2015-09-10T14:53:41-05:00 2014-12-31 910605875 PETERSON SULLIVAN LLP CPA'S 601 UNION ST STE 2300 SEATTLE WA 981012345 990 2014-01-01 912065051 THE MOYER FOUNDATION MOYE 2062981217 2426 32ND AVE WEST NO 200 SEATTLE WA 98199 MARY FITZGERALD CEO 2062981217 2015-09-04 1 MATTHEW R MATSON P00775671 2063827777 2015-09-04 2014 2016-03-07 17:11:31Z MARY FITZGERALD 2426 32ND AVE WEST NO 200 SEATTLE WA 98199 2789419 0 X WWW.MOYERFOUNDATION.ORG X 2000 WA THE MOYER FOUNDATION ("THE FOUNDATION") IS A NON-PROFIT ORGANIZATION WITH A MISSION TO PROVIDE COMFORT, HOPE, AND HEALING TO CHILDREN AFFECTED BY LOSS AND FAMILY ADDICTION. FOUNDED IN 2000 BY WORLD SERIES CHAMPION PITCHER JAMIE MOYER AND HIS WIFE KAREN, THE FOUNDATION CREATED AND SUPPORTS TWO SIGNATURE PROGRAMS. CAMP ERIN IS THE NATION'S LARGEST NETWORK OF FREE BEREAVEMENT CAMPS FOR GRIEVING CHILDREN AND TEENS AGES 6-17. CAMP MARIPOSA IS A FREE, FIRST-OF-ITS-KIND PROGRAM FOR CHILDREN AGES 9-12 IMPACTED BY A FAMILY MEMBER'S ADDICTION. 24 22 16 136 0 0 2643240 2419384 0 0 60911 9477 -204462 -322017 2499689 2106844 824438 775242 0 0 740875 927524 0 12654 506717 496318 828470 2061631 2543890 438058 -437046 3307458 3090452 108947 292894 3198511 2797558 X THE MOYER FOUNDATION ("THE FOUNDATION") IS A NON-PROFIT ORGANIZATION WITH A MISSION TO PROVIDE COMFORT, HOPE, AND HEALING TO CHILDREN AFFECTED BY LOSS AND FAMILY ADDICTION. FOUNDED IN 2000 BY WORLD SERIES CHAMPION PITCHER JAMIE MOYER AND HIS WIFE KAREN, THE FOUNDATION CREATED AND SUPPORTS TWO SIGNATURE PROGRAMS. CAMP ERIN IS THE NATION'S LARGEST NETWORK OF FREE BEREAVEMENT CAMPS FOR GRIEVING CHILDREN AND TEENS AGES 6-17. CAMP MARIPOSA IS A FREE, FIRST-OF-ITS-KIND PROGRAM FOR CHILDREN AGES 9-12 IMPACTED BY A FAMILY MEMBER'S ADDICTION. 0 0 1010911 448576 CAMP ERIN PROGRAM- WITH 46 CAMPS NATIONWIDE, CAMP ERIN IS THE LARGEST NETWORK OF FREE BEREAVEMENT CAMPS IN THE COUNTRY. CREATED BY THE MOYER FOUNDATION IN 2002, CAMP ERIN IS DESIGNED FOR CHILDREN AND TEENS AGES 6-17 WHO ARE GRIEVING THE LOSS OF SOMEONE CLOSE TO THEM. CAMP ERIN COMBINES TRADITIONAL AND FUN CAMP ACTIVITIES WITH SPECIALIZED GRIEF ACTIVITIES AND PEER SUPPORT 513421 261666 CAMP MARIPOSA PROGRAM - CAMP MARIPOSA IS A FREE, WEEKEND OVERNIGHT CAMP PROGRAM THAT SUPPORTS CHILDREN BETWEEN THE AGES 9-12 WHO ARE IMPACTED BY SUBSTANCE ABUSE IN THEIR FAMILIES. CAMP MARIPOSA GIVES THESE CHILDREN THE KNOWLEDGE, TOOLS, AND COPING SKILLS TO PREVENT THEM FROM DEVELOPING AN ADDICTION OF THEIR OWN AND TO HELP BREAK THE INTERGENERATIONAL CYCLE OF ADDICTION. THE MOYER FOUNDATION CURRENTLY OFFERS 45 CAMP WEEKENDS AT 8 LOCATIONS AROUND THE COUNTRY. 