VITALOGY FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
VITALOGY FOUNDATION (EIN 20-1030462)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201413189349308261
Schema version
2013v3.0
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)
Return2014-11-14T15:47:32-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271574632PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FBMM TAX PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 340020AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code372030020ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201030462EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VITALOGY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlVITABusinessNameControlTxt
Phone6153299902PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O FBMM INC PO BOX 340020AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code372030020ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTONE C GOSSARDPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6153299902PhoneNum
Signature2014-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROGER W DUNAWAY IIIPreparerPersonNm
PTINP00815324PTIN
Phone6153299902PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTONE C GOSSARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O FBMM INC PO BOX 340020AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code372030020ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,102,736GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO RAISE FUNDS THROUGH DONATIONS FROM THE GENERAL PUBLIC IN ORDER TO SUPPORT OTHER NONPROFIT 501(C)3 ORGANIZATIONS AND GOVERNMENTAL INSTITUTIONS THROUGH CHARITABLE DONATIONS AND GRANTS WHICH ARE TO BE USED FOR EDUCATIONAL, CHARITABLE, RELIGIOUS, SCIENTIFIC, LITERARY AND/OR CONSERVATION PURPOSES.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$245,320PYContributionsGrantsAmt
CY Contributions Grants$1,066,775CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,011PYInvestmentIncomeAmt
CY Investment Income$1,083CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$34,878CYOtherRevenueAmt
PY Total Revenue$247,331PYTotalRevenueAmt
CY Total Revenue$1,102,736CYTotalRevenueAmt
PY Grants And Similar Paid$373,880PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$616,761CYGrantsAndSimilarPaidAmt
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$3,573CYTotalFundraisingExpenseAmt
PY Other Expenses$60,533PYOtherExpensesAmt
CY Other Expenses$42,776CYOtherExpensesAmt
PY Total Expenses$434,413PYTotalExpensesAmt
CY Total Expenses$659,537CYTotalExpensesAmt
PY Revenues Less Expenses-$187,082PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$443,199CYRevenuesLessExpensesAmt
Total Assets BOY$625,615TotalAssetsBOYAmt
Total Assets EOY$1,068,814TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$625,615NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,068,814NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO RAISE FUNDS THROUGH DONATIONS FROM THE GENERAL PUBLIC IN ORDER TO SUPPORT OTHER NONPROFIT 501(C)3 ORGANIZATIONS AND GOVERNMENTAL INSTITUTIONS THROUGH CHARITABLE DONATIONS AND GRANTS WHICH ARE TO BE USED FOR EDUCATIONAL, CHARITABLE, RELIGIOUS, SCIENTIFIC, LITERARY AND/OR CONSERVATION PURPOSES.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$624,563ExpenseAmt
Grant$613,761GrantAmt
DescGRANTS AWARDED TO SPECIFIC CHARITABLE ORGANIZATIONS AND INDIVIDUALS CHOSEN BY THE OFFICERS OF THE FOUNDATION IN ACCORDANCE WITH THE PRIMARY PURPOSE OF VITALOGY FOUNDATION'S EXEMPT STATUS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,032ExpenseAmt
Grant$3,000GrantAmt
DescVITALOGY FOUNDATION SERVED AS THE FISCAL SPONSOR FOR HEAL EB, AN IRS APPROVED 501(C)(3) ORGANIZATION BETWEEN AUGUST 2013 THROUGH MAY 2014. HEAL EB IS AN ORGANIZATION DEDICATED TO TREATING AND FINDING A CURE FOR EPIDERMOLYSIS BULLOSA (EB). ONE GRANT FROM THE HEAL EB RESTRICTED FUNDS WAS MADE DURING 2013. ALL REMAINING RESTRICTED FUNDS WERE GRANTED TO 501(C)(3) ORGANIZATIONS THAT WERE APPROVED BY HEAL EB, AND SUPPORTED HEAL EB'S MISSION, IN 2014.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$629,595TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
