FILL YOUR BUCKET LIST FOUNDATION: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- FILL YOUR BUCKET LIST FOUNDATION (EIN 47-1925872)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-04-03
- IRS object ID
- 201840939349300619
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-04-03T16:53:03-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 561053187 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADDISON & CAISON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 OBERLIN RD | AddressLine1Txt |
| City | RALEIGH | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 276051136 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471925872 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FILL YOUR BUCKET LIST FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FILL | BusinessNameControlTxt |
| Phone | 9193077759 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 806 | AddressLine1Txt |
| City | CARY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27512 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARIE OTTO | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9194132992 | PhoneNum |
| Signature | 2017-03-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SUSAN GLENDENNING | PreparerPersonNm |
| PTIN | P00921817 | PTIN |
| Phone | 9198215482 | PhoneNum |
| Preparation | 2018-03-30 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JILL FORREST | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 806 | AddressLine1Txt |
| City | CARY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27512 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $379,094 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FILLYOURBUCKETLISTFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Activity Or Mission | GRANTING ADULTS WITH CANCER FINANCIAL SUPPORT TO CREATE LASTING MEMORIES WITH THE PEOPLE THEY LOVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $198,152 | PYContributionsGrantsAmt |
| CY Contributions Grants | $329,124 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$39,481 | PYOtherRevenueAmt |
| CY Other Revenue | -$66,562 | CYOtherRevenueAmt |
| PY Total Revenue | $158,671 | PYTotalRevenueAmt |
| CY Total Revenue | $262,562 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $35,719 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $96,127 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $68,859 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $96,763 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $40,855 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $47,339 | PYOtherExpensesAmt |
| CY Other Expenses | $43,027 | CYOtherExpensesAmt |
| PY Total Expenses | $151,917 | PYTotalExpensesAmt |
| CY Total Expenses | $235,917 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,754 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $26,645 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $104,645 | TotalAssetsBOYAmt |
| Total Assets EOY | $131,190 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $113 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $104,532 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $131,177 | NetAssetsOrFundBalancesEOYAmt |
| Mission | GRANTING ADULTS WITH CANCER THE FINANCIAL SUPPORT TO CREATE LASTING MEMORIES WITH THE PEOPLE THEY LOVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $158,697 | ExpenseAmt |
| Grant | $96,127 | GrantAmt |
| Desc | GRANTED 28 ADULTS WITH CANCER THE FINANCIAL AND ADMINISTRATIVE SUPPORT TO HAVE AN ITEM ON THEIR BUCKET LIST FULFILLED AND TO CREATE LASTING MEMORIES WITH THE PEOPLE THEY LOVE. GRANT RECIPIENTS ARE REFERRED BY HEALTHCARE PROVIDERS, FAMILY AND FRIENDS, AND ARE SCREENED FOR ACCEPTANCE BASED ON THEIR WISH, CANCER JOURNEY, AND ON FINANCIAL NEED. EXAMPLES OF 2017 BUCKET LIST WISHES INCLUDE NEW YORK CITY, DISNEY WORLD, TOMBSTONE, AZ, AND LOCAL EXPERIENCES AND FAMILY GATHERINGS. 60 TOTAL WISHES GRANTED AS OF 2017 AND OVER 400 LIVES TOUCHED (INCLUDING RECIPIENT LOVED ONES). WITH JUST ONE FULL TIME STAFF MEMBER, IN 2017 OVER 200 VOLUNTEERS LOGGED OVER 1,000 SERVICE HOURS. | Desc |
| Total Program Service Expenses | $158,697 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THE ORGANIZATION | PersonNm |
| Phone | 9193077759 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 304 SOUTHGLEN DRIVE | AddressLine1Txt |
| City | CARY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27512 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| PEGGY GIBSON CARROLL | ||||||
| FOUNDER | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JILL FORREST | ||||||
| CHAIRMAN | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MEGAN CARROLL | ||||||
| COMMUNICATIO | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STEWART PATCH | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| AMANDA WILLIS | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL PARISI | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LISA GRIMES | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAN HANNON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN KEATING | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STUART HICKS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KELSIE JOHNSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANN STEAGALL | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DOUG MUIR | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARIE OTTO | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $85,000 | $0 | $5,030 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $85,000 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $5,030 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $234,784 | FundraisingAmt |
| All Other Contributions | $94,340 | AllOtherContributionsAmt |
| Noncash Contributions | $80,847 | NoncashContributionsAmt |
| Total Contributions | $329,124 | TotalContributionsAmt |
| Fundraising Gross Income | $49,970 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $234,784 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $116,532 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$66,562 | TotalRevenueColumnAmt |
| Exclusion | -$66,562 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $262,562 | TotalRevenueColumnAmt |
| Exclusion | -$66,562 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,127 | TotalAmt |
| Program Services | $96,127 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,030 | TotalAmt |
| Program Services | $36,012 | ProgramServicesAmt |
| Management And General | $18,006 | ManagementAndGeneralAmt |
| Fundraising | $36,012 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,733 | TotalAmt |
| Program Services | $2,244 | ProgramServicesAmt |
