2018-09-21T14:46:34-05:00 2017-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2017-01-01 814544601 LANE THOMAS FOUNDATION LANE 4022005830 21463 WALNUT STREET ELKHORN NE 68022 MATTHEW GRAVES CHAIRPERSON 4022005830 2018-07-18 1 BARBARA J FAJEN P00400874 4023302660 2017 2022-09-23 18:48:47Z X MATTHEW GRAVES 21463 WALNUT STREET ELKHORN NE 68022 3705651 0 X WWW.LANETHOMAS.ORG X 2016 NE THE LANE THOMAS FOUNDATION PROVIDES FINANCIAL AND EMOTIONAL SUPPORT TO FAMILIES WITH CHILDREN IN NEED OF LIFE-SAVING ORGAN TRANSPLANTS. THE FOUNDATION ALSO FOCUSES ON RAISING AWARENESS ABOUT THE CRITICAL NEED FOR PEDIATRIC ORGAN DONATION. 11 11 2 15 0 0 3590856 0 30868 -77616 3544108 35319 0 35534 0 14444 45273 116126 3427982 3721444 101999 3619445 X THE LANE THOMAS FOUNDATION WAS ESTABLISHED TO GIVE HONOR AND LIGHT TO LANE'S LIFE. THE FOUNDATION IS DEDICATED TO SUPPORTING FAMILIES OF CHILDREN NEEDING LIFE-SAVING ORGAN TRANSPLANTS. 0 0 0 DURING THE PERIOD BETWEEN APPLICATION FOR TAX EXEMPT STATUS AND RECEIPT OF ITS DETERMINATION LETTER, DONATIONS INTENDED TO BENEFIT THE LANE THOMAS FOUNDATION WERE CONTRIBUTED TO A DONOR-ADVISED FUND (DAF) WITH THE OMAHA COMMUNITY FOUNDATION. THE DAF WAS PREVIOUSLY ESTABLISHED BY MATT AND MELISSA GRAVES IN JUNE OF 2016 IN HONOR OF LANE THOMAS GRAVES (THE "LANE THOMAS DAF"). AT THE REQUEST OF MATT AND MELISSA GRAVES, THE LANE THOMAS DAF MADE GRANTS IN 2017 TO NEBRASKA MEDICINE AND CHILDREN'S HOSPITAL AND MEDICAL CENTER FOR A COMBINED AMOUNT OF $63,154 IN SUPPORT OF 15 FAMILIES. FOLLOWING RECEIPT OF ITS DETERMINATION LETTER IN JUNE OF 2017, THE LANE THOMAS FOUNDATION MADE GRANTS IN 2017 IN THE AMOUNT OF $35,319 (SEE BELOW) TO SOME OF THE SAME FAMILIES AS WELL AS 4 ADDITIONAL FAMILIES -- FOR A COMBINED AMOUNT OF $98,473 IN SUPPORT OF A TOTAL OF 19 FAMILIES. 58251 35319 0 THE LANE THOMAS FOUNDATION PROVIDED $35,319 IN NON-MEDICAL FINANCIAL ASSISTANCE TO SUPPORT FAMILIES OF CHILDREN UNDERGOING SOLID ORGAN TRANSPLANTS, ALLOWING THE PARENTS TO FOCUS ON THEIR CHILD WHILE KEEPING THE FAMILY TOGETHER. FAMILIES OFTEN MUST TRAVEL FROM OUT OF STATE TO OBTAIN LIFE-SAVING MEDICAL SERVICES. THEY INCUR TRAVEL EXPENSES AND DUPLICATE LIVING EXPENSES WHILE THEY ARE AWAY FROM THEIR HOME AND OFTEN MUST LEAVE THEIR JOB DUE TO EXTENDED PERIODS OF TIME THEY MUST SPEND IN OMAHA. THE LANE THOMAS FOUNDATION ASSISTS THE FAMILIES WITH EXPENSES EITHER AT HOME (MORTGAGE/RENT, AUTO PAYMENT, UTILITIES) IF A PARENT MUST LEAVE THEIR JOB, AND ANY INCREMENTAL EXPENSES INCURRED TRAVELING TO OMAHA OR DURING THEIR STAY (GAS, AIRFARE, LODGING, FOOD, AND OTHER BASIC LIVING EXPENSES). 7966 0 0 THE LANE THOMAS FOUNDATION WORKED TO IMPROVE PUBLIC AWARENESS AND UNDERSTANDING FOR INCREASED PEDIATRIC ORGAN DONATION TO ULTIMATELY SAVE CHILDREN'S LIVES. THE FOUNDATION PROVIDED INFORMATION AND EDUCATION AT TWO DONOR EVENTS AND PROVIDES INFORMATION REGARDING THE NEED FOR PEDIATRIC ORGAN DONATIONS ON ITS WEBSITE AND SOCIAL PAGES. 66217 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 2 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X MATTHEW GRAVES 4022005830 21463 WALNUT STREET ELKHORN NE 68022 X X MATTHEW GRAVES CHAIRPERSON 40.00 0.00 X X 0 0 0 MELISSA GRAVES VICE CHARPERSON 20.00 0.00 X X 0 0 0 DIANE COMPARDO TREASURER 2.00 0.00 X X 0 0 0 STEPHANIE MATTOON SECRETARY 2.00 0.00 X X 0 0 0 W DAVID SCOTT MEMBER 1.00 0.00 X 0 0 0 DR JEFFREY GOLD MEMBER 1.00 0.00 X 0 0 0 DR DAVID MERCER MEMBER 1.00 0.00 X 0 0 0 DR KIM DUNCAN MEMBER 1.00 0.00 X 0 0 0 DR JOANN SCHAEFER MEMBER 1.00 0.00 X 0 0 0 PATRICK GOTTSCH MEMBER 1.00 0.00 X 0 0 0 GRETCHEN