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 ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
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 Line1FBMM INC CO JAMIE CHEEKBusinessNameLine1
FieldValueIRS element (for citing)
Phone6153299902PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 340020AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code372030020ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JEFFREY A AMENT
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
MICHAEL D MCCREADY
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
EDDIE J VEDDER
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
KELLY CURTIS
SECRETARY1.00Yes (X)Yes (X)$0$0$0
STONE C GOSSARD
TREASURER1.00Yes (X)Yes (X)$0$0$0
MATTHEW D CAMERON
DIRECTOR1.00Yes (X)$0$0$0
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
All Other Contributions$1,066,775AllOtherContributionsAmt
Total Contributions$1,066,775TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,083TotalRevenueColumnAmt
Exclusion$1,083ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CANADIAN TAX REFUND711130$33,236$33,236
EXPENSE REIMBURSEMENTS711130$1,642$1,642
FieldValueIRS element (for citing)
Other Revenue Total$34,878OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,102,736TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$35,961ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$599,649TotalAmt
Program Services$599,649ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$6,112TotalAmt
Program Services$6,112ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$11,000TotalAmt
Program Services$11,000ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,323TotalAmt
Program Services$1,756ProgramServicesAmt
Management And General$2,567ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,756TotalAmt
Program Services$1,872ProgramServicesAmt
Management And General$1,884ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,863TotalAmt
Program Services$8,931ProgramServicesAmt
Management And General$5,359ManagementAndGeneralAmt
Fundraising$3,573FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,946TotalAmt
Program Services$275ProgramServicesAmt
Management And General$12,671ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,147TotalAmt
Management And General$1,147ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescFOREIGN TAXES PAIDDesc
Total$2,741TotalAmt
Management And General$2,741ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$659,537TotalAmt
Program Services$629,595ProgramServicesAmt
Management And General$26,369ManagementAndGeneralAmt
Fundraising$3,573FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,144BOYAmt
EOY$209,297EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$608,471BOYAmt
EOY$859,517EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$625,615BOYAmt
EOY$1,068,814EOYAmt

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$625,615BOYAmt
EOY$885,286EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$183,528EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$625,615BOYAmt
EOY$1,068,814EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$625,615BOYAmt
EOY$1,068,814EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$443,199ReconcilationRevenueExpnssAmt
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$341,986CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$344,950CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$707,154CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$245,320CurrentTaxYearMinus1YearAmt
Current Tax Year$1,066,775CurrentTaxYearAmt
Total$2,706,185TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$341,986CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$344,950CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$707,154CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$245,320CurrentTaxYearMinus1YearAmt
