2018-04-23T11:57:53-05:00 2016-12-31 521273734 Linton Shafer Warfield & Garrett PA 201 Thomas Johnson Drive Frederick MD 21702 990 2016-01-01 453553641 The Derek Sheely Foundation Inc DERE 2408998579 14001 Falconcrest Road Germantown MD 208742280 KRISTEN SHEELY EXECUTIVE DIRECTOR 2408998579 2018-04-20 1 Joseph M McCathran P01327092 3016629200 70.91.66.141 2018-04-23 11:57:50 ED 52204120171240324e03 2017-05-04 P CC0A196203877DFAFD5D34FAF6DE551C00283DB6 EF8A8197B12061726CDDA1A6143B02F4C62810C5 2016 2021-01-29 14:40:06Z X KRISTEN SHEELY 14001 Falconcrest Road Germantown MD 208742280 1233836 0 X www.thedereksheelyfoundation.org X 2011 MD TO INCREASE 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. 4 4 0 25 0 0 23561 1228965 0 0 201 381 1864 3268 25626 1232614 2000 2000 0 0 0 0 0 0 185 2960 860364 4960 862364 20666 370250 96198 466448 0 0 96198 466448 CREATED TO INCREASE AWARENESS AND RESEARCH OF TRAUMATIC BRAIN INJURIES, INCLUDING SUPPORTING ADVANCEMENTS IN EDUCATION, PREVENTION, AND TREATMENT FOR ALL CAUSES OF TRAUMATIC BRAIN INJURIES, WITH A FOCUS ON YOUTH SPORTS. 0 0 2000 2000 SCHOLARSHIPS MADE 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. 20 CONCUSSION AWARENESS KITS WERE PROVIDED TO ATHLETES AND THEIR FAMILIES TO EDUCATE THEM ON THE SIGNS, SYMPTOMS, DANGERS, AND PREVENTION OF TRAUMATIC BRAIN INJURIES. APPROXIMATELY 40 KITS WERE DISTRIBUTED IN THREE STATES IN 2016. 2020 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 4 4 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 MD X Kristen L Sheely 2408998579 14001 FALCONCREST ROAD GERMANTOWN MD 20874 X STEPHEN P KADNER DIRECTOR 0.00 X 0 0 0 KEYTON SHEELY CHAIRMAN 2.00 X X 0 0 0 MICHAEL HAASE DIRECTOR 0.00 X 0 0 0 KRISTEN SHEELY EXECUTIVE DIRECTOR 8.00 X 0 0 0 0 0 0 0 0 0 0 HUMPHREY FARRINGTON & MCCLAIN pc 221 WEST LEXINGTON INDEPENDENCE MO 64051 LITIGATION EXPENSES 762283 1 6780 50000 1172185 1228965 381 381 4490 6780 1222 3268 3268 1232614 0 0 3649 2000 2000 375 375 632 632 OPERATIONS 858718 858718 SUPPLIES 314 314 ON-LINE PAYMENT FEES 185 185 POSTAGE AND DELIVERY 140 20 120 862364 2020 860159 185 45313 270562 50505 195886 80 300 96198 466448 0 0 X 96198 466448 96198 466448 96198 466448 370250 0 X 0 1 X 0 0 X 50730 28304 29062 23561 28965 160622 50730 28304 29062 23561 28965 160622 160622 77 77 150 201 381 886 161508 0.99450 0.84850 X 0.84850 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1232614 0 1232614 0 1232614 862364 0 862364 0 862364 FORM 990, HEADING, BOX B AMENDED RETURN SCHEDULE A PUBLIC SUPPORT SCHEDULE HAS BEEN ADJUSTED TO EXCLUDE UNUSUAL CONTRIBUTIONS OF $1,200,000 RECEIVED FROM OTHER EXEMPT PUBLIC CHARITIES AND GOVERNMENTAL ENTITIES TO PROPERLY CALCULATE THE PUBLIC SUPPORT PERCENTAGE. Form 990, Part VI, Section A, line 2 Kristen and Keyton Sheely are husband and wife serving the Foundation in honor of their son who died from a traumatic brain injury. Form 990, Part VI, Section A, line 8b THE FOUNDATION HAS NO COMMITTEES AUTHORIZED TO ACT ON BEHALF OF THE FOUNDATION. Form 990, Part VI, Section B, line 11b THE FORM 990 IS REVIEWED BY ALL MEMBERS OF THE BOARD PRIOR TO FILING WITH THE IRS Form 990, Part VI, Section C, line 18 DOCUMENTS ARE MADE AVAILABLE FOR PUBLIC INSPECTION BY CONTACTING THE EXECUTIVE DIRECTOR. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY CONTACTING THE EXECUTIVE DIRECTOR AT THE ORGANIZATION'S ADDRESS.