JIMMIE JOHNSON FOUNDATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- JIMMIE JOHNSON FOUNDATION (EIN 20-2387645)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-16
- IRS object ID
- 201742289349301159
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-16T15:13:44-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560574444 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 Metropolitan Ave Ste 1000 | AddressLine1Txt |
| City | Charlotte | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202387645 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JIMMIE JOHNSON FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JIMM | BusinessNameControlTxt |
| Phone | 7044532897 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4325 PAPA JOE HENDRICK BOULEVARD | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28262 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMANDA PROTHERO | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7044532897 | PhoneNum |
| Signature | 2017-08-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amanda Adams | PreparerPersonNm |
| PTIN | P00748038 | PTIN |
| Phone | 7043771678 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 68.142.180.174 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-08-16 | IPDt |
| IP Tm | 09:01:57 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 18694F53AD11E15FFCEA276DE93F63B2E746D691 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JIMMIE JOHNSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4325 PAPA JOE HENDRICK BOULEVARD | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28262 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,187,720 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.jimmiejohnsonfoundation.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO ASSIST CHILDREN, FAMILIES AND COMMUNITIES IN NEED THROUGHOUT THE UNITED STATES | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 3 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,128,680 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,384,148 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,889 | PYInvestmentIncomeAmt |
| CY Investment Income | -$155 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$41,525 | PYOtherRevenueAmt |
| CY Other Revenue | -$64,710 | CYOtherRevenueAmt |
| PY Total Revenue | $1,091,044 | PYTotalRevenueAmt |
| CY Total Revenue | $1,319,283 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $886,803 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $839,561 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $206,357 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $186,776 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $201,609 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $106,942 | PYOtherExpensesAmt |
| CY Other Expenses | $195,924 | CYOtherExpensesAmt |
| PY Total Expenses | $1,200,102 | PYTotalExpensesAmt |
| CY Total Expenses | $1,222,261 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$109,058 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $97,022 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $553,992 | TotalAssetsBOYAmt |
| Total Assets EOY | $489,562 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $515,360 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $339,725 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,632 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $149,837 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The Jimmie Johnson Foundation is dedicated to assisting children, families and communities in need. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $763,328 | ExpenseAmt |
| Grant | $658,451 | GrantAmt |
| Revenue | -$1,177 | RevenueAmt |
| Desc | The Jimmie Johnson Foundation has been supporting schools through the Champions Grant program since 2009. In 2016, $599,891 in Champions Grants were distributed to K-12 public schools in Chandra and Jimmie Johnson's hometowns in California, North Carolina, and Oklahoma. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $125,000 | ExpenseAmt |
| Grant | $125,000 | GrantAmt |
| Desc | The Blue Bunny Helmet of Hope program gives individuals across the country the opportunity to nominate their favorite charity to be featured on seven-time NASCAR Cup Champion Jimmie Johnson's helmet during a race. In addition to being featured on the helmet, each of the five charities selected also receives a grant of $25,000 and a Blue Bunny ice cream party. In 2016, $125,000 was distributed through the Blue Bunny Helmet of Hope Program. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $56,110 | ExpenseAmt |
| Grant | $56,110 | GrantAmt |
| Desc | Team up for Technology: In 2016, ten schools were selected from more than 630 nominations as Team Up for Technology finalists. Each of the 10 semi-finalists was given a prize kit that included a laptop and camera (each set $811 value) to create a two-minute video demonstrating their school's technology needs. Frederick Law Olmsted Academy North was chosen as the winner. The Winning School received a cash grant of $48,000. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $944,438 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AK | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CO | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | DE | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | DC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | ID | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | KS | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | LA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MS | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MO | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NE | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NV | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | RI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | TX | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | UT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | VT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Todd Jolicoeur | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8106232443 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 32373 NESTLEWOOD STREET | AddressLine1Txt |
| City | Farmington Hills | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48334 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Jimmie Johnson | ||||||
| President | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Chandra Johnson | ||||||
| Vice President/Treasurer | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Alan Miller | ||||||
| Secretary | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Sam May | ||||||
| Trustee | 5.00 | Yes (X) | $0 | $0 | $0 | |
| CHIP SHELTON | ||||||
| Trustee | 5.00 | Yes (X) | $0 | $0 | $0 | |
| AMANDA PROTHERO | ||||||