Current Tax Year$1,066,775CurrentTaxYearAmt
Total$2,706,185TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,706,185PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,969CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,710CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,489CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,011CurrentTaxYearMinus1YearAmt
Current Tax Year$1,083CurrentTaxYearAmt
Total$10,262TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year$34,878CurrentTaxYearAmt
Total$34,878TotalAmt
FieldValueIRS element (for citing)
Total Support$2,751,325TotalSupportAmt
Public Support CY1700.98360PublicSupportCY170Pct
Public Support PY1700.99140PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedGRANTMAKINGTypeOfActivitiesConductedTxt
Region Total Expenditures$11,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$11,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$11,000TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Purpose Of GrantRELIEF FUNDPurposeOfGrantTxt
Cash Grant$11,000CashGrantAmt
Manner Of Cash DisbursementCASH PAYMENTMannerOfCashDisbursementTxt
Non Cash Assistance$0NonCashAssistanceAmt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationMONITORING GRANTS OUTSIDE THE UNITED STATES: VITALOGY FOUNDATION REQUESTS LETTERS FROM THE OUTSIDE ORGANIZATIONS BEGINNING SIX (6) MONTHS AFTER THE GRANT WAS PAID. THESE LETTERS MUST DETAIL HOW THE GRANT IS BEING USED, AND IF ANY FUNDS REMAIN, HOW THE REMAINING FUNDS WILL BE USED. THESE LETTERS CONTINUE TO BE REQUESTED BY VITALOGY FOUNDATION UNTIL THE GRANT HAS BEEN USED IN FULL.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (20 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2
826 SEATTLE
8414 GREENWOOD AVENUE NORTHSEATTLEWA98113412127333501(C)(3)$6,000$0N/AN/AGENERAL SUPPORT FUND
AHERO INC
1557 COLLEGE COURTMONTGOMERYAL36106453704451501(C)(3)$10,000$0N/AN/AGENERAL SUPPORT FUND
ADVOCACY FOR PATIENTS WITH CHRONIC ILLNESS INC
195 FARMINGTON AVENUE SUITE 306FARMINGTONCT06032830415607501(C)(3)$10,000$0N/AN/AGENERAL SUPPORT FUND
AIR TRAFFIC CONTROL EDUCATION FUND INC
1475 15TH STREETSAN FRANCISCOCA94103721600331501(C)(3)$10,000$0N/AN/AGENERAL SUPPORT FUND
ARTS CORPS
4408 DELRIDGE WAY SW 110SEATTLEWA98106912044679501(C)(3)$10,000$0N/AN/AGENERAL SUPPORT FUND
CREATIVE VISIONS FOUNDATION
18820 PACIFIC COAST HIGHWAY SUITEMALIBUCA90265391902814501(C)(3)$54,120$0N/AN/AGENERAL SUPPORT FUND201
DOWNTOWN EMERGENCY SERVICE CENTER (DESC)
515 THIRD AVENUESEATTLEWA98104911275815501(C)(3)$10,000$0N/AN/AGENERAL SUPPORT FUND
FRIENDS OF KEXP
113 DEXTER AVENUE NORTHSEATTLEWA98109912061474501(C)(3)$60,000$0N/AN/AGENERAL SUPPORT FUND
GLOBAL POVERTY PROJECT
594 BROADWAY SUITE 207NEW YORKNY10012421772557501(C)(3)$10,000$0N/AN/AGENERAL SUPPORT FUND
MARWEN
833 NEW ORLEANS STREETCHICAGOIL60610363523622501(C)(3)$41,585$0N/AN/AGENERAL SUPPORT FUND
MARY'S PLACE
PO BOX 1711SEATTLEWA98111272087950501(C)(3)$10,000$0N/AN/AGENERAL SUPPORT FUND
NORTHWEST HARVEST
PO BOX 12272SEATTLEWA98102910826037501(C)(3)$10,000$0N/AN/AGENERAL SUPPORT FUND
SEATTLE CHILDRENS HOSPITAL
PO BOX 5371SEATTLEWA98145911156519501(C)(3)$64,120$0N/AN/AGENERAL SUPPORT FUND
SEATTLE MUSIC PARTNERS
4533 SUNNYSIDE AVENUE NORTHSEATTLEWA98103208258002501(C)(3)$54,120$0N/AN/AGENERAL SUPPORT FUND
SEATTLE'S UNION GOSPEL MISSION
PO BOX 202SEATTLEWA98111910595029501(C)(3)$10,000$0N/AN/AGENERAL SUPPORT FUND
SOUTH CHICAGO ART CENTER
3217 E 91ST STREETCHICAGOIL60617753152211501(C)(3)$41,585$0N/AN/AGENERAL SUPPORT FUND
TREEHOUSE
2100 24TH AVENUE SOUTH SUITE 200SEATTLEWA98144911425676501(C)(3)$20,000$0N/AN/AGENERAL SUPPORT FUND
UNITED WAY OF CENTRAL OKLAHOMA
PO BOX 837OKLAHOMA CITYOK73101730589829501(C)(3)$20,000$0N/AN/ATORNADO RELIEF FUND
WAR CHILD USA INC
200 DELAWARE AVENUE AVANT BUILDINGBUFFALONY142022107200994157501(C)(3)$54,120$0N/AN/AGENERAL SUPPORT FUNDSUITE 900
YOUTHCARE
2500 NE 54TH STREETSEATTLEWA98105910917079501(C)(3)$50,000$0N/AN/AGENERAL SUPPORT FUND