132878 65000 OTHER PROGRAM SERVICES - TO MEET ITS BROADER MISSION, THE FOUNDATION PROVIDES GRANTS AND SUPPORT TO 501(C)(3) NON-PROFIT ORGANIZATIONS THROUGHOUT WASHINGTON STATE AND THE US. 1657210 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 1 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 45 0 1 16 1 0 0 0 0 0 1 1 0 0 0 0 X 24 22 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 PA FL NY MD X KATHRYN FLEEGEL CONTROLLER 2676877724 ONE PENN CENTER 1617 JKF BLVD 935 PHILADELPHIA PA 19103 JAMIE MOYER PRESIDENT 10.00 X X 0 0 0 KAREN MOYER VICE-PRESIDENT 20.00 X X 0 0 0 DAVIS BAE BOARD MEMBER 4.00 X 0 0 0 ELLEN BARRY SECRETARY 4.00 X X 0 0 0 ANNE BLACKBURN BOARD MEMBER 4.00 X 0 0 0 CHRISTOPHER CASHMAN BOARD MEMBER 4.00 X 0 0 0 GREG DUNKLE BOARD MEMBER 4.00 X 0 0 0 DAVID FISCHER BOARD MEMBER 4.00 X 0 0 0 RICK GRIMALDI BOARD MEMBER 4.00 X 0 0 0 STEVEN GUGGENHEIMER BOARD MEMBER 4.00 X 0 0 0 HEATHER HAGER BOARD MEMBER 4.00 X 0 0 0 SUSAN HANSEN BOARD CHAIR 4.00 X X 0 0 0 RICHARD HENRIQUES BOARD MEMBER 4.00 X 0 0 0 SHELLEY HOLM BOARD MEMBER 4.00 X 0 0 0 SINESIA KAROL BOARD MEMBER 4.00 X 0 0 0 WILLIAM S KAROL BOARD MEMBER 4.00 X 0 0 0 BERTIL O LUNDH BOARD MEMBER 4.00 X 0 0 0 JOLENE MCCAW BOARD MEMBER 4.00 X 0 0 0 MR EDWARD RENDELL BOARD MEMBER 4.00 X 0 0 0 PAUL RIDDER BOARD MEMBER 4.00 X 0 0 0 JUDITH M VON SELDENECK BOARD MEMBER 4.00 X 0 0 0 BART WEAR BOARD MEMBER 4.00 X 0 0 0 EDDIE POPLAWSKI BOARD MEMBER 4.00 X 0 0 0 GEOFF WHITE TREASURER 4.00 X X 0 0 0 KEVIN SULLIVAN EXECUTIVE DIRECTOR 40.00 X 180000 0 5400 KAREN GALLAGHER DIRECTOR OF DEVELOPMENT & COMMUNICATIONS 40.00 X 103919 0 10146 283919 0 15546 2 0 1 0 CLIFTONLARSONALLEN LLP 610 GERMANTOWN PIKE SUITE 400 PLYMOUTH MEETING PA 19462 ACCOUNTING/BOOKEEPING 100980 1 1017994 1401390 233219 2419384 9758 9758 56431 56712 -281 -281 -281 303846 1017994 625863 -322017 -322017 2106844 0 0 -312540 775242 775242 185400 85005 24417 75978 601251 353583 92687 154981 19314 11320 2971 5023 50888 28407 7581 14900 70671 39450 10529 20692 91431 91431 54000 10740 38400 4860 12654 12654 11698 11698 2975 2975 87034 59491 6668 20875 88664 18951 23446 46267 121479 69066 30362 22051 71045 19738 18246 33061 14560 7961 3742 2857 11218 6385 3989 844 PROGRAM SUPPLIES 158632 158632 FRED HUTCH. EVENT PARTN 86070 86070 MISCELLANEOUS 18137 8840 7743 1554 DUES AND SUBSCRIPTIONS 11527 1424 6053 4050 2543890 1657210 379963 506717 208243 201186 111021 137504 1581457 1323693 52614 74167 12970 72672 301422 172646 129890 128776 1200267 1132703 10996 19751 3307458 3090452 108947 141824 151070 108947 292894 X 1226438 880511 1972073 1917047 3198511 2797558 3307458 3090452 -437046 36093 0 X 0 1 X 1 0 X 1437772 1245800 2576396 2643239 2419384 10322591 1437772 1245800 2576396 2643239 2419384 10322591 2469601 7852990 66345 42256 36017 41118 9758 195494 27504 27504 10545589 0.74470 0.73900 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 54000 54000 0 PART II-B, LINE 1: THE MOYER FOUNDATION CONTRACTED WITH A GOVERNMENT RELATIONS FIRM, THORN RUN PARTNERS, FOR CONSULTING SERVICES TO CULTIVATE AND STRENGTHEN RELATIONSHIPS WITH MEMBERS OF CONGRESS, ADVANCE THE LEGISLATIVE PROPOSAL TO FUND MILITARY SLOTS AT CAMP ERIN AND CAMP MARIPOSA LOCATIONS, AND TO SEEK OPPORTUNITIES TO WORK WITH MENTAL HEALTH AND ADDICTION ADVOCACY ORGANIZATIONS. 