| Management And General | $2,245 | ManagementAndGeneralAmt |
| Fundraising | $2,244 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,630 | TotalAmt |
| Management And General | $3,630 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,716 | TotalAmt |
| Program Services | $14,037 | ProgramServicesAmt |
| Management And General | $2,807 | ManagementAndGeneralAmt |
| Fundraising | $1,872 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,720 | TotalAmt |
| Program Services | $6,720 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,739 | TotalAmt |
| Program Services | $3,311 | ProgramServicesAmt |
| Management And General | $872 | ManagementAndGeneralAmt |
| Fundraising | $556 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $514 | TotalAmt |
| Program Services | $171 | ProgramServicesAmt |
| Management And General | $172 | ManagementAndGeneralAmt |
| Fundraising | $171 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,816 | TotalAmt |
| Management And General | $2,816 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75 | TotalAmt |
| Program Services | $75 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,796 | TotalAmt |
| Management And General | $2,796 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| BANK CHARGES | $2,274 | $2,274 |
| TAXES & LICENSES | $412 | $412 |
| DUES AND SUBSCRIPTIONS | $235 | $235 |
| SEMINARS | $50 | $50 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50 | TotalAmt |
| Management And General | $50 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,917 | TotalAmt |
| Program Services | $158,697 | ProgramServicesAmt |
| Management And General | $36,365 | ManagementAndGeneralAmt |
| Fundraising | $40,855 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,973 | BOYAmt |
| EOY | $122,750 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,047 | BOYAmt |
| EOY | $2,517 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,625 | BOYAmt |
| EOY | $5,248 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $750 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $75 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $675 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,645 | BOYAmt |
| EOY | $131,190 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113 | BOYAmt |
| EOY | $13 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113 | BOYAmt |
| EOY | $13 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,532 | BOYAmt |
| EOY | $131,177 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,532 | BOYAmt |
| EOY | $131,177 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,645 | BOYAmt |
| EOY | $131,190 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $26,645 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $24,251 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $145,274 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $198,152 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $329,124 | CurrentTaxYearAmt |
| Total | $696,801 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $24,251 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $145,274 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $198,152 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $329,124 | CurrentTaxYearAmt |
| Total | $696,801 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $76,794 | SubstantialContributorsTotAmt |
| Public Support Total170 | $620,007 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $6,187 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,679 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,970 | CurrentTaxYearAmt |
| Total | $84,836 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $781,637 | TotalSupportAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | FUNDRAISING INCOME 84,836 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $750 | OtherCostOrOtherBasisAmt |
| Depreciation | $75 | DepreciationAmt |
| Book Value | $675 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $675 | TotalBookValueLandBuildingsAmt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed States | NC | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SUPER BOWL AUCT | Event1Nm |
| Gross Receipts Event1 | $6,300 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $6,300 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $2,526 | NonCashPrizesEvent1Amt |
| Event2 | BUCKET BASH | Event2Nm |
| Gross Receipts Event2 | $278,454 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $234,784 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $43,670 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $12,937 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $17,189 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $83,880 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Total | $284,754 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $234,784 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $49,970 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,526 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $12,937 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $17,189 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $83,880 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $116,532 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$66,562 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | WISH EXPENSES | GrantTypeTxt |
| Recipient | 32 | RecipientCnt |
| Non Cash Assistance | $96,127 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | WISHES GRANTED | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION MAINTAINS RELATIONSHIPS WITH GRANT RECIPIENTS AND THEIR PHYSICIANS AND SUPPORT TEAM. FOUNDATION REPRESENTATIVES PARTICIPATE IN THE SELECTION AND PROCUREMENT OF ITEMS AND EXPEREINCES FOR THE RECIPIENT'S WISH FULFILLMENT. THE FOUNDATION ALSO COVERS THE COST FOR ALL EXPENSES AND MAINTAINS DOCUMENTATION AND OVERSIGHT. | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt |
|---|---|---|---|
| Yes (X) | SPORTS | 18 | $20,228 |
| Yes (X) | JEWELRY | 9 | $1,708 |
| Yes (X) | EXPERIENCES | 67 | $25,616 |
| Yes (X) | OTHER | 43 | $33,295 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FOUNDATION'S EXECUTIVE DIRECTOR AND BOARD CHAIRMAN REVIEW THE 990 AND MAKE A COPY AVAILABLE TO ALL BOARD MEMEBRS PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE ALL POTENTIAL AND ACTUAL CONFLICTS IN WRITING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY A COMMITTEE OF THE BOARD OF DIRECOTRS AND ESTABLISHED BASED ON COMPARABLE DATA FROM INDEPENDENT SOURCES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |
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