KELSEY RESEARCH FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
KELSEY RESEARCH FOUNDATION (EIN 76-0637670)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-07-15
IRS object ID
201431969349301623
Schema version
2013v3.1
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)
Return2014-07-15T15:30:54-07:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GOMEZ & COMPANYBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15177 Richmond Ave Ste 1100AddressLine1
CityHoustonCity
StateTXState
ZIP Code77056ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN760637670EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KELSEY RESEARCH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlKELSBusinessNameControlTxt
Phone7134421222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15615 KIRBY DRIVE 660AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77005ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANTHONY GREISINGERPersonNm
Person TitleVP & EXEC DIRPersonTitleTxt
Signature2014-07-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBENJAMIN P GOMEZPreparerPersonNm
PTINP00840652PTIN
Phone7136665900PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANTHONY GREISINGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15615 KIRBY DR STE 660AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77005ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$7,815,075GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KELSEYRESEARCH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionKELSEY RESEARCH FOUNDATION WAS FOUNDED IN 1956 FOR THE PURPOSE OF ENCOURAGING AND ASSISTING RESEARCH AND EDUCATION PROGRAMS IN THE FIELD OF MEDICINE.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,428,531PYContributionsGrantsAmt
CY Contributions Grants$6,353,544CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$161,059PYInvestmentIncomeAmt
CY Investment Income$107,221CYInvestmentIncomeAmt
PY Other Revenue$225,243PYOtherRevenueAmt
CY Other Revenue$149,279CYOtherRevenueAmt
PY Total Revenue$1,814,833PYTotalRevenueAmt
CY Total Revenue$6,610,044CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,094,638PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,092,645CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$24,504CYTotalFundraisingExpenseAmt
PY Other Expenses$801,627PYOtherExpensesAmt
CY Other Expenses$688,231CYOtherExpensesAmt
PY Total Expenses$1,896,265PYTotalExpensesAmt
CY Total Expenses$1,780,876CYTotalExpensesAmt
PY Revenues Less Expenses-$81,432PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,829,168CYRevenuesLessExpensesAmt
Total Assets BOY$3,992,357TotalAssetsBOYAmt
Total Assets EOY$9,160,372TotalAssetsEOYAmt
Total Liabilities BOY$247,391TotalLiabilitiesBOYAmt
Total Liabilities EOY$223,628TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,744,966NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,936,744NetAssetsOrFundBalancesEOYAmt
MissionKELSEY RESEARCH FOUNDATION WAS FOUNDED IN 1956 FOR THE PURPOSE OF ENCOURAGING AND ASSISTING RESEARCH AND EDUCATION PROGRAMS IN THE FIELD OF MEDICINE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$784,194ExpenseAmt
DescGENERAL RESEARCH AND EDUCATION IN THE FIELD OF MEDICINE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$491,126ExpenseAmt
DescPHARMACEUTICAL SPONSORED STUDIES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$192,209ExpenseAmt
DescCRUMP CANCER CENTER-BREAST CANCER SCREENING, RESEARCH AND EDUCATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,467,529TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANTHONY GREISINGERPersonNm
Phone7134421212PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15615 KIRBY DRIVE 660AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77005ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
SPENCER BERTHELSEN MD
MEMBER0.000.00Yes (X)$0$0$0
JOHN T CATER
CHAIR, NOM COMM0.000.00Yes (X)$0$0$0
RICHARD CARRELL
CHAIR, LEGAL1.000.00Yes (X)$0$0$0
MIMI DOMPIER
MEMBER1.000.00Yes (X)$0$0$0
HERBERT DUPONT MD
President & CEO2.000.00Yes (X)$10,000$0$0Yes (X)
ANTHONY GORRY PHD
MEMBER1.000.00Yes (X)$0$0$0
ROBERT WIER KELSEY
MEMBER1.000.00Yes (X)$0$0$0
EDWARD C LYNCH MD
MEMBER1.000.00Yes (X)$0$0$0
GEORGE D FERRY MD
MEMBER1.000.00Yes (X)$0$0$0
JOHN WILSON KELSEY
Chairman2.000.00Yes (X)$0$0$0Yes (X)
JOHN N LYLE
MEMBER1.000.00Yes (X)$0$0$0
DAVID E MOUTON MD
MEMBER1.000.00Yes (X)$0$0$0
MICHAEL E NEWMARK
MED DIRECTOR4.000.00Yes (X)$0$0$0Yes (X)
R CARLETON RISER
MEMBER1.000.00Yes (X)$0$0$0
LOUISE CONNALLY STRONG MD
MEMBER1.000.00Yes (X)$0$0$0
VICTORIA POLINSKI SMITH CIMA
CHAIR, FINANCE1.000.00Yes (X)$0$0$0
NED SNYDER MD
MEMBER1.000.00Yes (X)$0$0$0
MARGARET VAN BREE DRPH
MEMBER1.000.00Yes (X)$0$0$0
ANTHONY GREISINGER
VP & EXEC DIR40.000.00$165,380$0$10,528Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$175,380TotalReportableCompFromOrgAmt
Total Other Compensation$10,528TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$6,353,544AllOtherContributionsAmt
Noncash Contributions$3,540,000NoncashContributionsAmt
Total Contributions$6,353,544TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,706TotalRevenueColumnAmt
