NIKKI MITCHELL FOUNDATION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NIKKI MITCHELL FOUNDATION INC (EIN 46-3399632)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201723199349313432
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-11-15T13:14:01-08:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CINDY J DENHAMBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 335AddressLine1Txt
CityASHLAND CITYCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37015ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463399632EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NIKKI MITCHELL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNIKKBusinessNameControlTxt
Phone6159826802PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 68305AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37206ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRHONDA MILESPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6159826802PhoneNum
Signature2017-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCINDY J DENHAMPreparerPersonNm
Phone6157922930PhoneNum
Preparation2017-11-15PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address75.131.116.137IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-15IPDt
IP Tm13:13:38IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA444F6AD3C7B238AA20287EFABCF344125B81881AtSubmissionCreationDeviceId
At Submission Filing Device IdA444F6AD3C7B238AA20287EFABCF344125B81881AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerRHONDA MILESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 68305AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37206ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$377,204GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionPROVIDING COMFORT AND RELIEF FOR THOSE AFFECTED BY PANCREATIC CANCER, WHILE RAISING AWARENESS AND SEARCHING FOR THE CUREActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$48,518PYContributionsGrantsAmt
CY Contributions Grants$250,354CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$381CYInvestmentIncomeAmt
PY Other Revenue$40,514PYOtherRevenueAmt
CY Other Revenue$64,313CYOtherRevenueAmt
PY Total Revenue$89,032PYTotalRevenueAmt
CY Total Revenue$315,048CYTotalRevenueAmt
PY Grants And Similar Paid$4,592PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$22,759CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$44,431PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$30,456CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,427CYTotalFundraisingExpenseAmt
CY Other Expenses$60,738CYOtherExpensesAmt
PY Total Expenses$49,023PYTotalExpensesAmt
CY Total Expenses$113,953CYTotalExpensesAmt
PY Revenues Less Expenses$40,009PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$201,095CYRevenuesLessExpensesAmt
Total Assets BOY$61,064TotalAssetsBOYAmt
Total Assets EOY$270,799TotalAssetsEOYAmt
Total Liabilities BOY$1,143TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,783TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$59,921NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$261,016NetAssetsOrFundBalancesEOYAmt
MissionPROVIDING COMFORT AND RELIEF FOR THOSE AFFECTED BYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$19,064ExpenseAmt
DescWE EXPANDED OUR AWARENESS PROGRAM BY PRODUCING A CELEBRITY INVOLVED PSA FOR PANCREATIC CANCER. WE BROADENED OUR REACH FROM JUST SOCIAL MEDIA TO THREE SEPARATE TELEVISION MARKETS, NASHVILLE AND CHATTANOOGA, TN AND MONTGOMERY,AL. THE REACH WAS WELL OVER 7.5 MILLION HOUSEHOLDS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescRESEARCH: WE INVESTIGATED A PROMISING PANCREATIC CANCER RESEARCH PROJECT AND DESIGNATED A $25,000 GRANT FOR SAID PROJECT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$17,810ExpenseAmt
DescBRIDGE OF WINGS: IN 2016, OUR DIRECT PATIENT SERVICES PROGRAM WAS WELL RECEIVED WITH 27 PATIENTS ACQUIRING SERVICES SUCH AS GAS OR GROCERY CARDS TRANSPORTATION TO TREATMENT, AND HOUSECLEANING. DUE TO THE NEED, WE EXPANDED THE BUDGET FOR 2017 TO $30,000 AND INCLUDED HOTELS WHILE IN TREATMENT AND UTILITY PAYMENTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$22,759ExpenseAmt
Grant$22,759GrantAmt
DescPROVIDED BENEVOLENCE TO SONGWRITERS AFFECTED WITH PANCREATIC CANCER. PROVIDED TOYS TO CHILDREN AFFECTED BY PANCREATIC CANCERDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$22,759TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$22,759TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$59,633TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCINDY DENHAMPersonNm
Phone6157922930PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1229 Hillcrest DriveAddressLine1Txt
CityAshland CityCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37015ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RHONDA MILES
PRESIDENT50.00Yes (X)Yes (X)$0$0$0
CINDY DENHAM
SECRETARY/TREASURER2.00Yes (X)Yes (X)$0$0$0
KIM MCCOLLUM-MELE
DIRECTOR1.00Yes (X)$0$0$0
SCOTT SAFFORD
DIRECTOR1.00Yes (X)$0$0$0
TERRI LAWRENCE
DIRECTOR1.00Yes (X)$0$0$0
MICHELLE
MORGAN10.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$250,354AllOtherContributionsAmt
Total Contributions$250,354TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$381TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$126,469FundraisingGrossIncomeAmt
Fundraising Direct Expenses$62,156FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,313TotalRevenueColumnAmt
Exclusion$64,313ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$315,048TotalRevenueColumnAmt
Related Or Exempt Func Income$381RelatedOrExemptFuncIncomeAmt
Exclusion$64,313ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$22,759TotalAmt
Program Services$22,759ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$28,292TotalAmt
Program Services$6,889ProgramServicesAmt
Management And General$17,825ManagementAndGeneralAmt
Fundraising$3,578FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,164TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,315ManagementAndGeneralAmt
Fundraising$849FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,019TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,019ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$738TotalAmt
Program Services$0ProgramServicesAmt
