MICHELLE LYNN HOLSEY FOUNDATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MICHELLE LYNN HOLSEY FOUNDATION (EIN 20-5503706)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201513209349313521
Schema version
2014v5.0
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)
Return2015-11-16T16:46:48-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN752393478PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WHITLEY PENN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13411 RICHMOND AVE SUITE 500AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77046ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205503706EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE MICHELLE LYNN HOLSEY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMICHBusinessNameControlTxt
Phone9365447200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 652AddressLine1Txt
CityCROCKETTCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75835ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBARRINGTON LEE HOLSEYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9365447200PhoneNum
Signature2015-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN NULLPreparerPersonNm
PTINP01359739PTIN
Phone7136211515PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBARRINGTON LEE HOLSEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 652AddressLine1Txt
CityCROCKETTCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75835ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$454,658GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MICHELLELYNNHOLSEY.COMWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Other Organization Dsc501 (C)(3)OtherOrganizationDsc
Formation2006FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTHE FOUNDATION'S PRIMARY PURPOSE IS TO PROVIDE FUNDING FOR INDIVIDUALS IN NEED OF MEDICAL TREATMENT, FUNDING FOR RESEARCH AND EDUCATION AND ACCESSIBILITY TO NEW INNOVATIVE TREATMENTS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$45,623PYContributionsGrantsAmt
CY Contributions Grants$56,439CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$9,123PYInvestmentIncomeAmt
CY Investment Income$30,544CYInvestmentIncomeAmt
PY Other Revenue$69,434PYOtherRevenueAmt
CY Other Revenue$131,461CYOtherRevenueAmt
PY Total Revenue$124,180PYTotalRevenueAmt
CY Total Revenue$218,444CYTotalRevenueAmt
PY Grants And Similar Paid$54,682PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$70,530CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$19,953PYOtherExpensesAmt
CY Other Expenses$21,255CYOtherExpensesAmt
PY Total Expenses$74,635PYTotalExpensesAmt
CY Total Expenses$91,785CYTotalExpensesAmt
PY Revenues Less Expenses$49,545PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$126,659CYRevenuesLessExpensesAmt
Total Assets BOY$518,101TotalAssetsBOYAmt
Total Assets EOY$644,760TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$518,101NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$644,760NetAssetsOrFundBalancesEOYAmt
MissionTHE FOUNDATION'S PRIMARY PURPOSE IS SUPPORTING MEN, WOMEN AND CHILDREN IN THEIR QUEST TO BATTLE CANCER AND OTHER DEBILITATING DISEASES WHILE FUNDING INNOVATIVE RESEARCH AND SUPPORTING EDUCATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$63,030ExpenseAmt
Grant$63,030GrantAmt
DescTHE MICHELLE LYNN HOLSEY FOUNDATION OFFERS NEED BASED GRANTS FOR PATIENTS WHO HAVE BEEN AFFECTED BY CANCER OR OTHER DEBILITATING DISEASES. THE GRANTS CAN BE USED FOR TREATMENT, MEDICAL BILLS, MEDICINE, TRANSPORTATION TO AND FROM TREATMENT AND HOUSING AND LIVING EXPENSES DURING TREATMENT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$7,500ExpenseAmt
Grant$7,500GrantAmt
DescTHE FOUNDATION PROVIDES SUPPORT TO HOUSTON COUNTY SENIORS TO ASSIST THEM WITH FURTHERING THEIR EDUCATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$70,530TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARLA CAMPBELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9365440744PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1209 S 4TH STAddressLine1Txt
CityCROCKETTCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75835ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
LINDA HOLSEY
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL CAMPBELL
DIRECTOR1.00Yes (X)$0$0$0
SHARON KENLEY
FUNDRAISING CHAIRMAN1.00Yes (X)$0$0$0
MARK STILES
DIRECTOR1.00Yes (X)$0$0$0
BARRINGTON LEE HOLSEY
PRESIDENT1.00$0$0$0Yes (X)
WAYNE CAMPBELL
VICE PRESIDENT1.00$0$0$0Yes (X)
MARY ANN LIGHTSEY
TREASURER1.00$0$0$0Yes (X)
MARLA CAMPBELL
SECRETARY1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$43,088FundraisingAmt
All Other Contributions$13,351AllOtherContributionsAmt
Total Contributions$56,439TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,361TotalRevenueColumnAmt
Exclusion$10,361ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$20,183SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$20,183SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,183TotalRevenueColumnAmt
Exclusion$20,183ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$367,675FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$43,088ContriRptFundraisingEventAmt
Fundraising Direct Expenses$236,214FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$131,461TotalRevenueColumnAmt
Exclusion$131,461ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$218,444TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$162,005ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$70,530TotalAmt
Program Services$70,530ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,700TotalAmt
Management And General$4,700ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,882TotalAmt
Management And General$1,882ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$363TotalAmt
Management And General$363ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$280TotalAmt
Management And General$280ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT LABOR$11,759$11,759
POSTAGE AND MAILING$927$927
CREDIT CARD PROCESSING$808$808
PRINTING AND COPYING$536$536

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$91,785TotalAmt
Program Services$70,530ProgramServicesAmt
Management And General$21,255ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$144,739BOYAmt
EOY$175,978EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,001BOYAmt
EOY$2,500EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$368,361BOYAmt
EOY$466,282EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$518,101BOYAmt
EOY$644,760EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$518,101BOYAmt
EOY$644,760EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$518,101BOYAmt
EOY$644,760EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$518,101BOYAmt
EOY$644,760EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$126,659ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,258CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,225CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$47,206CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,788CurrentTaxYearMinus1YearAmt
Current Tax Year$13,351CurrentTaxYearAmt
Total$83,828TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$287,226CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$280,495CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$367,099CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$363,785CurrentTaxYearMinus1YearAmt
Current Tax Year$410,763CurrentTaxYearAmt
Total$1,709,368TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$296,484CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$286,720CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$414,305CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$371,573CurrentTaxYearMinus1YearAmt
Current Tax Year$424,114CurrentTaxYearAmt
Total$1,793,196TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,793,196PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,726CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,036CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,487CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,123CurrentTaxYearMinus1YearAmt
Current Tax Year$10,361CurrentTaxYearAmt
Total$46,733TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,726CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,036CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,487CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,123CurrentTaxYearMinus1YearAmt
Current Tax Year$10,361CurrentTaxYearAmt
Total$46,733TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$306,210CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$293,756CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$424,792CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$380,696CurrentTaxYearMinus1YearAmt
Current Tax Year$434,475CurrentTaxYearAmt
Total$1,839,929TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97460PublicSupportCY509Pct
Public Support PY5090.97420PublicSupportPY509Pct
Investment Income CY0.02540InvestmentIncomeCYPct
Investment Income PY0.02580InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
MUTUAL FUNDS$407,020C
UNIT TRUSTS$17,920C
MUNICIPAL BONDS$41,342C
FieldValueIRS element (for citing)
Total Book Value Securities$466,282TotalBookValueSecuritiesAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CONCERT AND AUCTIONEvent1Nm
Gross Receipts Event1$193,205GrossReceiptsEvent1Amt
Charitable Contri Event1$4,708CharitableContriEvent1Amt
Gross Revenue Event1$188,497GrossRevenueEvent1Amt
Rent Facility Costs Event1$2,373RentFacilityCostsEvent1Amt
Food And Beverage Event1$23,100FoodAndBeverageEvent1Amt
Entertainment Event1$17,822EntertainmentEvent1Amt
Other Direct Expenses Event1$17,217OtherDirectExpensesEvent1Amt
Event2TEAM CUTTING COMPETITIONEvent2Nm
Gross Receipts Event2$208,988GrossReceiptsEvent2Amt
Charitable Contri Event2$34,970CharitableContriEvent2Amt
Gross Revenue Event2$174,018GrossRevenueEvent2Amt
Cash Prizes Event2$79,143CashPrizesEvent2Amt
Non Cash Prizes Event2$18,514NonCashPrizesEvent2Amt
Rent Facility Costs Event2$1,320RentFacilityCostsEvent2Amt
Food And Beverage Event2$1,964FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$74,761OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$8,570GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$3,410CharitableContriOtherEventsAmt
Gross Revenue Other Events$5,160GrossRevenueOtherEventsAmt
Gross Receipts Total$410,763GrossReceiptsTotalAmt
Charitable Contributions Tot$43,088CharitableContributionsTotAmt
Gross Revenue Total Events$367,675GrossRevenueTotalEventsAmt
Cash Prizes Total Events$79,143CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$18,514NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$3,693RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$25,064FoodAndBeverageTotalEventsAmt
Entertainment Total Events$17,822EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$91,978OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$236,214DirectExpenseSummaryEventsAmt
Net Income Summary$131,461NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
TREATMENT GRANTS36$63,030CASH
EDUCATIONAL GRANTS8$7,500CASH

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION FOLLOWS UP WITH RECIPIENTS TO ENSURE THAT GRANTS ARE USED FOR MEDICAL AND EDUCATIONAL PURPOSES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE PRESIDENT AND TREASURER REVIEW THE 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S 990 IS AVAILABLE FOR PUBLIC INSPECTION UPON WRITTEN REQUEST.

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