LITTLEFIELD MEMBER 1.00 0.00 X 0 0 0 JOSHUA D'AMARO MEMBER (THROUGH 10/2017) 1.00 0.00 X 0 0 0 GEORGE KALOGRIDIS MEMBER (THROUGH 10/2017) 1.00 0.00 X 0 0 0 0 0 0 0 0 0 0 0 482584 3108272 6993 3590856 30868 30868 83927 482584 161543 -77616 -77616 3544108 0 0 -46748 35319 35319 26838 16540 10298 8696 6162 2534 4239 4239 12000 12000 2735 1640 1095 11011 230 1970 8811 710 710 146 146 10502 5850 1050 3602 878 878 SPECIAL EVENT FEES 3052 2116 936 116126 66217 35465 14444 300446 1269434 216444 2725 173970 10502 0 163468 1768927 0 3721444 101999 0 101999 X 3619445 0 3619445 0 3721444 3427982 17493 173970 0 X X 0 1 X 1 0 X 3590856 3590856 3590856 3590856 8279 3582577 30868 30868 3621724 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 173970 10502 163468 163468 4347235 17493 662836 122798 803127 3544108 0 3544108 727790 488866 122798 611664 116126 0 116126 PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFICATION OF EVENT EXPENDITURES (SEE SCH O). PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFICATION OF EVENT EXPENDITURES (SEE SCH O). DINNER & AUCTION 390798 306871 83927 31505 49325 DINNER & ENTERTAINMENT 175713 175713 11302 21390 42000 6021 566511 482584 83927 11302 52895 42000 55346 161543 -77616 1 FAMILY SUPPORT 16 35319 PART I, LINE 2: THE FOUNDATION HAS A DEDICATED EMPLOYEE, THE DIRECTOR OF FAMILY SUPPORT, TO MANAGE GRANTS AND WORK WITH EACH FAMILY ON THEIR NEEDS. THE GRANTS ARE NOT GIVEN DIRECTLY TO THE FAMILIES, BUT INSTEAD THE FOUNDATION PAYS ESSENTIAL NON-MEDICAL LIVING AND TRAVEL EXPENSES FOR THE FAMILIES DIRECTLY VIA BILL PAY WHERE POSSIBLE. THE GOAL OF FAMILY SUPPORT IS TO RELIEVE FINANCIAL BURDENS FROM THE FAMILY AND TO KEEP THE FAMILIES TOGETHER, SO THEY CAN FOCUS ON THEIR CHILD. FINANCIAL SUPPORT PROVIDED BY THE FOUNDATION WORKS TO REMOVE ANY INCREMENTAL NON-MEDICAL EXPENSES THE FAMILY INCURS FROM BEING IN OMAHA FOR THEIR CHILD'S MEDICAL TREATMENT, AS WELL AS MAKING UP FOR ANY LOST INCOME FOR EXPENSES BACK HOME IF A PARENT NEEDS TO LEAVE THEIR JOB TO BE WITH THEIR CHILD. FORM 990, PART VI, SECTION A, LINE 2 MATTHEW GRAVES AND MELISSA GRAVES - FAMILY RELATIONSHIP. JOSHUA D'AMARO AND GEORGE KALOGRIDIS - BUSINESS RELATIONSHIP (EXECUTIVES WORK AT THE SAME COMPANY.) FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION AND BEFORE FILING FORM 990 WITH THE IRS, THE FOUNDATION WILL PROVIDE AN ELECTRONIC COPY OF THE FINAL FORM 990 TO THE BOARD OF DIRECTORS. ANY QUESTIONS THAT ARISE AS A RESULT OF THEIR REVIEW WILL BE DISCUSSED WITH THE TAX PREPARER. THE FORM 990 WILL NOT BE CONSIDERED COMPLETE UNTIL ALL REVIEW QUESTIONS ARE RESOLVED. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. ALL CONFLICTS OF INTEREST ARE REVIEWED BY THE GOVERNING BOARD AND ALL COMMITTEES WITH BOARD DELEGATED POWERS. THE ORGANIZATION ALSO CONDUCTS PERIODIC REVIEWS TO ENSURE COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION DOES HAVE TENTATIVE PROCEDURES FOR DETERMINING COMPENSATION OF OFFICERS. HOWEVER, THESE PROCEDURES WERE NOT USED DURING THIS FISCAL YEAR BECAUSE NO OFFICERS WERE COMPENSATED. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII, LINE 8B THE LANE THOMAS FOUNDATION HELD TWO FUNDRAISING EVENTS DURING 2017. FOR BOTH EVENTS, THE EVENT DIRECT EXPENSES WERE UNDERWRITTEN BY DONORS PRIOR TO THE EVENTS. THE FOUNDATION INCURRED NO OUT-OF-POCKET EXPENSES FOR THE FUND-RAISING EVENTS. FORM 990. PART XII, LINE 2C: THE TREASURER AND CEO OVERSEE THE SELECTION PROCESS FOR THE INDEPENDENT ACCOUNTANT AND THE TREASURER AND FINANCE COMMITTEE OVERSEE THE AUDIT OF THE FOUNDATION'S FINANCIAL STATEMENTS.