2016-11-15T07:37:31-06:00 2016-06-30 350779925 KEHLENBRINK LAWRENCE & PAUCKNER 6296 RUCKER RD SUITE G INDIANAPOLIS IN 46220 990 2015-07-01 350868147 JAMES WHITCOMB RILEY MEMORIAL ASSOCIATION JAME 3176344474 30 SOUTH MERIDIAN STREET NO 200 INDIANAPOLIS IN 46204 JACKIE GROTH CFO 3176344474 2016-11-10 1 THOMAS R LAWRENCE P00542341 3172571540 2016-10-05 X 2015 2017-02-10 21:41:12Z JACKIE GROTH 30 SOUTH MERIDIAN STREET NO 200 INDIANAPOLIS IN 46204 47659608 0 X WWW.RILEYKIDS.ORG X 1921 IN THE JAMES WHITCOMB RILEY MEMORIAL ASSOCIATION WAS ORGANIZED IN 1921 TO COMMEMORATE THE LIFE OF INDIANA'S POET FOR WHOM IT IS NAMED. THE ASSOCIATION PROVIDES SUPPORT FOR THREE PROGRAMS WHICH INCLUDE RILEY HOSPITAL FOR CHILDREN, CAMP RILEY FOR YOUTH WITH PHYSICAL DISABILITIES AND THE RILEY MUSEUM HOME. 32 32 83 0 0 -18212 33411618 28667207 143392 127656 7282525 8222628 2050 56085 40839585 37073576 28342123 26475186 0 0 5706132 6038501 486823 396897 6332591 4413735 5404518 38948813 38315102 1890772 -1241526 372868529 363570939 21658287 25856304 351210242 337714635 TO SUPPORT FUNDRAISING ACTIVITIES FOR RILEY HOSPITAL FOR CHILDREN AND ITS RESEARCH PROGRAMS, CAMP RILEY AND THE RILEY MUSEUM HOME. 0 0 26473793 26473793 56184 RILEY HOSPITAL: SUPPORT FOR THE RILEY HOSPITAL FOR CHILDREN IN INDIANAPOLIS, IN. FUNDS ARE USED FOR PATIENT CARE, RESEARCH, EDUCATION AND EQUIPMENT. 638893 1031 114046 CAMP RILEY: THE CAMP FEATURES PROGRAMS AND FACILITIES DESIGNED FOR PHYSICALLY DISABLED YOUTHS. THE PROGRAMS PROVIDE EXPERIENCES AND OPPORTUNITIES NOT READILY AVAILABLE TO THE DISABLED. 610480 362 13511 RILEY MUSEUM HOME: THE HOME IS A NATIONAL HISTORIC LANDMARK WHICH IS OPEN TO THE PUBLIC. BY TOURING THE HOME VISITORS MAY OBSERVE ONE OF THE FINEST VICTORIAN PRESERVATIONS IN THE UNITED STATES. 27723166 1 1 0 0 0 0 0 1 0 1 1 1 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 59 0 1 83 1 0 0 0 0 0 1 1 0 0 X 32 32 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X X J W RILEY MEMORIAL ASSOCIATION 3176344474 30 S MERIDIAN STREET STE 200 INDIANAPOLIS IN 462043509 JAMES R CUMMING MD BOARD MEMBER 0.00 X 0 0 0 KRISTIN G FRUEHWALD BOARD MEMBER 0.00 X 0 0 0 C PERRY GRIFFITH JR TREASURER 0.00 X 0 0 0 PHILLIP L BAYT BOARD MEMBER 0.00 X 0 0 0 REV EDWARD A MALLOY CSC BOARD MEMBER 0.00 X 0 0 0 ROBERT G JONES BOARD MEMBER 0.00 X 0 0 0 KAREN FERGUSON FUSON BOARD MEMBER 0.00 X 0 0 0 JOHN K BANKS BOARD MEMBER 0.00 X 0 0 0 ANTON H GEORGE BOARD MEMBER 0.00 X 0 0 0 JACQUELINE S SIMON BOARD MEMBER 0.00 X 0 0 0 JAY HESS MD PHD MHSA BOARD MEMBER 0.00 X 0 0 0 FORREST D LUCAS BOARD MEMBER 0.00 X 