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeDIRECT CASH ASSISTANCE TO AN INDIGENT INDIVIDUAL FOR FOOD, CLOTHING, SHELTER, AND TUITION ASSISTANCE.GrantTypeTxt
Recipient1RecipientCnt
Cash Grant$1,250CashGrantAmt
Non Cash Assistance$4,862NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceNON-CASH ASSISTANCE IS COMPRISED OF COLLEGE TUITION AND EXPENSES FOR BOOKS, SUPPLIES, AND BOARDING.NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationVITALOGY FOUNDATION SELECTS GRANTEES THROUGH AN INTERNAL PROCESS WITH THE FOUNDATION'S BOARD OF DIRECTORS. EACH POTENTIAL GRANTEE'S REQUEST IS REVIEWED BY EACH BOARD MEMBER TO ENSURE IT MEETS THE VITALOGY FOUNDATION'S MISSION GUIDELINES AND THE CHARITY WILL USE THE GRANT EXCLUSIVELY TO CARRY OUT THE "AS DETAILED" CHARITABLE PROJECT, OR FOR GENERAL OPERATIONS, EXCLUSIVELY FOR EXEMPT PURPOSES. ONCE THE GRANTEE HAS BEEN APPROVED, VITALOGY FOUNDATION PROVIDES THE CHARITY WITH A GRANTEE FORM THAT REQUESTS DETAILED INFORMATION ON THE ORGANIZATION INCLUDING ITS TAX ID NUMBER, IRS TAX DETERMINATION LETTER, AS WELL AS THE FUNDS REQUESTED AND HOW THEY WILL BE USED, A DISCLAIMER THAT NO GOODS OR SERVICES WERE EXCHANGED FOR THE GRANT, AND A REQUEST FOR UPDATES AND REPORTS. AFTER THE GRANTEE FORM IS IN HAND, THE CHARITY IS SENT THE FUNDS ALONG WITH THE FOUNDATION'S DONATION ACKNOWLEDGEMENT LETTER WHICH REQUESTS A SIGNATORY BACK CONFIRMING RECEIPT OF THE FUNDS. VITALOGY FOUNDATION FOLLOWS-UP WITH THE GRANTEES TO ENSURE THEY ARE ADHERING TO OUR GUIDELINES THROUGH REGULAR PHONE CALLS AS WELL AS REQUESTING WRITTEN UPDATES EVERY SIX MONTHS. THE VITALOGY FOUNDATION TEAM ALSO MAKES SITE VISITS TO SELECT LARGER SCALE GRANTEES TO GET FIRST HAND KNOWLEDGE OF HOW THE FUNDS ARE BEING APPLIED/DISPERSED IN THE FIELD. FROM THESE REPORTS AND CORRESPONDENCE WITH THE GRANTEE, THE VITALOGY FOUNDATION TEAM PROVIDES UPDATES TO THE BOARD OF DIRECTORS TWO WAYS; THROUGH WEEKLY PROJECT UPDATES AND THROUGH A MORE DETAILED ANNUAL PROJECT UPDATE AS WARRANTED BASED UPON THE SIZE OF THE GRANT. TO TRACK THESE PROJECTS, THE GRANTEES' WRITTEN REPORTS, TEAM CORRESPONDENCE, AND BOARD UPDATES ARE FILED ALONG WITH THE CORRESPONDING GRANTEE FORM AND IRS LETTER ACKNOWLEDGEMENT. INTERNALLY, VITALOGY FOUNDATION KEEPS A RUNNING CONTRIBUTION SUMMARY OF ALL BEQUEATHS TO DATE BY YEAR THAT INCLUDES TRACKING ON UPDATES RECEIVED BY GRANTEES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6, TOTAL NUMBER OF VOLUNTEERS:THE TOTAL NUMBER OF VOLUNTEERS CONSISTS OF THE SIX NON-COMPENSATED BOARD MEMBERS.
FORM 990, PART III, LINE 2VITALOGY FOUNDATION SERVED AS THE FISCAL SPONSOR FOR A SEPARATE 501(C)(3) ORGANIZATION NAMED HEAL EB. VITALOGY FOUNDATION TREATS ALL FUNDS FOR THE PURPOSE OF THIS PROGRAM AS RESTRICTED UNDER THE CHARITABLE TRUST DOCTRINE.
FORM 990, PART VI, SECTION A, LINE 2EXPLANATION OF BUSINESS RELATIONSHIP WITH OTHER OFFICERS OR DIRECTORS: ALL MEMBERS OF THE BOARD HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS REVEIWED BY AN OUTSIDE CPA FIRM AND THE BOARD MEMBERS PRIOR TO FILING THE TAX RETURN.
FORM 990, PART VI, SECTION C, LINE 19VITALOGY FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FORM 990 AVAILABLE TO INTERESTED PARTIES UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
PEARL JAM LLC
PO BOX 340020NASHVILLETN372030020911695049MUSICAL ENTERTAINMENTWAN/A
DEKERIVER LLC
1900 SOUTH CORGIAT DRIVESEATTLEWA98108203277547BUILDING RENTALWAN/A
TEN CLUB LLC
1900 SOUTH CORGIAT DRIVESEATTLEWA98108912094535FAN CLUB MERCHANDISEWAN/A
MONKEYWRENCH FILMS LLC
PO BOX 340020NASHVILLETN372030020264471983FILM PRODUCTIONCAN/A
PERMASEAL FILM PRODUCTION COMPANY LLC
PO BOX 340020NASHVILLETN372030020264508356FILM PRODUCTIONWAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
MONKEYWRENCH INC
PO BOX 340020NASHVILLETN372030020331062443MUSICAL RECORDINGSWAN/AS0
PEARL JAM TOURING INC
PO BOX 340020NASHVILLETN372030020911531093MUSICAL ENTERTAINMENTNVN/AS0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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