Exclusion$46,706ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,213,213SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,152,698SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$60,515SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,515TotalRevenueColumnAmt
Exclusion$60,515ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$201,612FundraisingGrossIncomeAmt
Fundraising Direct Expenses$52,333FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$149,279TotalRevenueColumnAmt
Exclusion$149,279ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,610,044TotalRevenueColumnAmt
Exclusion$256,500ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$185,908TotalAmt
Program Services$185,908ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$733,322TotalAmt
Program Services$717,271ProgramServicesAmt
Fundraising$16,051FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$104,387TotalAmt
Program Services$102,311ProgramServicesAmt
Fundraising$2,076FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$69,028TotalAmt
Program Services$67,871ProgramServicesAmt
Fundraising$1,157FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$53,592TotalAmt
Program Services$52,516ProgramServicesAmt
Fundraising$1,076FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$33,767TotalAmt
Management And General$33,767ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$16,161TotalAmt
Management And General$16,161ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,256TotalAmt
Program Services$7,041ProgramServicesAmt
Management And General$4,215ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,697TotalAmt
Program Services$5,454ProgramServicesAmt
Management And General$6,798ManagementAndGeneralAmt
Fundraising$445FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$141,826TotalAmt
Management And General$141,826ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$39,659TotalAmt
Program Services$39,527ProgramServicesAmt
Management And General$132ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,489TotalAmt
Program Services$3,913ProgramServicesAmt
Management And General$494ManagementAndGeneralAmt
Fundraising$82FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,260TotalAmt
Management And General$3,260ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT SERVICES$157,957$151,791$6,091$75
TRAINING$50,504$50,504
PROPERTY TAXES$40,592$40,592
DUES AND REGISTRIES$27,353$26,902$451

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$95,118TotalAmt
Program Services$56,520ProgramServicesAmt
Management And General$35,056ManagementAndGeneralAmt
Fundraising$3,542FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,780,876TotalAmt
Program Services$1,467,529ProgramServicesAmt
Management And General$288,843ManagementAndGeneralAmt
Fundraising$24,504FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$600,702BOYAmt
EOY$1,782,955EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$287,778BOYAmt
EOY$267,807EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,400BOYAmt
EOY$11,458EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$99,183LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$96,003LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,668BOYAmt
EOY$3,180EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,089,809BOYAmt
EOY$3,543,479EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$3,551,493EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,992,357BOYAmt
EOY$9,160,372EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$204,120BOYAmt
EOY$137,085EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,271BOYAmt
EOY$86,543EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$247,391BOYAmt
EOY$223,628EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,610,143BOYAmt
EOY$7,984,887EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$587,071BOYAmt
EOY$404,105EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$547,752BOYAmt
EOY$547,752EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,744,966BOYAmt
EOY$8,936,744EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,992,357BOYAmt
EOY$9,160,372EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,829,168ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$362,610NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$1,175,643CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$810,370CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$806,751CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,428,531CurrentTaxYearMinus1YearAmt
Current Tax Year$1,225,452CurrentTaxYearAmt
Total$5,446,747TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,175,643CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$810,370CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$806,751CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,428,531CurrentTaxYearMinus1YearAmt
Current Tax Year$1,225,452CurrentTaxYearAmt
Total$5,446,747TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$3,181,486SubstantialContributorsTotAmt
Public Support Total170$2,265,261PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$72,794CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$305,885CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,012CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$52,704CurrentTaxYearMinus1YearAmt