| Executive Director | 50.00 | Yes (X) | $94,356 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $94,356 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $842,933 | FundraisingAmt |
| All Other Contributions | $541,215 | AllOtherContributionsAmt |
| Noncash Contributions | $279,345 | NoncashContributionsAmt |
| Total Contributions | $1,384,148 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,679 | TotalRevenueColumnAmt |
| Exclusion | $9,679 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,299,989 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,309,823 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$9,834 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,834 | TotalRevenueColumnAmt |
| Exclusion | -$9,834 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $259,493 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $842,933 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $433,227 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$173,734 | TotalRevenueColumnAmt |
| Exclusion | -$173,734 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $233,316 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $123,115 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $110,201 | TotalRevenueColumnAmt |
| Exclusion | $110,201 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,095 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,272 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,177 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$1,177 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,319,283 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$1,177 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$63,688 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $839,561 | TotalAmt |
| Program Services | $839,561 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,356 | TotalAmt |
| Program Services | $23,589 | ProgramServicesAmt |
| Management And General | $23,589 | ManagementAndGeneralAmt |
| Fundraising | $47,178 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,398 | TotalAmt |
| Program Services | $54,912 | ProgramServicesAmt |
| Management And General | $9,349 | ManagementAndGeneralAmt |
| Fundraising | $15,137 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,022 | TotalAmt |
| Program Services | $5,917 | ProgramServicesAmt |
| Management And General | $2,460 | ManagementAndGeneralAmt |
| Fundraising | $4,645 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,140 | TotalAmt |
| Management And General | $10,570 | ManagementAndGeneralAmt |
| Fundraising | $10,570 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,250 | TotalAmt |
| Program Services | $2,015 | ProgramServicesAmt |
| Management And General | $13,705 | ManagementAndGeneralAmt |
| Fundraising | $11,530 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $594 | TotalAmt |
| Program Services | $298 | ProgramServicesAmt |
| Management And General | $119 | ManagementAndGeneralAmt |
| Fundraising | $177 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,516 | TotalAmt |
| Program Services | $10,269 | ProgramServicesAmt |
| Management And General | $6,461 | ManagementAndGeneralAmt |
| Fundraising | $7,786 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,589 | TotalAmt |
| Program Services | $873 | ProgramServicesAmt |
| Management And General | $4,171 | ManagementAndGeneralAmt |
| Fundraising | $4,545 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $488 | TotalAmt |
| Program Services | $278 | ProgramServicesAmt |
| Management And General | $122 | ManagementAndGeneralAmt |
| Fundraising | $88 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,616 | TotalAmt |
| Program Services | $5,054 | ProgramServicesAmt |
| Fundraising | $562 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,372 | TotalAmt |
| Program Services | $686 | ProgramServicesAmt |
| Management And General | $274 | ManagementAndGeneralAmt |
| Fundraising | $412 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,000 | TotalAmt |
| Management And General | $5,000 | ManagementAndGeneralAmt |
| Fundraising | $5,000 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| Special event EXPENSES | $82,227 | $82,227 | ||
| Licenses and Permits | $11,160 | $11,160 | ||
| VEHICLE EXPENSES | $1,972 | $592 | $986 | $394 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,222,261 | TotalAmt |
| Program Services | $944,438 | ProgramServicesAmt |
| Management And General | $76,214 | ManagementAndGeneralAmt |
| Fundraising | $201,609 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,565 | BOYAmt |
| EOY | $39,959 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,773 | BOYAmt |
| EOY | $237,852 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,559 | BOYAmt |
| EOY | $2,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,760 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $41,550 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $30,717 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,833 | BOYAmt |
| EOY | $10,833 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $462,502 | BOYAmt |
| EOY | $198,918 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $553,992 | BOYAmt |
| EOY | $489,562 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,760 | BOYAmt |
| EOY | $17,000 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,600 | BOYAmt |
| EOY | $15,725 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,000 | BOYAmt |
| EOY | $307,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $515,360 | BOYAmt |
| EOY | $339,725 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,632 | BOYAmt |
| EOY | $149,837 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,632 | BOYAmt |
| EOY | $149,837 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $553,992 | BOYAmt |
| EOY | $489,562 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $97,022 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $14,183 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,207,541 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,088,743 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,183,022 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,128,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,384,148 | CurrentTaxYearAmt |
| Total | $5,992,134 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,207,541 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,088,743 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,183,022 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,128,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,384,148 | CurrentTaxYearAmt |
| Total | $5,992,134 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,430,173 | SubstantialContributorsTotAmt |
| Public Support Total170 | $3,561,961 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,582 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,395 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,591 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,190 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,679 | CurrentTaxYearAmt |
