2018-05-15T09:49:23-05:00 2017-12-31 351489521 GREENWALT CPAS INC 5342 W VERMONT STREET INDIANAPOLIS IN 46224 990EZ 2017-01-01 352005871 KIDS' CHANCE OF INDIANA INC KIDS 3178723836 3334 FOUNDERS ROAD NO B INDIANAPOLIS IN 46268 MOLLY CZERNIK TREASURER 7653627553 2018-05-14 JOHN W KELLER CPA P01329619 3172412999 2018-05-14 75.149.79.53 2018-05-14 08:54:08 ED P 723B973139BB20DD17C2B1D20783BE90A3FA49F8 CB458A3E9F3B824B1DE94C2FF269DEC5518C936E 2017 2021-01-29 14:40:06Z X WWW.KIDSCHANCEIN.ORG X X 101040 X 66443 34496 12300 22196 101 88740 24250 1000 311 6693 32254 56486 93399 0 149885 93399 149885 93399 149885 0 0 93399 149885 X TO PROVIDE COLLEGE AND VOCATIONAL SCHOLARSHIPS TO ELIGIBLE CHILDREN OF INDIANA WORKERS WHO WERE SERIOUSLY OR FATALLY INJURED IN A WORK-RELATED ACCIDENT. SCHOLARSHIPS 24250 24250 24250 X 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 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 IN MOLLY CZERNIK 3334 FOUNDERS ROAD SUITE B INDIANAPOLIS IN 46268 3178723836 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X 2600 9057 7530 10662 66443 96292 2600 9057 7530 10662 66443 96292 0 0 0 96292 101 101 101 101 2600 9057 7530 10662 66544 96393 0.99900 0.00100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED GOLF OUTING 33288 297 32991 220 9925 1671 484 SILENT AUCTION 1505 1505 34793 297 34496 220 9925 1671 484 12300 22196 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. 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.