122947 37491 85456 127663 84343 43320 50812 50812 0 128776 3359804 36093 879239 349326 1264658 2095146 11698 11698 2106844 3760757 879239 349326 1228565 2532192 11698 11698 2543890 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES INCLUDED ON PAGE 9 LINE 8B 349,326. . PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES INCLUDED ON PAGE 9 LINE 8B 349,326. 0 0 0 0 0 0 0 0 0 0 NORTH AMERICA ESTABLISHMENT AND OPERATIONS OF CAMP ERIN 7500 CHECK 0 0 0 0 0 0 CELEBRITY GOLF CLASSIC 481375 224967 256408 1058 155660 44211 1120 166787 SEATTLE - CFC LUNCHEON 277771 260120 17651 811 17938 16840 18533 9 558424 528637 29787 2658 43878 156369 1317570 1013724 303846 4527 173598 104929 1120 341689 625863 -322017 1 ANNIE'S HOPE 1333 W LOCKWOOD SUITE 104 ST LOUIS MO 63122 431801433 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN CAMP MAGIK 3377 RIDGEWOOD ROAD NW ATLANTA GA 30327 582568545 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN CATHOLIC HOSPICE INC 14875 NW 77 AVENUE SUITE 100 MIAMI LAKES FL 33014 530196617 501(C)(3) 12500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN CENTER FOR LOSS AND BEREAVEMENT 3847 SKIPPACK PIKE PO BOX 1299 SKIPPACK PA 19438 233011941 501(C)(3) 10000 COMMUNITY GRANT TO EXPAND SUPPORT FOR GRIEVING CHILDREN CHRISTIAN WORKS FOR CHILDREN 6320 LBJ FREEWAY DALLAS TX 75240 751246028 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN COMMUNITY HEALTH NETWORK 9894 E 121ST STREET FISHERS IN 46037 350953467 501(C)(3) 15000 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN COMPASS HEALTH 4526 FEDERAL AVENUE MS 49 EVERETT WA 98203 911180810 501(C)(3) 40000 THE ESTABLISHMENT AND OPERATION OF CAMP MARIPOSA COPE CAMP ERIN PO BOX 1251 MELVILLE NY 11747 311670416 501(C)(3) 10000 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN COUNCIL FOR RELATIONSHIPS 4025 CHESTNUT ST FLOOR 1 PHILADELPHIA PA 19104 236297362 501(C)(3) 7500 COMMUNITY GRANT TO EXPAND SUPPORT FOR GRIEVING CHILDREN ELIZABETH HOSPICE 930 CANTERBURY PLACE ESCONDIDO CA 92025 953275679 501(C)(3) 12500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN FAIRVIEW YOUTH GRIEF SERVICES 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 410991680 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN FERNSIDE 4380 MALSBARY ROAD SUITE 300 CINCINNATI OH 45242 311179234 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN FOREFRONT 4101 15TH AVE NE BOX 354900 SEATTLE WA 98195 943079432 501(C)(3) 5000 COMMUNITY GRANT TO EXPAND SUPPORT FOR GRIEVING CHILDREN GOOD SAMARITAN HOSPICE 3500 BROOKTREE ROAD STE 320 WEXFORD PA 15090 251818793 501(C)(3) 15000 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN HEALING HEARTS ASSOCIATION 3401 SUNFLOWER AVENUE SUITE 125 SANTA ANA CA 92704 861098602 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN HENRY FORD HOSPICE ONE FORD PLACE DETROIT MI 48202 237383042 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN HINSDALE HOSPITAL FOUNDATION 120 NORTH OAK STREET HINSDALE