| Total | $70,437 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,062,571 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $38,152 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.58750 | PublicSupportCY170Pct |
| Public Support PY170 | 0.54470 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,550 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,717 | DepreciationAmt |
| Book Value | $10,833 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,833 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,698,456 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $14,183 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $169,742 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $195,248 | OtherRevenueAmt |
| Revenue Not Reported | $379,173 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,319,283 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,319,283 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,587,251 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $169,742 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $195,248 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $364,990 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,222,261 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,222,261 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Foundation is a not-for-profit organization that is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. The Foundation has received a ruling of a favorable determination of its tax-exempt status from the Internal Revenue Service and is not classified as a private foundation. Management believes that the Foundation continues to satisfy the requirements of a tax-exempt organization and is not subject to tax. Accordingly, no provision for income taxes has been reflected in the accompanying financial statements. Management has evaluated the effect of the Financial Accounting Standards Board ("FASB") guidance on accounting for uncertainty in income taxes. The guidance clarifies the accounting for uncertainty in income taxes recognized in an entity's financial statements by prescribing a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The Foundation's policy is to record a liability for any tax position taken that is beneficial to the Foundation, including any related interest and penalties, when it is more likely than not the position taken by management with respect to a transaction or class of transactions will be overturned by a taxing authority upon examination. Management believes there are no such positions as of December 31, 2016 and accordingly, no liability has been accrued. |
| Part XI, Line 2d - Other Adjustments: | Direct event expenses 192,976. COGS 2,272. |
| Part XII, Line 2d - Other Adjustments: | Direct event expenses 192,976. COGS 2,272. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Annual Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $741,811 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $499,344 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $242,467 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $5,023 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $900 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $368,178 | OtherDirectExpensesEvent1Amt |
| Event2 | wellness challenge | Event2Nm |
| Gross Receipts Event2 | $360,615 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $343,589 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $17,026 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $59,126 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $1,102,426 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $842,933 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $259,493 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $5,023 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $900 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $427,304 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $433,227 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$173,734 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $233,316 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $31,989 | CashPrizesOtherGamingAmt |
| Non Cash Prizes Other Gaming | $87,905 | NonCashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $3,221 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $233,316 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $31,989 | CashPrizesTotalGamingAmt |
| Non Cash Prizes Total Gaming | $87,905 | NonCashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $3,221 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $123,115 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $110,201 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | AK | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | AZ | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | AR | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | CA | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | CO | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | CT | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | DE | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | DC | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | FL | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | GA | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | ID | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | IL | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | IN | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | IA | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | KY | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | LA | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | ME | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | MD | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | MI | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | MN | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | MA | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | MS | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | MO | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | MT | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | NE | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | NV | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | NH | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | NJ | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | NM | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | NY | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | NC | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | ND | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | OH | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | OK | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | OR | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | PA | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | RI | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | SD | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | TN | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | TX | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | VT | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | VA | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | WA | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | WV | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | WI | StatesWhereGamingConductedCd |
