KIDS CHANCE OF INDIANA INC: Form 990EZ, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- KIDS CHANCE OF INDIANA INC (EIN 35-2005871)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-15
- IRS object ID
- 201841359349202209
- Schema version
- 2017v2.2
- 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 | 2018-05-15T09:49:23-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351489521 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREENWALT CPAS INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5342 W VERMONT STREET | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46224 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352005871 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIDS' CHANCE OF INDIANA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KIDS | BusinessNameControlTxt |
| Phone | 3178723836 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3334 FOUNDERS ROAD NO B | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46268 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MOLLY CZERNIK | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7653627553 | PhoneNum |
| Signature | 2018-05-14 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN W KELLER CPA | PreparerPersonNm |
| PTIN | P01329619 | PTIN |
| Phone | 3172412999 | PhoneNum |
| Preparation | 2018-05-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 75.149.79.53 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-05-14 | IPDt |
| IP Tm | 08:54:08 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 723B973139BB20DD17C2B1D20783BE90A3FA49F8 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CB458A3E9F3B824B1DE94C2FF269DEC5518C936E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | WWW.KIDSCHANCEIN.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $101,040 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $66,443 | ContributionsGiftsGrantsEtcAmt |
| Fundraising Gross Income | $34,496 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $12,300 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $22,196 | SpecialEventsNetIncomeLossAmt |
| Other Revenue Total | $101 | OtherRevenueTotalAmt |
| Total Revenue | $88,740 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $24,250 | GrantsAndSimilarAmountsPaidAmt |
| Fees And Other Pymt To Ind Cntrct | $1,000 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $311 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $6,693 | OtherExpensesTotalAmt |
| Total Expenses | $32,254 | TotalExpensesAmt |
| Excess Or Deficit For Year | $56,486 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $93,399 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $149,885 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,399 | BOYAmt |
| EOY | $149,885 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,399 | BOYAmt |
| EOY | $149,885 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,399 | BOYAmt |
| EOY | $149,885 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO PROVIDE COLLEGE AND VOCATIONAL SCHOLARSHIPS TO ELIGIBLE CHILDREN OF INDIANA WORKERS WHO WERE SERIOUSLY OR FATALLY INJURED IN A WORK-RELATED ACCIDENT. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | SCHOLARSHIPS | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $24,250 | GrantsAndAllocationsAmt |
| Program Service Expenses | $24,250 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $24,250 | TotalProgramServiceExpensesAmt |
| Info In Schedule O Part IV | Yes (X) | InfoInScheduleOPartIVInd |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| DIANA WANN | ||||
| PRESIDENT | 0.00 | $0 | $0 | $0 |
| JOANNE JONATHAN | ||||
| VICE PRESIDENT | 0.00 | $0 | $0 | $0 |
| MOLLY CZERNIK | ||||
| TREASURER | 0.00 | $0 | $0 | $0 |
| GREG BEASLEY | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| TINA BROWN | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| ALAN BUCKLEY ESQ | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| TERRY CORIDEN | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| SALLY FERGUSON | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| SANDY HODGSON | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| CHRIS HORN | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| RANDY KLEZMER | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| NORETTE MASON | ||||
| DIRECTOR | 0.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MOLLY CZERNIK | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3334 FOUNDERS ROAD SUITE B | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46268 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3178723836 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,057 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,530 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,662 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,443 | CurrentTaxYearAmt |
| Total | $96,292 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,057 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,530 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,662 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,443 | CurrentTaxYearAmt |
| Total | $96,292 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $96,292 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $101 | CurrentTaxYearAmt |
| Total | $101 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $101 | CurrentTaxYearAmt |
| Total | $101 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,057 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,530 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,662 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,544 | CurrentTaxYearAmt |
| Total | $96,393 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99900 | PublicSupportCY509Pct |
| Investment Income CY | 0.00100 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $33,288 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $297 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $32,991 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $220 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $9,925 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,671 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $484 | OtherDirectExpensesEvent1Amt |
| Event2 | SILENT AUCTION | Event2Nm |
| Gross Receipts Event2 | $1,505 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $1,505 | GrossRevenueEvent2Amt |
| Gross Receipts Total | $34,793 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $297 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $34,496 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $220 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $9,925 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,671 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $484 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $12,300 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $22,196 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: INTEREST INCOME. AMOUNT: 101. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: ALYSSA WOZNIAK. DATE OF GIFT: 12/31/17. AMOUNT GIVEN: 3,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: ZACHARY ELLIOTT. DATE OF GIFT: 01/01/17. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: MADYSEN BASSETT. DATE OF GIFT: 01/24/17. AMOUNT GIVEN: 250. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: CHANTE WILLIAMS. DATE OF GIFT: 01/24/17. AMOUNT GIVEN: 4,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: MADISON MAGIERA. DATE OF GIFT: 01/31/17. AMOUNT GIVEN: 1,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: BRENDA SANDS. DATE OF GIFT: 04/28/17. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: NICOLE PRICE. DATE OF GIFT: 08/04/17. AMOUNT GIVEN: 4,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: CHASE DEAL. DATE OF GIFT: 08/14/17. AMOUNT GIVEN: 4,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: OLIVIA ESMOND. DATE OF GIFT: 08/08/17. AMOUNT GIVEN: 2,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: EMILY KLEPPER. DATE OF GIFT: 10/31/17. AMOUNT GIVEN: 2,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIP. GRANTEE NAME: HAYLEY PROCTOR. DATE OF GIFT: 01/10/17. AMOUNT GIVEN: 2,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 24,250. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: MISCELLANEOUS EXPENSE. AMOUNT: 1,330. DESCRIPTION: INSURANCE. AMOUNT: 1,449. DESCRIPTION: BANK FEES. AMOUNT: 131. DESCRIPTION: TRAVEL. AMOUNT: 536. DESCRIPTION: DUES. AMOUNT: 500. DESCRIPTION: WEBSITE. AMOUNT: 2,747. TOTAL TO FORM 990-EZ, LINE 16: 6,693. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |
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