A SILVER LINING FOUNDATION CHICAGOLAND CANCER INFO COALITION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
A SILVER LINING FOUNDATION CHICAGOLAND CANCER INFO COALITION (EIN 90-0097495)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-13
IRS object ID
201421039349300002
Schema version
2012v2.1
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)
Timestamp2014-04-13T09:39:57-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN362938874EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1OSTROW REISIN BERK & ABRAMS LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1455 N CITYFRONT PLAZA DRIVE SUITEAddressLine1
Address Line21500AddressLine2
CityCHICAGOCity
StateILState
ZIP Code606115313ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN900097495EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1A SILVER LINING FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlASILNameControl
Phone3123451322Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1134 NORTH LASALLE STREET NO 1218AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606021086ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDR SANDRA A GOLDBERGName
TitleFOUNDER, CHAIRMANTitle
Phone3123451322Phone
Date Signed2014-04-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES G QUAIDName
PTINP00641738PTIN
Phone3126707444Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDR SANDRA A GOLDBERGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1134 NORTH LASALLE STREET NO 1218AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606021086ZIPCode
FieldValueIRS element (for citing)
Gross Receipts714025GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ASILVERLININGFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO ENSURE DIGNIFIED, RESPECTFUL, AND EQUAL ACCESS TO QUALITY CANCER EDUCATION AND SERVICES FOR ALL, BY CREATING MEANINGFUL PARTNERSHIPS WITH COMMUNITY, ADVOCACY, AND HEALTHCARE ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year680173ContributionsGrantsPriorYear
Contributions Grants Current Year678955ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year8InvestmentIncomePriorYear
Investment Income Current Year53InvestmentIncomeCurrentYear
Other Revenue Prior Year-94935OtherRevenuePriorYear
Other Revenue Current Year-66950OtherRevenueCurrentYear
Total Revenue Prior Year585246TotalRevenuePriorYear
Total Revenue Current Year612058TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year236702GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY272174GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year155020SalariesEtcPriorYear
Salaries Etc Current Year172769SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year82991TotalFundrsngExpCurrentYear
Other Expense Prior Year116299OtherExpensePriorYear
Other Expenses Current Year156057OtherExpensesCurrentYear
Total Expenses Prior Year508021TotalExpensesPriorYear
Total Expenses Current Year601000TotalExpensesCurrentYear
Revenues Less Expenses Prior Year77225RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11058RevenuesLessExpensesCY
Total Assets BOY255854TotalAssetsBOY
Total Assets EOY274487TotalAssetsEOY
Total Liabilities BOY35333TotalLiabilitiesBOY
Total Liabilities EOY42908TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY220521NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY231579NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENSURE DIGNIFIED, RESPECTFUL, AND EQUAL ACCESS TO QUALITY CANCER EDUCATION AND SERVICES FOR ALL, BY CREATING MEANINGFUL PARTNERSHIPS WITH COMMUNITY, ADVOCACY, AND HEALTHCARE ORGANIZATIONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTHE CHICAGOLAND CANCER INFORMATION COALITION'S FOCUS AND PURPOSE IS TO DEVELOP INNOVATIVE COLLABORATIVE INITIATIVES IN AN EFFORT TO PROVIDE COMMUNITY-BASED EDUCATIONAL AND RESOURCE INFORMATION TO CANCER PATIENTS WITHIN THEIR NEIGHBORHOODS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionTHE EVELYN GOLDBERG RESPITE CENTER OPENED AT THE UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO ON OCTOBER 1, 2004. THE CENTER'S GOAL IS TO EMPOWER INDIVIDUALS TO ACTIVELY PARTICIPATE IN THEIR HEALTH CARE DECISION-MAKING BY IMPROVING UNDERSTANDING OF TREATMENT OPTIONS, AND ENCOURAGING DIALOGUE BETWEEN PATIENT AND PROVIDER, PROVIDING ASSISTANCE IN NAVIGATING THE HEALTHCARE SYSTEM AND PROVIDING QUALITY OF LIFE SERVICES FOR PATIENTS GOING THROUGH CANCER TREATMENT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionIN JUNE 2006, THE FOUNDATION BEGAN BUY A MOM A MAMMOGRAM TO FUND COST-FREE SCREENING MAMMOGRAMS TO MEDICALLY UNDERSERVED, UNINSURED/UNDERINSURED WOMEN AND MEN IN THE CHICAGOLAND AREA. A DIAGNOSTIC COMPONENT IS ALSO IN PLACE TO ENSURE WOMEN IN NEED OF EVALUATION AND FOLLOW-UP TESTING WILL RECEIVE SUCH SERVICES IN A TIMELY FASHION. RESPONDING TO THE BASIC NEED OF MEDICALLY UNDERSERVED WOMEN TO OBTAIN SCREENING, THE FOUNDATION PARTNERS WITH VARIOUS HOSPITALS TO PROVIDE ACCESS TO COST-FREE MAMMOGRAMS IN A TIMELY, DIGNIFIED, AND RESPECTFUL FASHION.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense440684Expense