0 0 0 CRAIG HUSE BOARD MEMBER 0.00 X 0 0 0 JAMES T MORRIS BOARD MEMBER 0.00 X 0 0 0 GERALD BEPKO BOARD MEMBER 0.00 X 0 0 0 CATHY ROONEY BOARD MEMBER 0.00 X 0 0 0 J MURRAY CLARK BOARD MEMBER 0.00 X 0 0 0 DENNIS M MURPHY BOARD MEMBER 0.00 X 0 0 0 REBECCA ESPINOZA-KUBACKI SECRETARY 0.00 X 0 0 0 RONALD F REMAK BOARD MEMBER 0.00 X 0 0 0 DAVID A RICKS CHAIRMAN OF THE BOARD 0.00 X 0 0 0 JOHN T THOMPSON BOARD MEMBER 0.00 X 0 0 0 FIRST LADY KAREN PENCE BOARD MEMBER 0.00 X 0 0 0 MICHAEL L SMITH BOARD MEMBER 0.00 X 0 0 0 EUGENE R TEMPEL BOARD MEMBER 0.00 X 0 0 0 CYNTHIA SIMON-SKJODT BOARD MEMBER 0.00 X 0 0 0 KELLY HUNTINGTON VICE CHAIR 0.00 X 0 0 0 CARLIE IRSAY-GORDON BOARD MEMBER 0.00 X 0 0 0 MICHAEL E WEAVER BOARD MEMBER 0.00 X 0 0 0 KEVIN O'KEEFE PRESIDENT 40.00 X 357224 0 34159 EMILY HUGHES ASSISTANT SECRETARY 40.00 X 53470 0 28306 JAMES AUSTIN CHIEF MARKETING AND CORPOR 40.00 X 180848 0 37868 JACQUELYN GROTH CHIEF FINANCIAL OFFICER 40.00 X 177056 0 14651 VICKI MECH HESTER CHIEF ADMINISTRATIVE OFFIC 40.00 X 177737 0 33570 NICHOLAS OYLER VP DEVELOPMENT 40.00 X 129299 0 32561 JAMES WILLIAMS VP DEVELOPMENT 40.00 X 129941 0 24166 1205575 0 205281 8 0 1 0 THREE-SIXTY GROUP 310 WEST MICHIGAN STREET STE A INDIANAPOLIS IN 46202 ADVERTISING/PROMOTION 890200 KITE WASHINGTON LLC 30 S MERIDIAN ST 1100 INDIANAPOLIS IN 46204 RENT 353990 OXFORD FINANCIAL GROUP 11711 N MERIDIAN STREET SUITE 600 CARMEL IN 46032 INVESTMENT CONSULTING 299121 FA WILHELM CONSTRUCTION PO BOX 516 INDIANAPOLIS IN 46206 MUSEUM HOME REPAIRS 198872 4 28667207 488783 28667207 CAMPERSHIPS 900099 114046 114046 RILEY HOME ADMISSIONS 900099 13610 13610 127656 5794563 5794563 12987716 10559651 2428065 2428065 2428065 82466 26381 56085 56085 37073576 183741 0 8222628 26475186 26475186 493656 493656 4329665 259035 1416724 2653906 262855 18183 85100 159572 633451 47412 173819 412220 318874 19230 113816 185828 109642 107012 2630 88894 30193 58701 48069 48069 396897 396897 2042915 28719 1005393 1008803 548562 13114 295741 239707 243903 1596 64638 177669 697047 426667 92324 178056 122466 783 40271 81412 246585 2412 244173 201052 54499 50043 96510 42989 11401 18978 12610 EQUIPMENT RENTAL & MAIN 436591 220361 57261 158969 BANK FEES 204101 2102 201999 MISCELLANEOUS 116544 20830 55030 40684 PHYSICIANS/NURSES 93855 93855 161303 80357 80946 38315102 27723166 4259345 6332591 5465819 9551021 32182324 29296168 151969 0 2151000 459475 1829307 1691525 264505155 253283536 41986486 44824424 26747469 24924265 372868529 363570939 327356 520909 21283881 25293682 47050 41713 21658287 25856304 X 143216874 134674594 