE GENERAL FUND
SEATTLE THEATRE GROUP
911 PINE STSEATTLEWA98101943130227501(C)(3)$10,000TO SUPPORT "OPENING DOORS TO THE ARTS 2017"
SPECIAL OLYMPICS MONTANA INC
PO BOX 3507GREAT FALLSMT59403810367064501(C)(3)$9,800DONATION TO THE GENERAL FUND
SPRUCE STREET SCHOOL
914 VIRGINIA STSEATTLEWA98101910963223501(C)(3)$32,500TO SUPPORT THE CAPITAL CAMPAIGN
SURFRIDER FOUNDATION SAN DIEGO
9883 PACIFIC HEIGHTS BLVD SUITE DSAN DIEGOCA92121953941826501(C)(3)$12,386DONATION TO THE GENERAL FUND
THE BAIL PROJECT INC
11 29TH AVE UNIT 2LOS ANGELESCA90291814985512501(C)(3)$10,000DONATION TO THE GENERAL FUND
THE BENNETT FOUNDATION
91-1410 MOANIANI ST SUITE CWAIPAHUHI96797471295315501(C)(3)$10,050DONATION TO THE GENERAL FUND
THE BRONX FREEDOM FUND
360 EAST 161ST STBRONXNY10451261385792501(C)(3)$10,000DONATION TO THE GENERAL FUND
THE GLEASON INITIATIVE FOUNDATION
930 ROBERT E LEENEW ORLEANSLA70124453689316501(C)(3)$10,000DONATION TO THE GENERAL FUND
THE GREATER SEATTLE BUREAU OF FEARLESS IDEAS
8414 GREENWOOD AVE NSEATTLEWA98103412127333501(C)(3)$15,553DONATION TO THE GENERAL FUND
TOWN HALL SEATTLE
1119 8TH AVESEATTLEWA98101911910904501(C)(3)$10,000DONATION TO THE GENERAL FUND
TREEHOUSE
2100 24TH AVE S SUITE 200SEATTLEWA98122911425676501(C)(3)$10,252TO SUPPORT "THE END SUMMER CAMP"
TREEHOUSE
2100 24TH AVE S SUITE 200SEATTLEWA98122911425676501(C)(3)$9,418TO SUPPORT "DECK THE HALL BALL"
UJA FEDERATION OF NY
130 EAST 59TH ST ROOM 967NEW YORKNY10022510172429501(C)(3)$7,000DONATION TO THE GENERAL FUND
UJA FEDERATION OF NY
130 EAST 59TH ST ROOM 967NEW YORKNY10022510172429501(C)(3)$5,750UJA FEDERATION 2017 MUSIC VISIONARY OF THE YEAR AWARD
VETERANS OCEAN ADVENTURES INC
8803 SW 206TH LNCUTLER BAYFL33189264179467501(C)(3)$17,029DONATION TO THE GENERAL FUND
WAR CHILD USA INC
TIMES SQUARE PO BOX 668NEW YORKNY10108200994157501(C)(3)$10,000DONATION TO THE GENERAL FUND
WESTSIDE SCHOOL
10404 34TH AVE SWSEATTLEWA98146911151493501(C)(3)$25,000DONATION TO THE GENERAL FUND
FieldValueIRS element (for citing)
Total501c3 Org42Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationVITALOGY FOUNDATION SELECTS GRANTEES THROUGH AN INTERNAL PROCESS WITH THE FOUNDATION'S BOARD OF DIRECTORS. EACH POTENTIAL GRANTEE'S REQUEST IS REVIEWED BY EACH BOARD MEMBER TO ENSURE IT MEETS THE VITALOGY FOUNDATION'S MISSION GUIDELINES AND THE CHARITY WILL USE THE GRANT EXCLUSIVELY TO CARRY OUT THE "AS DETAILED" CHARITABLE PROJECT, OR FOR GENERAL OPERATIONS, EXCLUSIVELY FOR EXEMPT PURPOSES. ONCE THE GRANTEE HAS BEEN APPROVED, VITALOGY FOUNDATION PROVIDES THE CHARITY WITH A GRANTEE FORM THAT REQUESTS DETAILED INFORMATION ON THE ORGANIZATION INCLUDING ITS TAX ID NUMBER, IRS TAX DETERMINATION LETTER, AS WELL AS THE FUNDS REQUESTED AND HOW THEY WILL BE USED, A DISCLAIMER THAT NO GOODS OR SERVICES WERE EXCHANGED FOR THE GRANT, AND A REQUEST FOR UPDATES AND REPORTS. AFTER THE GRANTEE FORM IS IN HAND, THE CHARITY IS SENT THE