Current Tax Year$46,706CurrentTaxYearAmt
Total$516,101TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$5,962,848TotalSupportAmt
Public Support CY1700.37990PublicSupportCY170Pct
Public Support PY1700.67480PublicSupportPY170Pct
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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,162,539BeginningYearBalanceAmt
Contributions$4,000ContributionsAmt
Investment Earnings Or Losses$469,831InvestmentEarningsOrLossesAmt
Administrative Expenses$16,161AdministrativeExpensesAmt
End Year Balance$3,620,209EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,873,388BeginningYearBalanceAmt
Contributions$9,482ContributionsAmt
Investment Earnings Or Losses$294,525InvestmentEarningsOrLossesAmt
Administrative Expenses$14,856AdministrativeExpensesAmt
End Year Balance$3,162,539EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,956,320BeginningYearBalanceAmt
Contributions$11,225ContributionsAmt
Investment Earnings Or Losses-$79,023InvestmentEarningsOrLossesAmt
Administrative Expenses$15,134AdministrativeExpensesAmt
End Year Balance$2,873,388EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,661,372BeginningYearBalanceAmt
Contributions$2,323ContributionsAmt
Investment Earnings Or Losses$306,655InvestmentEarningsOrLossesAmt
Administrative Expenses$14,030AdministrativeExpensesAmt
End Year Balance$2,956,320EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,989,175BeginningYearBalanceAmt
Contributions$288,739ContributionsAmt
Investment Earnings Or Losses$395,409InvestmentEarningsOrLossesAmt
Administrative Expenses$11,951AdministrativeExpensesAmt
End Year Balance$2,661,372EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.80300BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.15450PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04250TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,872OtherCostOrOtherBasisAmt
Depreciation$3,980DepreciationAmt
Book Value$892BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,924OtherCostOrOtherBasisAmt
Depreciation$32,177DepreciationAmt
Book Value$1,747BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,387OtherCostOrOtherBasisAmt
Depreciation$59,846DepreciationAmt
Book Value$541BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,180TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescLAND HELD FOR SALEDesc
Book Value$3,551,493BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,551,493TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED VACATION AND OTHER$62,592
WAGES PAYABLE$23,951
FieldValueIRS element (for citing)
Total Liability$86,543TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$7,024,987TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$362,610NetUnrealizedGainsInvstAmt
Other Revenue$52,333OtherRevenueAmt
Revenue Not Reported$414,943RevenueNotReportedAmt
Revenue Subtotal$6,610,044RevenueSubtotalAmt
Total Revenue Per Form990$6,610,044TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,833,209TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$52,333OtherExpensesIncludedAmt
Expenses Not Reported$52,333ExpensesNotReportedAmt
Expenses Subtotal$1,780,876ExpensesSubtotalAmt
Total Expenses Per Form990$1,780,876TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990DIRECT FUNDRAISING EXPENSES $52333
Part XII, Line 2d: Other expenses and losses per audited F/SDIRECT FUNDRAISING EXPENSES $52333

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1Amt
Gross Receipts Event1$201,612GrossReceiptsEvent1Amt
Gross Revenue Event1$201,612GrossRevenueEvent1Amt
Other Direct Expenses Event1$52,333OtherDirectExpensesEvent1Amt
Gross Receipts Total$201,612GrossReceiptsTotalAmt
Gross Revenue Total Events$201,612GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$52,333OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$52,333DirectExpenseSummaryEventsAmt
Net Income Summary$149,279NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonANTHONY GREISINGERPersonNm
TitleVP & EXEC DIRTitleTxt
Base Compensation Filing Org$159,380BaseCompensationFilingOrgAmt
Other Compensation Filing Org$6,000OtherCompensationFilingOrgAmt
Deferred Compensation Flng Org$10,528DeferredCompensationFlngOrgAmt
Total Compensation Filing Org$175,908TotalCompensationFilingOrgAmt

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOtherGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$3,540,000NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtTHREE BOARD MEMBERS ARE RELATED TO THE FOUNDER OF THE FOUNDATION.
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE EXECUTIVE DIRECTOR PERFORMS A REVIEW OF THE 990 WITH INPUT FROM THE FINANCE COMMITTEE.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementTHE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO AND EXECUTIVE DIRECTOR
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE EXECUTIVE DIRECTOR CONSULTS WITH THE HUMAN RESOURCES DEPARTMENT AT KELSEY-SEYBOLD CLINIC TO REVIEW AND APPROVE COMPENSATION FOR ALL FOUNDATION STAFF.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUPON REQUEST, KELSEY RESEARCH FOUNDATION WILL PROVIDE COPIES OF GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS TO THE PUBLIC.

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