A SILVER LINING FOUNDATION CHICAGOLAND CANCER INFO COALITION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
A SILVER LINING FOUNDATION CHICAGOLAND CANCER INFO COALITION (EIN 90-0097495)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-07
IRS object ID
201301279349300435
Schema version
2011v1.5
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)
Timestamp2013-05-07T10:13:31-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 SUITE 1AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606115313ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

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 Signed2013-05-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES G QUAIDName
PTINP00641738PTIN
Phone3126707444Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts712783GrossReceipts
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 Members14NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year543765ContributionsGrantsPriorYear
Contributions Grants Current Year680173ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year6InvestmentIncomePriorYear
Investment Income Current Year8InvestmentIncomeCurrentYear
Other Revenue Prior Year-75038OtherRevenuePriorYear
Other Revenue Current Year-94935OtherRevenueCurrentYear
Total Revenue Prior Year468733TotalRevenuePriorYear
Total Revenue Current Year585246TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year122108GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY236702GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year140397SalariesEtcPriorYear
Salaries Etc Current Year155020SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year64871TotalFundrsngExpCurrentYear
Other Expense Prior Year117836OtherExpensePriorYear
Other Expenses Current Year116299OtherExpensesCurrentYear
Total Expenses Prior Year380341TotalExpensesPriorYear
Total Expenses Current Year508021TotalExpensesCurrentYear
Revenues Less Expenses Prior Year88392RevenuesLessExpensesPriorYear
Revenues Less Expenses CY77225RevenuesLessExpensesCY
Total Assets BOY249004TotalAssetsBOY
Total Assets EOY255854TotalAssetsEOY
Total Liabilities BOY105708TotalLiabilitiesBOY
Total Liabilities EOY35333TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY143296NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY220521NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
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 Services1SignificantNewProgramServices
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)
Expense378641Expense
Grants236702Grants
FieldValueIRS element (for citing)
Total Of Other Program Service Exp378641TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt236702TotalOfOtherProgramServiceGrnt
Total Program Service Expense378641TotalProgramServiceExpense
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 Footnote0ReportFin48Footnote
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
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 Members14NumberIndependentVotingMembers
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 (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ANDREW T BERLIN
DIRECTOR1.00X000
DENNIS CONROY
DIRECTOR1.00X000
SANDRA A GOLDBERG PHD
CHAIRMAN AND FOUNDER / EXECUTIVE DIRECTOR40.00X8500000X
GREGORY N HINES
VICE PRESIDENT1.00X000X
DIVYESH G MEHTA MD
DIRECTOR - TERM1.00X000
ROGER M SHINDELL
PRESIDENT1.00X000X
LAWRENCE WERT
DIRECTOR1.00X000
STEVEN MANNOS
DIRECTOR1.00X000
MONICA PEEK MD MPH
DIRECTOR1.00X000
J MORI JOHNSON MA
DIRECTOR1.00X000
GREGG HELFER
DIRECTOR1.00X000
LEONARD E WIATR
DIRECTOR1.00X000
SEAN CASEY
DIRECTOR1.00X000
BEN SOLDINGER
DIRECTOR1.00X000
NANCY AMICANGELO
DIRECTOR25.00X000
BELA NAND MD
DIRECTOR1.00X000
BARRY AXLER
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org85000TotalReportableCompFromOrg
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 Events232792FundraisingEvents
All Other Contributions447381AllOtherContributions
Noncash Contributions6682NoncashContributions
Total Contributions680173TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8TotalRevenueColumn
Exclusion$8ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events32602GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events232792CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses127537FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-94935TotalRevenueColumn
Exclusion-$94,935ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column585246TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$94,927ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total236702Total
Program Services236702ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total85000Total
Program Services51000ProgramServices
Management And General8500ManagementAndGeneral
Fundraising25500Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total59004Total
Program Services41162ProgramServices
Management And General13101ManagementAndGeneral
Fundraising4741Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11016Total
Program Services7051ProgramServices
Management And General1652ManagementAndGeneral
Fundraising2313Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1180Total
Management And General1180ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20865Total
Management And General20865ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5824Total
Program Services641ProgramServices
Management And General1023ManagementAndGeneral
Fundraising4160Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21315Total
Program Services8205ProgramServices
Management And General11278ManagementAndGeneral
Fundraising1832Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9392Total
Program Services6576ProgramServices
Management And General1408ManagementAndGeneral
Fundraising1408Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total22863Total
Program Services16005ProgramServices
Management And General3429ManagementAndGeneral
Fundraising3429Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6000Total
Program Services4200ProgramServices
Management And General900ManagementAndGeneral
Fundraising900Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total657Total
Management And General657ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1094Total
Program Services766ProgramServices
Management And General164ManagementAndGeneral
Fundraising164Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2349Total
Program Services1645ProgramServices
Management And General352ManagementAndGeneral
Fundraising352Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingProgram ServicesProgramServices
FUNDRAISING2007220072
VOLUNTEER31363136
OUTREACH912912
DIRECT PROGRAM EXPENSES640640

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total508021Total
Program Services378641ProgramServices
Management And General64509ManagementAndGeneral
Fundraising64871Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14548BOY
EOY8884EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY217520BOY
EOY232269EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11872BOY
EOY10731EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9230LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8760LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1564BOY
EOY470EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3500BOY
EOY3500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY249004BOY
EOY255854EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY46456BOY
EOY28138EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY59252BOY
EOY7195EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY105708BOY
EOY35333EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-156883BOY
EOY-95568EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY300179BOY
EOY316089EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY143296BOY
EOY220521EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY249004BOY
EOY255854EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses77225ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years426640CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years356244CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years465823CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year543765CurrentTaxYearMinus1Year
Current Tax Year680173CurrentTaxYear
Total2472645Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years426640CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years356244CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years465823CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year543765CurrentTaxYearMinus1Year
Current Tax Year680173CurrentTaxYear
Total2472645Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total350522AmountsSubstContributorsTotal
Public Support Total1702122123PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3409CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years197CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6CurrentTaxYearMinus1Year
Current Tax Year8CurrentTaxYear
Total3636Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years132CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years758CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years793CurrentTaxYearMinus2Years
Total1683Total
FieldValueIRS element (for citing)
Total Support2477964TotalSupport
Gross Receipts From Admissions Etc149444GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.85640PublicSupportPertcentage170
Public Support Pertcent Prior Year0.81770PublicSupportPertcentPriorYear
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 Basis9230OtherCostOrOtherBasis
Depreciation8760Depreciation
Book Value470BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings470TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED RENTDescription
Amount$7,195Amount
FieldValueIRS element (for citing)
Total Of Amounts7195TotalOfAmounts
Total Revenue585246TotalRevenue
Total Expenses508021TotalExpenses
Excess Or Deficit For Year77225ExcessOrDeficitForYear
Excess Or Deficit Per FS77225ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt774806TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities189560DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990189560RevenueNotRptdF990
Revenue Subtotal585246RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990585246TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt697581TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities189560DonatedServicesUseOfFacilities
Expenses Not Rptd F990189560ExpensesNotRptdF990
Expenses Subtotal508021ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990508021TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1A STERLING EVENT GALANameOfEvent1
Gross Receipts Event1187808GrossReceiptsEvent1
Charitable Contributions Event1158506CharitableContributionsEvent1
Gross Revenue Event129302GrossRevenueEvent1
Food And Beverage Event155154FoodAndBeverageEvent1
Entertainment Event18450EntertainmentEvent1
Other Direct Expenses Event135378OtherDirectExpensesEvent1
Name Of Event2TASTING STARSNameOfEvent2
Gross Receipts Event257782GrossReceiptsEvent2
Charitable Contributions Event254482CharitableContributionsEvent2
Gross Revenue Event23300GrossRevenueEvent2
Food And Beverage Event210440FoodAndBeverageEvent2
Other Direct Expenses Event22686OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events19804GrossReceiptsOtherEvents
Charitable Contrib Other Events19804CharitableContribOtherEvents
Food And Beverage Other Events7840FoodAndBeverageOtherEvents
Other Direct Expenses Other Events7589OtherDirectExpensesOtherEvents
Gross Receipts Total265394GrossReceiptsTotal
Charitable Contributions Total232792CharitableContributionsTotal
Gross Revenue Total Events32602GrossRevenueTotalEvents
Food And Beverage Total Events73434FoodAndBeverageTotalEvents
Entertainment Total Events8450EntertainmentTotalEvents
Other Direct Expenses Total Events45653OtherDirectExpensesTotalEvents
Direct Expense Summary Events127537DirectExpenseSummaryEvents
Net Income Summary-94935NetIncomeSummary

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 DRIVEHARVEYIL60426363181170322140MAMMOGRAMS
SOUTH SHORE HOSPITAL CORPORATION
8012 SOUTH CRANDON AVENUECHICAGOIL6061736179952038640MAMMOGRAMS
SWEDISH COVENANT HOSPITAL
5145 NORTH CALIFORNIA AVENUECHICAGOIL60625362179813331490MAMMOGRAMS
UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO
1740 WEST TAYLOR SUITE 1400CHICAGOIL60612376000511362405MAMMOGRAMS
LORETTO HOSPITAL
645 SOUTH CENTRAL AVENUECHICAGOIL60644362200248368890MAMMOGRAMS
SINAI HEALTH SYSTEM
1500 S FAIRFIELD AVENUECHICAGOIL60608361509000318230MAMMOGRAMS
ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION
2400 N ROCKTON AVENUEROCKFORDIL61103363197918321255MAMMOGRAMS
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 Transaction85000AmountOfTransaction
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 (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2IN 2011, THE FOUNDATION DEVELOPED A NEW PROGRAM CALLED KEEP ABREAST. KEEP ABREAST IS A FACE-TO-FACE, MULTIMEDIA BREAST HEALTH PRESENTATION THAT INCLUDES A STRAIGHTFORWARD DISCUSSION BETWEEN BREAST CANCER SURVIVORS AND YOUNG WOMEN. THE MISSION IS TO HAVE YOUNG WOMEN SERVE AS EDUCATIONAL AND CULTURAL MESSENGERS, PROVIDING INFORMATION TO THEIR FAMILY OR COMMUNITY MEMBERS WHO ARE NOT PERFORMING MONTHLY SELF EXAMS, SEEING A HEALTH PROFESSIONAL REGULARLY OR GETTING AN ANNUAL MAMMOGRAM.
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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