Grants272174Grants
FieldValueIRS element (for citing)
Total Of Other Program Service Exp440684TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt272174TotalOfOtherProgramServiceGrnt
Total Program Service Expense440684TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DR SANDRA A GOLDBERGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3123451322TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1134 NORTH LASALLE STREET NO 1218AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606021086ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SANDRA GOLDBERG PHD
CHAIRMAN AND FOUNDER / EXECUTIVE DIRECTOR40.00XX8500000
ROGER SHINDELL
PRESIDENT1.00XX000
GREGORY HINES
VICE PRESIDENT1.00XX000
NANCY AMICANGELO
DIRECTOR25.00X25000
SEAN CASEY
DIRECTOR1.00X000
DENNIS CONROY
DIRECTOR1.00X000
GREGG HELFER
DIRECTOR1.00X000
STEPHANIE JOE MD
DIRECTOR1.00X000
J MORI JOHNSON MA
DIRECTOR1.00X000
STEVEN MANNOS
DIRECTOR1.00X000
BELA NAND MD
DIRECTOR1.00X000
MONICA PEEK MD MPH
DIRECTOR1.00X000
CAROLINE SCHOENBERGER
DIRECTOR1.00X000
BEN SOLDINGER
DIRECTOR1.00X000
LAWRENCE WERT
DIRECTOR1.00X000
LEONARD WIATR
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org85250TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events248268FundraisingEvents
All Other Contributions430687AllOtherContributions
Total Contributions678955TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column53TotalRevenueColumn
Exclusion$53ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events35017GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events248268CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses101967FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-66950TotalRevenueColumn
Exclusion-$66,950ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column612058TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$66,897ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total272174Total
Program Services272174ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total92492Total
Program Services55495ProgramServices
Management And General9249ManagementAndGeneral
Fundraising27748Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total68000Total
Program Services52035ProgramServices
Management And General11615ManagementAndGeneral
Fundraising4350Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12277Total
Program Services8225ProgramServices
Management And General1596ManagementAndGeneral
Fundraising2456Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total58Total
Management And General58ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total22426Total
Management And General22426ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6968Total
Program Services1039ProgramServices
Management And General1669ManagementAndGeneral
Fundraising4260Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total22477Total
Program Services11183ProgramServices
Management And General9235ManagementAndGeneral
Fundraising2059Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total13230Total
Program Services9801ProgramServices
Management And General1805ManagementAndGeneral
Fundraising1624Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total23601Total
Program Services17229ProgramServices
Management And General3304ManagementAndGeneral
Fundraising3068Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4175Total
Program Services3048ProgramServices
Management And General584ManagementAndGeneral
Fundraising543Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total104Total
Management And General104ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2446Total
Program Services1786ProgramServices
Management And General342ManagementAndGeneral
Fundraising318Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2422Total
Program Services1769ProgramServices
Management And General338ManagementAndGeneral
Fundraising315Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
FUNDRAISING3625036250
RESERVE FOR UNCOLLECTIB1500015000
OUTREACH34863486
VOLUNTEER28072807

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total607Total
Program Services607ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total601000Total
Program Services440684ProgramServices
Management And General77325ManagementAndGeneral
Fundraising82991Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8884BOY
EOY46174EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY232269BOY
EOY214952EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10731BOY
EOY1260EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19806LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11205LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY470BOY
EOY8601EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3500BOY
EOY3500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY255854BOY
EOY274487EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28138BOY
EOY38932EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7195BOY
EOY3976EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY35333BOY
EOY42908EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-95568BOY
EOY-24700EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY316089BOY
EOY256279EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY220521BOY
EOY231579EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY255854BOY
EOY274487EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses11058ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years356244CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years465823CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years543765CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year680173CurrentTaxYearMinus1Year
Current Tax Year678955CurrentTaxYear
Total2724960Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years356244CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years465823CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years543765CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year680173CurrentTaxYearMinus1Year
Current Tax Year678955CurrentTaxYear
Total2724960Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total388277AmountsSubstContributorsTotal
Public Support Total1702336683PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years197CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8CurrentTaxYearMinus1Year
Current Tax Year53CurrentTaxYear
Total280Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years758CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years793CurrentTaxYearMinus3Years
Total1551Total
FieldValueIRS element (for citing)
Total Support2726791TotalSupport
Gross Receipts From Admissions Etc137586GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.85690PublicSupportPertcentage170
Public Support Pertcent Prior Year0.85640PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis19806OtherCostOrOtherBasis
Depreciation11205Depreciation
Book Value8601BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8601TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED RENTDescription
Amount$3,976Amount
FieldValueIRS element (for citing)
Total Of Amounts3976TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt744819TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities132761DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990132761RevenueNotRptdF990
Revenue Subtotal612058RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990612058TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt733761TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities132761DonatedServicesUseOfFacilities
Expenses Not Rptd F990132761ExpensesNotRptdF990
Expenses Subtotal601000ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990601000TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationPART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE LAW. THE ACCOUNTING STANDARDS ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESS THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, THE FOUNDATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE FOUNDATION AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM A TAX POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES AS OF JUNE 30, 2013 AND 2012. THE FOUNDATION FILES ITS FORM 990 WITH THE INTERNAL REVENUE SERVICE (IRS). THE FOUNDATION IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE IRS FOR YEARS ENDED PRIOR TO JUNE 30, 2010.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1A STERLING EVENT GALANameOfEvent1
Gross Receipts Event1214543GrossReceiptsEvent1
Charitable Contributions Event1185197CharitableContributionsEvent1
Gross Revenue Event129346GrossRevenueEvent1
Food And Beverage Event156708FoodAndBeverageEvent1
Entertainment Event12800EntertainmentEvent1
Other Direct Expenses Event115733OtherDirectExpensesEvent1
Name Of Event2TASTING STARSNameOfEvent2
Gross Receipts Event262053GrossReceiptsEvent2
Charitable Contributions Event256382CharitableContributionsEvent2
Gross Revenue Event25671GrossRevenueEvent2
Food And Beverage Event25000FoodAndBeverageEvent2
Entertainment Event2399EntertainmentEvent2
Other Direct Expenses Event25282OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events6689GrossReceiptsOtherEvents
Charitable Contrib Other Events6689CharitableContribOtherEvents
Food And Beverage Other Events12237FoodAndBeverageOtherEvents
Other Direct Expenses Other Events3808OtherDirectExpensesOtherEvents
Gross Receipts Total283285GrossReceiptsTotal
Charitable Contributions Total248268CharitableContributionsTotal
Gross Revenue Total Events35017GrossRevenueTotalEvents
Food And Beverage Total Events73945FoodAndBeverageTotalEvents
Entertainment Total Events3199EntertainmentTotalEvents
Other Direct Expenses Total Events24823OtherDirectExpensesTotalEvents
Direct Expense Summary Events101967DirectExpenseSummaryEvents
Net Income Summary-66950NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
INGALLS HEALTH SYSTEM
ONE INGALLS DRIVEHARVEYIL60426363181170330140MAMMOGRAMS
SOUTH SHORE HOSPITAL CORPORATION
8012 SOUTH CRANDON AVENUECHICAGOIL6061736179952036885MAMMOGRAMS
SWEDISH COVENANT HOSPITAL
5145 NORTH CALIFORNIA AVENUECHICAGOIL60625362179813349590MAMMOGRAMS
UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO
1740 WEST TAYLOR SUITE 1400CHICAGOIL60612376000511380270MAMMOGRAMS
SINAI HEALTH SYSTEM
1500 S FAIRFIELD AVENUECHICAGOIL60608361509000317285MAMMOGRAMS
ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION
2400 N ROCKTON AVENUEROCKFORDIL61103363197918353030MAMMOGRAMS
ST ANTHONY HOSPITAL
2875 W 19TH STREETCHICAGOID6062351021709735705MAMMOGRAMS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants7TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: MAMMOGRAMS ARE FUNDED TO VARIOUS HOSPITALS IN CONNECTION WITH THE BUY A MOM A MAMMOGRAM PROGRAM. MONTHLY REPORTS ARE RECEIVED FROM EACH HOSPITAL OUTLINING EACH PROCEDURE PERFORMED. THESE REPORTS, WHICH CONTAIN A CODE NUMBER FOR THE PATIENT, ARE CHECKED AND RECORDED AGAINST THE ORGANIZATION'S RECORDS.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDR SANDRA A GOLDBERGNamePerson
FieldValueIRS element (for citing)
RelationshipCHAIRMAN AND FOUNDERRelationship
Amount Of Transaction92492AmountOfTransaction
Description Of TransactionSALARYDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L PART IVIdentifier
Return ReferenceBUSINESS TRANSACTIONSReturnReference
ExplanationDR. SANDRA A. GOLDBERG, CHAIRMAN AND FOUNDER, IS A PAID EMPLOYEE OF THE FOUNDATION. SHE IS MARRIED TO GREGORY N. HINES, A BOARD MEMBER OF THE FOUNDATION.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2SANDRA A. GOLDBERG, PHD AND GREGORY N. HINES ARE SPOUSES.
FORM 990, PART VI, SECTION B, LINE 11ONCE A DRAFT HAS BEEN COMPLETED, THE FORM 990 IS DISTRIBUTED TO THE MEMBERS OF THE BOARD OF DIRECTORS WHO ARE ABLE TO REVIEW, COMMENT, AND RESPOND WITH QUESTIONS. AT THE END OF THE REVIEW PERIOD, THE BOARD OF DIRECTORS ARE ASKED TO APPROVE THE 990 FILING. UPON APPROVAL, THE 990 IS THEN FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL DIRECTORS AND EMPLOYEES HAVE AN OBLIGATION TO: 1. AVOID CONFLICTS OF INTEREST, OR THE APPEARANCE OF CONFLICTS, BETWEEN THEIR PERSONAL INTERESTS AND THOSE OF THE ORGANIZATION IN DEALING WITH OUTSIDE ENTITIES OR INDIVIDUALS, 2. DISCLOSE REAL AND APPARENT CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS, AND 3. REFRAIN FROM PARTICIPATION IN ANY DECISIONS ON MATTERS THAT INVOLVE A REAL CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT. ALL REAL OR APPARENT CONFLICTS OF INTEREST SHALL BE DISCLOSED TO THE AUDIT COMMITTEE AND THE EXECUTIVE DIRECTOR OF THE ORGANIZATION. FAILURE TO COMPLY WITH THE STANDARDS CONTAINED IN THIS POLICY WILL RESULT IN DISCIPLINARY ACTION THAT MAY INCLUDE TERMINATION, REFERRAL FOR CRIMINAL PROSECUTION, AND REIMBURSEMENT TO THE ORGANIZATION OR TO THE GOVERNMENT, FOR ANY LOSS OR DAMAGE RESULTING FROM THE VIOLATION. AS WITH ALL MATTERS INVOLVING DISCIPLINARY ACTION, PRINCIPLES OF FAIRNESS WILL APPLY. ANY EMPLOYEE CHARGED WITH A VIOLATION OF THIS POLICY WILL BE AFFORDED AN OPPORTUNITY TO EXPLAIN HER/HIS ACTIONS BEFORE DISCIPLINARY ACTION IS TAKEN.
FORM 990, PART VI, SECTION B, LINE 15AEXECUTIVE PAY IS DETERMINED BY REVIEWING SIMILAR ORGANIZATIONS' FORM 990 AND COMPENSATION SURVEYS, AND IS APPROVED BY A COMMITTEE, COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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