2017-06-15T15:08:09-05:00 2016-12-31 752795393 JTAYLOR & ASSOCIATES LLC 4800 OVERTON PLAZA SUITE 360 FORT WORTH TX 761094430 990 2016-01-01 473205260 FORT WORTH ADOLESCENT AND YOUNG ADULT ONCOLOGY COALITION FORT 8556642922 PO BOX 471332 FORT WORTH TX 76147 PAULA FULTZ VICE-PRESIDENT 8556642922 2017-05-30 1 PATRICIA PEREZ-VAVRIN P00456777 8179245900 64.132.191.114 2017-05-30 18:59:26 CD P 8285E32EE84D89E99D0FEF43F88F3F8DF2EF3E78 EF5CF324A4064FF7AC4CFBAE97F08F67D883098D 2016 2021-01-29 14:40:06Z KAREN ALBRITTON 1500 COOPER STREET FORT WORTH TX 76104 646270 0 X WWW.FWAYA.ORG X 2015 TX ENABLE THE HEALTHCARE COMMUNITY TO PROVIDE THE HIGHEST STANDARD OF ADOLESCENT AND YOUNG ADULT CANCER CARE. ESTABLISH AN ENVIRONMENT OF CONNECTIVITY THAT MEETS THE UNIQUE NEEDS OF THE ADOLESCENT YOUNG ADULT PATIENT. CREATE COMMUNITY AWARENESS AND APPRECIATION FOR THE REALITY OF ADOLESCENT AND YOUNG ADULTS WITH CANCER. 7 7 3 29 0 0 186141 646270 0 0 0 0 0 0 186141 646270 10000 50000 0 0 10381 44252 0 0 109221 42271 202573 62652 296825 123489 349445 164311 513769 40822 40835 123489 472934 X ENABLE THE HEALTHCARE COMMUNITY TO PROVIDE THE HIGHEST STANDARD OF ADOLESCENT AND YOUNG ADULT CANCER CARE. ESTABLISH AN ENVIRONMENT OF CONNECTIVITY THAT MEETS THE UNIQUE NEEDS OF THE ADOLESCENT YOUNG ADULT PATIENT. CREATE COMMUNITY AWARENESS AND APPRECIATION FOR THE REALITY OF ADOLESCENT AND YOUNG ADULTS WITH CANCER. 0 0 101061 50000 TO RAISE FUNDING FOR THE CONSTRUCTION, STAFFING AND OPERATION OF A SIX BED ONCOLOGY UNIT AT BAYLOR ALL SAINTS MEDICAL CENTER IN FORT WORTH, TEXAS. THE FORT WORTH ADOLESCENT AND YOUNG ADULT UNIT WILL BE RESTRICTED TO PATIENTS WHO ARE ADOLESCENTS OR YOUNG ADULTS (AGES 18-29) WHO HAVE BEEN DIAGNOSED WITH CANCER. 68585 THE ORGANIZATION WILL WORK WITH LOCAL HEALTH CARE ORGANIZATIONS TO MAKE EDUCATIONAL PRESENTATIONS REGARDING THE ISSUES IN TREATING CANCER PATIENTS WITHIN THE 15 TO 39 YEAR AGE GROUP, INCLUDING BUT NOT LIMITED TO THEIR UNIQUE PHYSIOLOGICAL, PSYCHOLOGICAL AND SOCIAL NEEDS, THE CLINICAL TRIALS AVAILABLE TO PATIENTS OF THAT AGE GROUP, AND ANY OTHER SPECIFIC RESOURCES THAT MAY BE AVAILABLE TO THE PHYSICIANS AND/OR THE PATIENTS TO FACILITATE THE TREATMENT. THE ORGANIZATION ALSO LECTURES AT HIGH SCHOOLS, COLLEGES, AND UNIVERSITIES TO PROMOTE HEALTHY LIVING, CANCER PREVENTION, AND SELF-ADVOCACY THROUGHOUT THE FORT WORTH COMMUNITY. 