IL 60521 521466387 501(C)(3) 28551 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN HOSPICE BY THE BAY 17 E SIR FRANCIS DRAKE BLVD LARKSPUR CA 94939 942890791 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN HOSPICE CARE TEAM INC 1708 N AMBURN RD SUITE C TEXAS CITY TX 77591 742188540 501(C)(3) 10000 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN HOSPICE OF ANCHORAGE 500 W INTERNATIONAL AIRPORT RD C ANCHORAGE AK 99518 920018009 501(C)(3) 15000 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN HOSPICE OF KONA PO BOX 4130 KAILUA KONA HI 96745 990246297 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN HOSPICE OF RUTHERFORD COUNTY PO BOX 336 FOREST CITY NC 28043 561337169 501(C)(3) 11145 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN JEWISH FAMILY & CHILDREN'S SERVICES 2688 FRUITVILLE RD SARASOTA FL 34237 592693318 501(C)(3) 38333 THE ESTABLISHMENT AND OPERATION OF CAMP MARIPOSA KANSAS CITY HOSPICE & PALLIATIVE CARE 9221 WARD PARKWAY 100 KANSAS CITY MO 64114 431724085 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN KARA INC 457 KINGSLWY AVENUE PALO ALTO CA 94301 943431483 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN KENT STATE UNIVERSITY PO BOX 5190 KENT OH 44242 316402079 501(C)(3) 58880 PROVIDE SUPPORT FOR BEREAVEMENT RESEARCH MOTHERS IN CHARGE 1415 N BROAD ST SUITE 229 PHILADELPHIA PA 19122 300185280 501(C)(3) 10000 COMMUNITY GRANT TO EXPAND SUPPORT FOR GRIEVING CHILDREN MT SINAI HOSPITAL'S MAX & BEA CENTRE 5690 CAVENDISH BLVD CTE-SAINT-LUC QUEBEC CA H4W 1S7 980210704 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN NATHAN ADELSON HOSPICE 4141 SWENSON ST LAS VEGAS NV 89119 880197147 501(C)(3) 25000 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN OAKLAWN PSYCHIATRIC CENTER 2600 OAKLAND AVE ELKHART IN 46517 351070041 501(C)(3) 40000 THE ESTABLISHMENT AND OPERATION OF CAMP MARIPOSA OUR HOUSE GRIEF SUPPORT CENTER 1663 SAWTELLE BLVD 300 LOS ANGELES CA 90025 330529915 501(C)(3) 15000 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN PARMENTER COMMUNITY HEALTH CARE 266 COCHITUATE ROAD WAYLAND MA 01778 042176769 501(C)(3) 12500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN PEOPLE HOUSE 7865 E MISSISSIPPI AVE 405 DENVER CO 80247 841445569 501(C)(3) 25000 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN PHILADELPHIA OUTWARD BOUND 3250 W SEDGLEY DR PHILADELPHIA PA 19130 562472884 501(C)(3) 6000 COMMUNITY GRANT TO EXPAND SUPPORT FOR GRIEVING CHILDREN PROVIDENCE HOSPICE OF SEATTLE 425 PONTIUS AVENUE NORTH NO 300 SEATTLE WA 98109 912077378 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN ROBERTA'S HOUSE 5719 YORK ROAD BALTIMORE MD 21212 260517415 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN SAFE HARBOR SUPPORT CENTER 1111 N GRANT PLACE KENNEWICK WA 99336 911725914 501(C)(3) 7300 COMMUNITY GRANT TO EXPAND SUPPORT FOR GRIEVING CHILDREN SAN DIEGO YOUTH SERVICES 3255 WING STREET SAN DIEGO CA 92110 952648050 501(C)(3) 39999 THE