MICHELLE LYNN HOLSEY FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MICHELLE LYNN HOLSEY FOUNDATION (EIN 20-5503706)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201443219349311009
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)
Return2014-11-17T16:54:08-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN752393478PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WHITLEY PENN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13411 RICHMOND AVE SUITE 500AddressLine1
CityHOUSTONCity
StateTXState
ZIP Code77046ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205503706EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE MICHELLE LYNN HOLSEY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMICHBusinessNameControlTxt
Phone9365447200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 652AddressLine1
CityCROCKETTCity
StateTXState
ZIP Code75835ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBARRINGTON LEE HOLSEYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9365447200PhoneNum
Signature2014-11-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN NULLPreparerPersonNm
PTINP01359739PTIN
Phone7136211515PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBARRINGTON LEE HOLSEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 652AddressLine1
CityCROCKETTCity
StateTXState
ZIP Code75835ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$380,696GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MICHELLELYNNHOLSEY.COMWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Other Organization Dsc501 (C)(3)OtherOrganizationDsc
Formation2006FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTHE FOUNDATION'S PRIMARY PURPOSE IS TO PROVIDE FUNDING FOR INDIVIDUALS IN NEED OF MEDICAL TREATMENT, FUNDING FOR RESEARCH AND EDUCATION AND ACCESSIBILITY TO NEW INNOVATIVE TREATMENTS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$64,444PYContributionsGrantsAmt
CY Contributions Grants$45,623CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$11,377PYInvestmentIncomeAmt
CY Investment Income$9,123CYInvestmentIncomeAmt
PY Other Revenue$98,586PYOtherRevenueAmt
CY Other Revenue$69,434CYOtherRevenueAmt
PY Total Revenue$174,407PYTotalRevenueAmt
CY Total Revenue$124,180CYTotalRevenueAmt
PY Grants And Similar Paid$117,067PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$54,682CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,420PYOtherExpensesAmt
CY Other Expenses$19,953CYOtherExpensesAmt
PY Total Expenses$127,487PYTotalExpensesAmt
CY Total Expenses$74,635CYTotalExpensesAmt
PY Revenues Less Expenses$46,920PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$49,545CYRevenuesLessExpensesAmt
Total Assets BOY$471,593TotalAssetsBOYAmt
Total Assets EOY$518,101TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$471,593NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$518,101NetAssetsOrFundBalancesEOYAmt
MissionTHE FOUNDATION'S PRIMARY PURPOSE IS SUPPORTING MEN, WOMEN AND CHILDREN IN THEIR QUEST TO BATTLE CANCER AND OTHER DEBILITATING DISEASES WHILE FUNDING INNOVATIVE RESEARCH AND SUPPORTING EDUCATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$49,432ExpenseAmt
Grant$49,432GrantAmt
DescTHE MICHELLE LYNN HOLSEY FOUNDATION OFFERS NEED BASED GRANTS FOR PATIENTS WHO HAVE BEEN AFFECTED BY CANCER OR OTHER DEBILITATING DISEASES. THE GRANTS CAN BE USED FOR TREATMENT, MEDICAL BILLS, MEDICINE, TRANSPORTATION TO AND FROM TREATMENT AND HOUSING AND LIVING EXPENSES DURING TREATMENT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,250ExpenseAmt
Grant$5,250GrantAmt
DescTHE FOUNDATION PROVIDES SUPPORT TO HOUSTON COUNTY SENIORS TO ASSIST THEM WITH FURTHERING THEIR EDUCATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$54,682TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARLA CAMPBELLBusinessNameLine1
FieldValueIRS element (for citing)
Phone9365440744PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1209 S 4TH STAddressLine1
CityCROCKETTCity
StateTXState
ZIP Code75835ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
LINDA HOLSEY
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL CAMPBELL
DIRECTOR1.00Yes (X)$0$0$0
SHARON KENLEY
FUNDRAISING CHAIRMAN1.00Yes (X)$0$0$0
MARK STILES
DIRECTOR1.00Yes (X)$0$0$0
BARRINGTON LEE HOLSEY
PRESIDENT1.00$0$0$0Yes (X)
WAYNE CAMPBELL
VICE PRESIDENT1.00$0$0$0Yes (X)
MARY ANN LIGHTSEY
TREASURER1.00$0$0$0Yes (X)
MARLA CAMPBELL
SECRETARY1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$37,835FundraisingAmt
All Other Contributions$7,788AllOtherContributionsAmt
Total Contributions$45,623TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,123TotalRevenueColumnAmt
Exclusion$9,123ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$325,950FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$37,835ContriRptFundraisingEventAmt
Fundraising Direct Expenses$256,516FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,434TotalRevenueColumnAmt
Exclusion$69,434ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$124,180TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$78,557ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$54,682TotalAmt
Program Services$54,682ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,418TotalAmt
Management And General$14,418ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,339TotalAmt
Management And General$3,339ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$279TotalAmt
Management And General$279ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
CREDIT CARD PROCESSING$996$996
POSTAGE AND MAILING$694$694
OPERATIONS$182$182
PRINTING AND COPYING$45$45