94201993 88878222 113791375 114161819 351210242 337714635 372868529 363570939 X -1241526 -12132393 -121688 X X 0 1 X 1 0 X 23200540 23338330 27286274 33411618 28667207 135903969 23200540 23338330 27286274 33411618 28667207 135903969 10264570 125639399 5810572 4995700 4188586 5577687 5794563 26367108 162271077 685655 0.77430 0.76860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X 0 146512065 11884250 -768854 5695867 1364199 150567395 149520327 1365447 1883619 4981485 1275843 146512065 134586278 2841054 18109857 4814676 1202186 149520327 125894696 1464458 12871793 4512661 1132008 134586278 125630893 3350758 1849801 3949858 986898 125894696 0.38070 0.56060 0.05870 0 0 1311143 87410 1223733 256048 58645 197403 583809 313420 270389 1691525 CASH VALUE OF LIFE INSURANCE POLICIES 900180 F INVESTMENTS - OTHER SECURITIES 43924244 F 44824424 RILEY MUSEUM HOME 43189 PREPAID EXPENSE 460322 INVESTMENT INTEREST RECEIVABLE 693115 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 23727639 24924265 ANNUITIES 41713 41713 24819495 -12132393 -121688 -12254081 37073576 0 37073576 38315102 0 38315102 0 38315102 PART III, LINE 1A: THE FOUNDATION HAS A COLLECTION OF BOOKS, PAINTINGS AND OTHER MEMORABILIA OF JAMES WHITCOMB RILEY. SOME OF THE COLLECTIONS ARE ON DISPLAY AT THE RILEY MUSEUM HOME, RILEY HOSPITAL AND THE FOUNDATION'S ADMINISTRATIVE OFFICE. THE COLLECTIONS ARE NOT REFLECTED IN THE ACCOMPANYING STATEMENTS SINCE THE FOUNDATION DOES NOT CAPITALIZE COLLECTIONS. PART III, LINE 4: THE COLLECTIONS FURTHER THE ORGANIZATION'S EXEMPT PURPOSE BY COMMEMORATING THE LIFE OF POET JAMES WHITCOMB RILEY. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNCOLLECTIBLE PLEDGES FROM PRIOR YEARS X X X X 1 DAVINCI DIRECT 36 CORDAGE PARK CIRCLE PLYMOUTH MA 02360 DIRECT MAIL 0 1087796 408250 679546 1087796 408250 679546 1 INDIANA UNIVERSITY HEALTH 340 WEST 10TH STREET INDIANAPOLIS IN 46206 351955872 501(C)(3) 5108819 HOSPITAL PROJECTS AND PROGRAMS INDIANA UNIVERSITY PO BOX 66057 INDIANAPOLIS IN 46266 356001673 501(C)(3) 16582361 HOSPITAL PROJECTS AND PROGRAMS INDIANA UNIVERSITY FOUNDATION 950 NORTH MERIDIAN ST SUITE 250 INDIANAPOLIS IN 46204 356018940 501(C)(3) 23715 PROFESSORSHIP DEACONESS HOSPITAL INC 600 MARY STREET EVANSVILLE IN 47747 350593390 N/A 7242 HOSPITAL PROJECTS AND PROGRAMS CARDIOTHORACIC SURGEONS INC 7970 N ILLINOIS STREET INDIANAPOLIS IN 46260 351416173 N/A 25000 RESEARCH SUPPORT MITCH DANIELS LEADERSHIP FOUNDATION 13113 FRANKLIN HALL TRAIL CARMEL IN 46033 461665288 501(C)(3) 100000 INFANT MORTALITY RESEARCH AND EDUCATION 4 2 PART I, LINE 2: EXPENDITURES FOR GRANT FUNDS ARE MONITORED QUARTERLY AND COMPARED WITH THE GRANT AWARD CUMULATIVE AMOUNT BEFORE THE DISBURSEMENT OF FUNDS OCCURS. ACCOUNTABILITY REPORTS ARE SOLICITED FROM GRANTEES AND REVIEWED ON AN ANNUAL BASIS. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 KEVIN O'KEEFE PRESIDENT 326433 0 30000 0 791 0 19875 0 14284 0 391383 0 0 0 JAMES AUSTIN CHIEF MARKETING AND CORPOR 174042 0 15000 0 -8194 0 14190 0 23678 0 218716 0 0 0 JACQUELYN GROTH CHIEF FINANCIAL OFFICER 163807 0 15000 0 -1751 0 5414 0 9237 0 191707 0 0 0 VICKI MECH HESTER CHIEF ADMINISTRATIVE OFFIC 170653 0 15000 0 -7916 0 13938 0 19632 0 211307 0 0 0 NICHOLAS OYLER VP DEVELOPMENT 131324 0 3000 0 -5025 0 10076 0 22485 0 161860 0 0 0 JAMES WILLIAMS VP DEVELOPMENT 131267 0 3000 0 -4326 0 10073 0 14093 0 154107 0 0 0 PHIL BAYT BOARD MEMBER 19768 LEGAL SERVICES PAID TO THE COMPANY IN WHICH THE BOARD MEMBER IS AN ATTORNEY. 0 C PERRY GRIFFITH JR BOARD MEMBER 6455 LEASE OF PARKING FACILITIES PAID TO THE COMPANY IN WHICH THE BOARD MEMBER IS AN OFFICER 0 ROBERT JONES BOARD MEMBER 30048 INVESTMENT MANAGEMENT FEES PAID TO INVESTMENT BANKING FIRM IN WHICH BOARD MEMBER IS AN OFFICER 0 J MURRAY CLARK BOARD MEMBER 35289 LEGAL SERVICES PAID TO THE COMPANY IN WHICH THE BOARD MEMBER IS A PARTNER. 0 X 9 1927 MARKET VALUE X 46516 MARKET VALUE X 43073 MARKET VALUE X 21 129573 MARKET VALUE X 10 2450 MARKET VALUE X TV BONUS SPOTS 19 219430 MARKET VALUE X ELECTRONICS 0 18269 MARKET VALUE X OFFICE EQUIPMENT 0 16984 MARKET VALUE X EVENT SUPPLIES 0 10561 MARKET VALUE 0 1 1 PART I, LINE 32B: THE ASSOCIATION USES A BROKERAGE COMPANY TO SELL PUBLICLY TRADED SECURITIES THAT ARE RECEIVED AS CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11 AN ELECTRONIC COPY OF THE 990 RETURN IS PROVIDED TO THE BOARD OF GOVERNORS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD REVIEWS THE CONFLICT OF INTEREST POLICY AND SUBMITS DISCLOSURE FORMS AT ITS ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE PRESIDENT AND KEY EMPLOYEES IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE OF THE BOARD USES AN ANNUAL COMPENSATION AND BENEFITS SURVEY PROVIDED BY A HUMAN RESOURCE CONSULTING FIRM FOR COMPARABILITY DATA. DECISIONS ON COMPENSATION AND BENEFITS ARE DOCUMENTED IN BOARD MINUTES AND INCLUDED IN BOARD FILES AND THE PRESIDENT AND KEY EMPLOYEE PERSONNEL FILES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: UNCOLLECTIBLE PLEDGES -121,688. FORM 990. PART XI, LINE 2C: THE AUDIT COMMITTEE SELECTS THE INDEPENDENT AUDITOR AND OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS.