2014-07-15T07:59:07-05:00 2013-12-31 223696669 SMOLIN LUPIN & CO PA 331 NEWMAN SPRINGS RD - SUITE 145 RED BANK NJ 07701 990 2013-05-01 462766060 THE MYA LIN TERRY FOUNDATION INC MYAL 7328619236 1637 FINDERNE STREET OAKHURST NJ 07755 KELLY TERRY PRESIDENT 7328619236 2014-07-14 LAURA DITOMMASO P00354548 7329339300 2013 2015-11-30 17:44:51Z X KELLY TERRY 1637 FINDERNE STREET OAKHURST NJ 07755 254791 0 X THEMYALINTERRYFOUNDATION.ORG X 2013 NJ CREATE AWARENESS, GENERATE RESOURCES, IDENTIFY CAUSES, SUPPORT NEW TREATMENT OPTIONS LEADING TO CURES AND ELIMINATES NATIONAL AND CRITICAL DRUG SHORTAGES AFFECTING PEDIATRIC CANCER PATIENTS. 38 32 0 35 0 0 245736 0 0 7943 253679 11825 0 0 0 0 6548 18373 235306 235306 0 235306 ENRICH THE LIVES OF PEDIATRIC CANCER PATIENTS' EXPERIENCE WITH HOPE LOVE AND JOY; CREATE AWARENESS, GENERATE RESOURCES, IDENTIFY CAUSES, SUPPORT NEW TREATMENT OPTIONS LEADING TO CURES AND ELIMINATE NATIONAL AND CRITICAL DRUG SHORTGAGES AFFECTING PEDICATIC CANCER PATIENTS. 0 0 17333 11825 GRANTS TO CHILDREN AND THEIR FAMILIES. SUPPORT SERVICES AND ACTIVITIES. 17333 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 38 32 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 NJ X TREASURER OF THE FOUNDATION 7328619236 1637 FINDERNE STREET OAKHURST NJ 07755 X KELLY TERRY PRESIDENT 5.00 X X 0 0 0 KASEY PICKETT EXECUTIVE PRESIDENT 5.00 X X 0 0 0 PATRICIA IRVIN TREASURER 5.00 X X 0 0 0 0 0 0 0 0 0 0 0 245736 217000 245736 9055 1112 7943 7943 253679 0 0 7943 11825 11825 5200 4160 1040 188 188 250 250 REGISTRATION FEES 910 910 18373 17333 1040 0 18306 217000 0 217000 0 235306 0 0 X 235306 0 235306 0 235306 235306 0 X 0 0 0 X 245736 245736 245736 245736 0 0 0 245736 245736 245736 1.00000 0.00000 X SCHEDULE A FOUNDATION WAS FORMED MAY 13, 2013. THIS IS THE INITIAL FILING OF THE FOUNDATION'S INFORMATION RETURN. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 217000 217000 217000 0 FINANCIAL ASSISTANCE FOR MEDICAL AND HOUSEHOLD EXPENSES AND GIFTS TO CHILDREN 10 11825 X 1 217000 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 PRESIDENT KELLY TERRY AND EXECUTIVE PRESIDENT KASEY PICKETT ARE SISTERS. TREASURER PATRICIA IRVIN IS THE MOTHER OF KELLY TERRY AND KASEY PICKETT. TRUSTEE BEVIN IRVIN IS THE HUSBAND OF PATRICIA IRVIN AND FATHER OF KELLY TERRY AND KASEY PICKETT. TRUSTEE KENNETH PICKETT IS THE HUSBAND OF KASEY PICKETT. FORM 990, PART VI, SECTION B, LINE 11 PRESIDENT KELLY TERRY WILL DISSEMINATE FORM 990 ELECTRONICALLY TO EACH BOARD MEMBER AND RECORD THEIR RECEIPT PRIOR TO SIGNING AND RETURNING THE ELECTRONIC FILING AUTHORIZATION FORM TO PREPARER. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. MISSION STATEMENT IS ON FOUNDATION WEBSITE.