169646 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 3 1 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X JOSEPH BUSCH 8172916416 6713 BRANTS LANE FORT WORTH TX 76116 X KEITH ARGENBRIGHT DIRECTOR 1.00 X 0 0 0 W PAUL BOWMAN DIRECTOR 1.00 X 0 0 0 ORLANDO CHAPA DIRECTOR 1.00 X 0 0 0 SUZY LOCKWOOD DIRECTOR 1.00 X 0 0 0 MARTA HANSARD DIRECTOR 1.00 X 0 0 0 SUSAN SHIELDS DIRECTOR 1.00 X 0 0 0 RAY PAGE DIRECTOR 1.00 X 0 0 0 KAREN ALBRITTON PRESIDENT 30.00 X 0 0 0 JOSEPH BUSCH TREASURER/SECRETARY 24.00 X 0 0 0 PAULA FULTZ VICE-PRESIDENT 35.00 X 0 0 0 0 0 0 0 0 0 0 M GALE & ASSOCIATES LLC 3915 W 5TH STREET FORT WORTH TX 76107 FUNDRAISING SERVICES 102000 1 37350 608920 646270 646270 0 0 0 X 50000 50000 44252 35402 4425 4425 8150 8150 102000 102000 481 148 333 7417 5367 2050 2784 2784 12198 12198 PATIENT NAVIGATOR SERVI 38816 38816 MEALS AND ENTERTAINMENT 7102 5739 1363 PROGRAM COSTS 6460 6460 AWARENESS 3804 3804 13361 8928 3687 746 296825 169646 17958 109221 64311 302478 100000 210691 600 164311 513769 22580 40835 15150 3092 0 40822 40835 X 123489 237934 235000 123489 472934 164311 513769 349445 0 X 0 1 X 1 0 X 186141 646270 832411 186141 646270 832411 54252 778159 832411 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 654125 7855 7855 646270 0 646270 304680 7855 7855 296825 0 296825 X X X X X X 1 M GALE & ASSOCIATES LLC 3915 W 5TH STREET FORT WORTH TX 76107 FEASIBILITY STUDY; COMPREHENSIVE CAMPAIGN MGMT 0 543700 102000 441700 543700 102000 441700 SCHEDULE G, PART I, LINE 2B, COLUMN (V) M. GALE & ASSOCIATES, LLC WAS CONTRACTED TO CONDUCT A FEASIBILITY STUDY AND COORDINATE THE COMPREHENSIVE FUNDRAISING CAMPAIGN FOR THE COALITION IN CONJUNCTION WITH FUNDRAISING FOR THE ADOLESCENT AND YOUNG ADULT ONCOLOGY INPATIENT UNIT AND INFUSION CENTER. THE FULL COST OF THE FUNDRAISING SERVICES ARE PAID DIRECTLY BY THE COALITION, WITH CONTRIBUTIONS RAISED BOTH DIRECTLY FOR THE COALITION (AS NOTED IN PART I), AS WELL AS CONTRIBUTIONS INDIRECTLY RAISED FOR THE INPATIENT UNIT AND INFUSION CENTER. 1 BAYLOR ALL SAINTS HEALTH FOUNDATION 2001 BRYAN STREET NO 2200 DALLAS TX 752013005 751947007 501(C)(3) 50000 CASH ALLOCATED COSTS FOR FORT WORTH ADOLESCENT AND YOUNG ADULT ONCOLOGY CARE UNIT FORM 990, PART VI, SECTION B, LINE 11B PRESENTATION OF 990 AND FINANCIAL INFORMATION AT BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C AT A MINIMUM, THE POLICY IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS. IF APPROPRIATE, DISCLOSURE IS REQUESTED. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G FUNDRAISING CONSULTANT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 102,000. TOTAL EXPENSES 102,000.