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$74,635TotalAmt
Program Services$54,682ProgramServicesAmt
Management And General$19,953ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$137,541BOYAmt
EOY$144,739EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$58,783BOYAmt
EOY$5,001EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,083BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$254,186BOYAmt
EOY$368,361EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$471,593BOYAmt
EOY$518,101EOYAmt

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$471,593BOYAmt
EOY$518,101EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$471,593BOYAmt
EOY$518,101EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$471,593BOYAmt
EOY$518,101EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$49,545ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$3,037PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,641CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,258CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,225CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$47,206CurrentTaxYearMinus1YearAmt
Current Tax Year$7,788CurrentTaxYearAmt
Total$79,118TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$227,109CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$287,226CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$280,495CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$367,099CurrentTaxYearMinus1YearAmt
Current Tax Year$363,785CurrentTaxYearAmt
Total$1,525,714TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$235,750CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$296,484CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$286,720CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$414,305CurrentTaxYearMinus1YearAmt
Current Tax Year$371,573CurrentTaxYearAmt
Total$1,604,832TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,604,832PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,149CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,726CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,036CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,487CurrentTaxYearMinus1YearAmt
Current Tax Year$9,123CurrentTaxYearAmt
Total$42,521TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,149CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,726CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,036CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,487CurrentTaxYearMinus1YearAmt
Current Tax Year$9,123CurrentTaxYearAmt
Total$42,521TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$241,899CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$306,210CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$293,756CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$424,792CurrentTaxYearMinus1YearAmt
Current Tax Year$380,696CurrentTaxYearAmt
Total$1,647,353TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97420PublicSupportCY509Pct
Public Support PY5090.97190PublicSupportPY509Pct
Investment Income CY0.02580InvestmentIncomeCYPct
Investment Income PY0.02810InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

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

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
MUTUAL FUNDS$309,099C
UNIT TRUSTS$17,920C
MUNICIPAL BONDS$41,342C
FieldValueIRS element (for citing)
Total Book Value Securities$368,361TotalBookValueSecuritiesAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1CONCERT AND AUCTIONNameOfEvent1Amt
Gross Receipts Event1$158,075GrossReceiptsEvent1Amt
Gross Revenue Event1$158,075GrossRevenueEvent1Amt
Rent Facility Costs Event1$1,250RentFacilityCostsEvent1Amt
Food And Beverage Event1$20,700FoodAndBeverageEvent1Amt
Entertainment Event1$10,000EntertainmentEvent1Amt
Other Direct Expenses Event1$16,507OtherDirectExpensesEvent1Amt
Name Of Event2TEAM CUTTING COMPETITIONNameOfEvent2Amt
Gross Receipts Event2$191,682GrossReceiptsEvent2Amt
Charitable Contri Event2$37,835CharitableContriEvent2Amt
Gross Revenue Event2$153,847GrossRevenueEvent2Amt
Cash Prizes Event2$99,086CashPrizesEvent2Amt
Non Cash Prizes Event2$17,988NonCashPrizesEvent2Amt
Rent Facility Costs Event2$3,220RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$83,335OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$14,028GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$14,028GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$4,430OthDirectExpnssOtherEventsAmt
Gross Receipts Total$363,785GrossReceiptsTotalAmt
Charitable Contributions Tot$37,835CharitableContributionsTotAmt
Gross Revenue Total Events$325,950GrossRevenueTotalEventsAmt
Cash Prizes Total Events$99,086CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$17,988NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$4,470RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$20,700FoodAndBeverageTotalEventsAmt
Entertainment Total Events$10,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$104,272OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$256,516DirectExpenseSummaryEventsAmt
Net Income Summary$69,434NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
TREATMENT GRANTS45$49,432CASH
EDUCATIONAL GRANTS7$5,250CASH

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

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