Management And General$738ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,152TotalAmt
Program Services$0ProgramServicesAmt
Management And General$5,152ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,460TotalAmt
Program Services$0ProgramServicesAmt
Management And General$10,460ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$991TotalAmt
Program Services$0ProgramServicesAmt
Management And General$991ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$713TotalAmt
Program Services$0ProgramServicesAmt
Management And General$713ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,018TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,018ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,688TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,688ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BANK CHARGES$238$0$238$0
CONSULTING$95$0$95$0
DUES & SUBSCRIPTIONS$2,393$0$2,393$0
FREIGHT & DELIVERY$816$0$816$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$34,417TotalAmt
Program Services$29,985ProgramServicesAmt
Management And General$4,432ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$113,953TotalAmt
Program Services$59,633ProgramServicesAmt
Management And General$49,893ManagementAndGeneralAmt
Fundraising$4,427FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$57,501BOYAmt
EOY$107,871EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$160,377EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,695LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,144LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,563BOYAmt
EOY$2,551EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,064BOYAmt
EOY$270,799EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$8,735EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,143BOYAmt
EOY$1,048EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,143BOYAmt
EOY$9,783EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$59,921BOYAmt
EOY$261,016EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,921BOYAmt
EOY$261,016EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,064BOYAmt
EOY$270,799EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$201,095ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,576CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,517CurrentTaxYearMinus1YearAmt
Current Tax Year$250,354CurrentTaxYearAmt
Total$333,947TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,576CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,517CurrentTaxYearMinus1YearAmt
Current Tax Year$250,354CurrentTaxYearAmt
Total$333,947TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$333,947PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$333,947TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700PublicSupportCY170Pct
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,695InvestmentCostOrOtherBasisAmt
Depreciation$1,144DepreciationAmt
Book Value$2,551BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,551TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL TAXESDesc
Amt$1,048Amt
FieldValueIRS element (for citing)
Total Liability$1,048TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1JJ GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$70,097GrossReceiptsEvent1Amt
Gross Revenue Event1$70,097GrossRevenueEvent1Amt
Rent Facility Costs Event1$7,000RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$37,848OtherDirectExpensesEvent1Amt
Event2WHISKEY BREAD PUDDINGEvent2Nm
Gross Receipts Event2$48,638GrossReceiptsEvent2Amt
Gross Revenue Event2$48,638GrossRevenueEvent2Amt
Rent Facility Costs Event2$3,000RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$6,341OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$7,735GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$7,735GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$3,000RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$121FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$4,845OthDirectExpnssOtherEventsAmt
Gross Receipts Total$126,470GrossReceiptsTotalAmt
Gross Revenue Total Events$126,470GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$13,000RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$121FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$49,034OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$62,155DirectExpenseSummaryEventsAmt
Net Income Summary$64,315NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PEN FUND INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 HUNTERS LANEAddressLine1Txt
CityHENDERSONVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37075ZIPCd
FieldValueIRS element (for citing)
Recipient EIN812187072RecipientEIN
Cash Grant$20,759CashGrantAmt
Purpose Of GrantPROVIDE BENOVALENCE SONGWRITES AFFECTED WITH PANCREATIC CANCERPurposeOfGrantTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (27 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bFORM 990 MADE AVAILABLE AT QUARTERLY DIRECTORS MEETING
Form 990EZ, Part I, Line 16ACCOUNTING
Form 990EZ, Part I, Line 16ADVERTISING & PROMOTION
Form 990EZ, Part I, Line 16BANK & PAYPAL SERVICE CHARGES
Form 990EZ, Part I, Line 16BOOKS, SUBSCRIPTIONS, REFERENCE
Form 990EZ, Part I, Line 16CABLE
Form 990EZ, Part I, Line 16DUES & PUBLICATIONS
Form 990EZ, Part I, Line 16WEBSITE & INTERNET
Form 990EZ, Part I, Line 16LEGAL FEES
Form 990EZ, Part I, Line 16OFFICE EXPENSE
Form 990EZ, Part I, Line 16LICENSES
Form 990EZ, Part I, Line 16INTEREST
Form 990EZ, Part I, Line 16TELEPHONE
Form 990EZ, Part I, Line 16INSURANCE
Form 990EZ, Part I, Line 16TRAVEL
Form 990EZ, Part I, Line 16PROGRAM EXPENSES-AWARENESS
Form 990EZ, Part I, Line 16MEALS
Form 990EZ, Part I, Line 16FLOWERS, GIFTS
Form 990EZ, Part II, Line 24TRAILER 3563.
Form 990, Part III, Line 4dPROVIDED BENEVOLENCE TO SONGWRITERS AFFECTED WITH PANCREATIC CANCER. 22759. 22759. 0.
Form 990, Part IX, Line 24eMEALS & ENTERTAINMENT 657. 0. 657. 0.
Form 990, Part IX, Line 24eSTATIONARY & PRINTING 397. 0. 397. 0.
Form 990, Part IX, Line 24eSUBCONTRACTORS 1750. 0. 1750. 0.
Form 990, Part IX, Line 24eSUPPLIES 629. 0. 629. 0.
Form 990, Part IX, Line 24eTAXES & LICENSES 239. 0. 239. 0.
Form 990, Part IX, Line 24eWEBSITE 760. 0. 760. 0.
Form 990, Part IX, Line 24ePROGRAM EXPENSES 29985. 29985. 0. 0.

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