ESTABLISHMENT AND OPERATION OF CAMP MARIPOSA SHIELDS FOR FAMILIES 11601 S WESTERN AVE LOS ANGELES CA 90047 954336420 501(C)(3) 60000 THE ESTABLISHMENT AND OPERATION OF CAMP MARIPOSA THE CHAPLAINCY - CORK'S PLACE 1480 FOWLER ST RICHLAND WA 99352 910913590 501(C)(3) 10000 COMMUNITY GRANT TO EXPAND SUPPORT FOR GRIEVING CHILDREN THE COMMUNITY HOSPICE 295 VALLEY VIEW BLVD RENSSELAER NY 12144 141608931 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN THE COVE CENTER FOR GRIEVING CHILDREN 250 POMEROY AVE MERIDEN CT 06450 061546563 501(C)(3) 25000 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN THE PENN FOUNDATION PO BOX 32 SELLERSVILLE PA 18960 231496225 501(C)(3) 43334 THE ESTABLISHMENT AND OPERATION OF CAMP MARIPOSA TIDES PO BOX 1251 STATE COLLEGE PA 16804 208581158 501(C)(3) 6000 COMMUNITY GRANT TO EXPAND SUPPORT FOR GRIEVING CHILDREN TU NIDITO CHILDREN AND FAMILY SERVICES 3922 N MOUNTAIN AVE TUSCON AZ 85719 860769031 501(C)(3) 12500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN UNIVERSITY OF PENN WISSAHICKON HOSPICE 150 MONUMENT ROAD BALA CYNWYD PA 19004 232152662 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN VNA CALIFORNIA 42-600 COOK S SUITE 200 PALM DESERT CA 92211 951641973 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN WENDT CENTER FOR LOSS AND HEALING 4201 CONNECTICUT AVE NW SUITE 300 WASHINGTON DC 20008 521095105 501(C)(3) 7500 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN WILLOW CENTER INC PO BOX 1361 LEWISTON ID 83501 820517414 501(C)(3) 10000 THE ESTABLISHMENT AND OPERATION OF CAMP ERIN OTHER GRANTS UNDER 5000 3200 COMMUNITY GRANT TO EXPAND SUPPORT FOR GRIEVING CHILDREN 49 PART I, LINE 2: THE MOYER FOUNDATION REQUIRES GRANTEES TO SUBMIT POST GRANT PERIOD REPORTS ON USE OF THE FUNDS. THESE REPORTS ARE REVIEWED TO DETERMINE THAT THE FUNDS WERE USED IN ACCORDANCE WITH THE GRANT. X X 0 0 0 0 0 0 0 0 0 KEVIN SULLIVAN EXECUTIVE DIRECTOR 180000 0 0 0 0 0 5400 0 0 0 185400 0 0 0 BERT LUNDH DIRECTOR 58500 MONTHLY RENT ON OFFICE BUILDING 0 X 3 56431 FMV X PROGRAM SUPPLIES 42 107135 ESTIMATED FMV X AUCTION ITEMS 68 42688 ESTIMATED FMV X GIFTS & PRIZES 1795 23766 ESTIMATED FMV X OFFICE SUPPLIES 12 3199 ESTIMATED FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 THE FOUNDERS JAMIE AND KAREN MOYER ARE MARRIED. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS EMAILED TO EACH BOARD MEMBER. THE FINANCE COMMITTEE REVIEWS AND DISCUSSES THE DRAFT BEFORE IT IS COMPLETED AND THE FINAL FORM 990 IS DISCUSSED AT THE FULL BOARD MEETING FOLLOWING ITS COMPLETION. FORM 990, PART VI, SECTION B, LINE 12C AS ISSUES ARE PRESENTED TO THE BOARD THEY ARE INDIVIDUALLY REVIEWED TO DETERMINE IF A CONFLICT OF INTEREST HAS ARISEN OR WILL ARISE. FORM 990, PART VI, SECTION B, LINE 15A COMPARABLE EXECUTIVE SALARIES ARE PROVIDED TO THE BOARD BY AN INDEPENDENT PARTY. THE BOARD THEN REVIEWS THE EXECUTIVE DIRECTOR'S SALARY AND DETERMINES COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.