FUNDS ALONG WITH THE FOUNDATION'S DONATION ACKNOWLEDGEMENT LETTER WHICH REQUESTS A SIGNATORY BACK CONFIRMING RECEIPT OF THE FUNDS. VITALOGY FOUNDATION FOLLOWS-UP WITH THE GRANTEES TO ENSURE THEY ARE ADHERING TO OUR GUIDELINES THROUGH REGULAR PHONE CALLS AS WELL AS REQUESTING WRITTEN UPDATES EVERY SIX MONTHS. THE VITALOGY FOUNDATION TEAM ALSO MAKES SITE VISITS TO SELECT LARGER SCALE GRANTEES TO GET FIRST HAND KNOWLEDGE OF HOW THE FUNDS ARE BEING APPLIED/DISPERSED IN THE FIELD. FROM THESE REPORTS AND CORRESPONDENCE WITH THE GRANTEE, THE VITALOGY FOUNDATION TEAM PROVIDES UPDATES TO THE BOARD OF DIRECTORS TWO WAYS; THROUGH WEEKLY PROJECT UPDATES AND THROUGH A MORE DETAILED ANNUAL PROJECT UPDATE AS WARRANTED BASED UPON THE SIZE OF THE GRANT. TO TRACK THESE PROJECTS, THE GRANTEES' WRITTEN REPORTS, TEAM CORRESPONDENCE, AND BOARD UPDATES ARE FILED ALONG WITH THE CORRESPONDING GRANTEE FORM AND IRS LETTER ACKNOWLEDGEMENT. INTERNALLY, VITALOGY FOUNDATION KEEPS A RUNNING CONTRIBUTION SUMMARY OF ALL GRANTS MADE TO DATE BY YEAR THAT INCLUDES TRACKING ON UPDATES RECEIVED BY GRANTEES.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonMICHAEL D MCCREADYPersonNm
Relationship With OrgVICE-PRESIDENTRelationshipWithOrgTxt
Loan PurposeATTENDANCE AT FUNDRAISING EVENTLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$3,000OriginalPrincipalAmt
Balance Due$3,000BalanceDueAmt
Default0DefaultInd
Board Or Committee Approval0BoardOrCommitteeApprovalInd
Written Agreement0WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$3,000TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2ALL MEMBERS OF THE BOARD HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN OUTSIDE CPA FIRM, REVIEWED BY OUTSIDE CONSULTANTS KNOWLEDGABLE ABOUT THE ORGANIZATION, AND PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION C, LINE 19VITALOGY FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FORM 990 AVAILABLE TO INTERESTED PARTIES UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER SERVICES: PROGRAM SERVICE EXPENSES 31,845. MANAGEMENT AND GENERAL EXPENSES 51,748. FUNDRAISING EXPENSES 31,845. TOTAL EXPENSES 115,438.
FORM 990, PART XI, LINE 9:ACCRUAL TO CASH ADJUSTMENT -25,659.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
PEARL JAM LLC
PO BOX 340020NASHVILLETN372030020911695049MUSICAL ENTERTAINMENTWAN/A
DEKERIVER LLC
1900 SOUTH CORGIAT DRIVESEATTLEWA98108203277547BUILDING RENTALWAN/A
TEN CLUB LLC
1900 SOUTH CORGIAT DRIVESEATTLEWA98108912094535FAN CLUB MERCHANDISEWAN/A
MONKEYWRENCH FILMS LLC
PO BOX 340020NASHVILLETN372030020264471983FILM PRODUCTIONCAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
MONKEYWRENCH INC
PO BOX 340020NASHVILLETN372030020331062443MUSICAL RECORDINGSWAN/AS0
PEARL JAM TOURING INC
PO BOX 340020NASHVILLETN372030020911531093MUSICAL ENTERTAINMENTNVN/AS0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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