| States Where Gaming Conducted | WY | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Own Facility | 1.00000 | GamingOwnFacilityPct |
| Individual With Books | todd jolicoeur | IndividualWithBooksNm |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 32373 nestlewood street | AddressLine1Txt |
| City | farmington hills | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48334 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | amanda prothero | GamingManagerPersonNm |
| Gaming Manager Services Prov | Ms. prothero oversaw the raffle event. her compensation above is related solely to her role as executive director for the foundation. she does not receive additional compensation for overseeing the charitable raffle. | GamingManagerServicesProvTxt |
| Gaming Manager Is Director Ofcr | Yes (X) | GamingManagerIsDirectorOfcrInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (22 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| ArtWell | ||||||||
| 100 West Oxford Street Suite E-1200 | E-1200 | Philadelphia | PA | 19122 | 201705075 | 501(c)(3) | $25,000 | General Support |
| Cajon Valley Union School District | ||||||||
| 750 E Main Street | El Cajon | CA | 92020 | 956000428 | 501(c)(3) | $92,325 | General Support | |
| Carlos Gilbert PTA | ||||||||
| 300 Griffin Street | Santa Fe | NM | 87501 | 850471652 | 501(c)(3) | $25,000 | General Support | |
| Change for Kids | ||||||||
| 110 E 23rd Street | New York | NY | 10010 | 133886045 | 501(c)(3) | $25,000 | General Support | |
| CHILDRESS INSTITUTE FOR PEDIATRIC TRAUMA | ||||||||
| 575 N PATTERSON AVENUE | WINSTONSALEM | NC | 27101 | 463674691 | 501(c)(3) | $10,000 | General Support | |
| Cubberley Elementary School | ||||||||
| 3201 Marathon Dr | San Diego | CA | 92024 | 956002781 | 501(c)(3) | $35,486 | General Support | |
| Grant Foreman Elementary School | ||||||||
| 800 Bacone St | Muskogee | OK | 74403 | 736069062 | 501(c)(3) | $22,000 | General Support | |
| Inside the Outdoors Foundation | ||||||||
| 200 Kalmus Drive | Costa Mesa | CA | 92626 | 330373014 | 501(c)(3) | $25,000 | General Support | |
| Kevin Harvick Foundation | ||||||||
| 648 Griffith Road Suite D | Charlotte | NC | 28217 | 272014610 | 501(c)(3) | $7,500 | General Support | |
| KIPP Tulsa College Preparatory | ||||||||
| 1661 East Virgin Street | Tulsa | OK | 74106 | 113740269 | 501(c)(3) | $25,356 | General Support | |
| Mallard Creek Elementary School | ||||||||
| 9801 Mallard Creek Road | Charlotte | NC | 28269 | 566001074 | 501(c)(3) | $49,237 | General Support | |
| MARIO BATALI FOUNDATION | ||||||||
| 45 EAST 20TH 3RD FLOOR | NEW YORK | NY | 10003 | 263748340 | 501(c)(3) | $10,000 | General Support | |
| Mercy Child Advocacy Center | ||||||||
| 801 5th Street | Sioux City | IA | 51101 | 141880022 | 501(c)(3) | $25,000 | General Support | |
| Monte Vista High School | ||||||||
| 3230 Sweetwater Springs Blvd | Spring Valley | CA | 91977 | 956001517 | 501(c)(3) | $70,554 | General Support | |
| NorthWest School of the Arts | ||||||||
| 1415 Beatties Ford Road | Charlotte | NC | 28216 | 566001074 | 501(c)(3) | $99,304 | General Support | |
| Piedmont IB Middle School | ||||||||
| 1241 East 10th Street | Charlotte | NC | 28204 | 566001074 | 501(c)(3) | $74,526 | General Support | |
| PS194 The Raoul Wallenburg School | ||||||||
| 3117 Avenue W | Brooklyn | NY | 11229 | 690210637 | 501(c)(3) | $48,000 | General Support | |
| Randolph IB Middle School | ||||||||
| 4400 Water Oak Road | Charlotte | NC | 28211 | 566001074 | 501(c)(3) | $50,665 | General Support | |
| Together We Feed | ||||||||
| 6000 Monroe Road Suite 100 | Charlotte | NC | 28212 | 611738812 | 501(c)(3) | $11,000 | General Support | |
| Tony Goetz Elementary School | ||||||||
| 2412 Haskell Blvd | Muskogee | OK | 74403 | 736069062 | 501(c)(3) | $26,000 | General Support | |
| Whittier Elementary School | ||||||||
| 1705 Cincinnati | Muskogee | OK | 74403 | 736069062 | 501(c)(3) | $30,000 | General Support | |
| Windsor Park Elementary School | ||||||||
| 3910 Sudbury Road | Charlotte | NC | 28205 | 566001074 | 501(c)(3) | $24,438 | General Support | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Recipients of Champion Grants are required to complete a progress report and final report. Failure to properly submit these reports impact future funding. The progress report includes a brief questionnaire and budget form. The final report provides detailed information about the project including a final budget outlining all expenses of the project. The foundation also makes charitable donations to other 501(c)(3) organizations. | ExplanationTxt |
Schedule M IRS990ScheduleM
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $87,905 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | fair market value | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Auction items | Desc |
| Contribution | 30 | ContributionCnt |
| Noncash Contributions Rpt F990 | $191,440 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | JIMMIE JOHNSON (Board President) AND CHANDRA JOHNSON (Board Vice President and Treasurer) have a family relationship. |
| Form 990, Part VI, Section A, line 8b | As there are no committees of the governing body, Form 990, Part VI, Question 8b is not applicable. |
| Form 990, Part VI, Section B, line 11b | Board members Alan Miller and Sam May will review the final 990 draft for approval. The full board is provided with a copy of the final 990 and it is reviewed and discussed at the annual board meeting. |
| Form 990, Part VI, Section B, line 12c | An Annual Conflict of interest form is signed by all staff and board members. All members and employees are required to disclose any potential conflicts. In the event of a potential conflict, that person recuses himself/herself from all discussions and/or vote. The recusal is documented in the meeting minutes. |
| Form 990, Part VI, Section B, line 15a | The compensation for the Executive Director is set by the board of directors. The board secretary is charged with gathering information on market rate compensation comparables and handles documentation of this process. |
| Form 990, Part VI, Section C, line 19 | The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Requests for information should be made to the attention of the Executive Director. |
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