LIFENET FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIFENET FOUNDATION (EIN 54-2015370)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201303169349300640
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)
Timestamp2013-11-11T19:30:57-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11676 International DriveAddressLine1
CityMcLeanCity
StateVAState
ZIP Code22102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN542015370EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIFENET FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% ALAN BORTNICKInCareOfName
Name ControlLIFENameControl
Phone7574644761Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11864 Concert DriveAddressLine1
Address Line2SuiteAddressLine2
CityVirginia BeachCity
StateVAState
ZIP Code23453ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGordon BerkstresserName
TitleChief Financial OfficerTitle
Phone7574644761Phone
Date Signed2013-11-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7032868000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRony ThomasNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11864 Concert DriveAddressLine1
CityVirginia BeachCity
StateVAState
ZIP Code23453ZIPCode
FieldValueIRS element (for citing)
Gross Receipts297151GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lifenethealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTO PERPETUATE THE HONOR AND MEMORY OF ORGAN AND TISSUE DONORS BY PROVIDING EDUCATION, RESEARCH, AWARENESS, AND SUPPORT TO DONOR FAMILIES AND THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year141513ContributionsGrantsPriorYear
Contributions Grants Current Year268768ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1068InvestmentIncomePriorYear
Investment Income Current Year923InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year-116708OtherRevenueCurrentYear
Total Revenue Prior Year142581TotalRevenuePriorYear
Total Revenue Current Year152983TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year72117GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY59500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6649OtherExpensePriorYear
Other Expenses Current Year1210OtherExpensesCurrentYear
Total Expenses Prior Year78766TotalExpensesPriorYear
Total Expenses Current Year60710TotalExpensesCurrentYear
Revenues Less Expenses Prior Year63815RevenuesLessExpensesPriorYear
Revenues Less Expenses CY92273RevenuesLessExpensesCY
Total Assets BOY560589TotalAssetsBOY
Total Assets EOY795850TotalAssetsEOY
Total Liabilities BOY517TotalLiabilitiesBOY
Total Liabilities EOY143505TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY560072NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY652345NetAssetsOrFundBalancesEOY
Mission DescriptionTHE LIFENET HEALTH FOUNDATION IS A CHARITABLE ORGANIZATION THAT RAISES FUNDS TO SUPPORT THE DONOR FAMILY SERVICES PROGRAM OF LIFENET HEALTH, AWARENESS PROGRAMS WHICH PROMOTE THE VITAL NEED FOR DONATION AND R&D EFFORTS SURROUNDING TRANSPLANTATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense60460Expense
Grants59500Grants
DescriptionSPONSORED GRIEF SERVICES AND PURCHASED PUBLIC EDUCATION MATERIALS for Distribution to the General PublicDescription
Total Program Service Expense60460TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonALAN BORTNICKNamePerson
Telephone Number7576094218TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11864 CONCERT DRIVEAddressLine1
CityVirginia BeachCity
StateVAState
ZIP Code23453ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Doug Wilson
Chair1.040.0XX036755763122
Gordon Berkstresser
CFO1.040.0XX036587558688
Chester Brazzell
Member1.040.0XX021845051450
Ann Lange
Member1.02.0X0100000
Barbara Pickens
Member1.040.0X0367828092
Rony Thomas
Vice-Chair1.040.0XX0697204144317
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1695868TotalReportableCompFrmRltdOrgs
Total Other Compensation325669TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events178058FundraisingEvents
All Other Contributions90710AllOtherContributions
Noncash Contributions2500NoncashContributions
Total Contributions268768TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column923TotalRevenueColumn
Exclusion$923ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events27460GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events178058CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses144168FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-116708TotalRevenueColumn
Exclusion-$116,708ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column152983TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$115,785ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total59500Total
Program Services59500ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total250Total
Management And General250ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24Total
Program Services24ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total314Total
Program Services314ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total480Total
Program Services480ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionOther expensesDescription
Total142Total
Program Services142ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total60710Total
Program Services60460ProgramServices
Management And General250ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY560589BOY
EOY790565EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY5285EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY560589BOY
EOY795850EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY517BOY
EOY143505EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY517BOY
EOY143505EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY560072BOY
EOY652345EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY560072BOY
EOY652345EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY560589BOY
EOY795850EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses92273ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years126038CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years442379CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years121828CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year141513CurrentTaxYearMinus1Year
Current Tax Year323688CurrentTaxYear
Total1155446Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years126038CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years442379CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years121828CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year141513CurrentTaxYearMinus1Year
Current Tax Year323688CurrentTaxYear
Total1155446Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5091155446PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4125CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1225CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1190CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1068CurrentTaxYearMinus1Year
Current Tax Year923CurrentTaxYear
Total8531Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4125CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1225CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1190CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1068CurrentTaxYearMinus1Year
Current Tax Year923CurrentTaxYear
Total8531Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years130163CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years443604CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years123018CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year142581CurrentTaxYearMinus1Year
Current Tax Year324611CurrentTaxYear
Total1163977Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99267PublicSupportPercentage509
Prior Year Support Percentage0.99020PriorYearSupportPercentage
Investment Income Percentage0.00733InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00980PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1205518GrossReceiptsEvent1
Charitable Contributions Event1178058CharitableContributionsEvent1
Gross Revenue Event127460GrossRevenueEvent1
Rent Facility Costs Event115495RentFacilityCostsEvent1
Food And Beverage Event172108FoodAndBeverageEvent1
Entertainment Event110865EntertainmentEvent1
Other Direct Expenses Event145700OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total205518GrossReceiptsTotal
Charitable Contributions Total178058CharitableContributionsTotal
Gross Revenue Total Events27460GrossRevenueTotalEvents
Rent Facility Costs Total Events15495RentFacilityCostsTotalEvents
Food And Beverage Total Events72108FoodAndBeverageTotalEvents
Entertainment Total Events10865EntertainmentTotalEvents
Other Direct Expenses Total Events45700OtherDirectExpensesTotalEvents
Direct Expense Summary Events144168DirectExpenseSummaryEvents
Net Income Summary-116708NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1LifeNet Health of FloridaBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11864 Concert DriveAddressLine1
CityVirginia BeachCity
StateVAState
ZIP Code23453ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient593605624EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant59500AmountOfCashGrant
Purpose Of GrantCommunity EducationPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Doug Wilson
Chair0295282046529025746048684014438043067900
Gordon Berkstresser
CFO0270743042663052469048684010004042456300
Chester Brazzell
Member0174240027456016754038532012918026990000
Rony Thomas
Vice-Chair05184620175000037420128684015633084152100

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL NONQUALIFIED RETIREMENT PLANIdentifier
Return ReferencePART I, LINE 4BReturnReference
ExplanationTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN 2012: RONY THOMAS $100,000 GORDON BERKSTRESSER $20,000 DOUG WILSON $20,000 CHESTER BRAZZELL $20,000Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LOCAL CHAPTERS & AFFILIATESPART VI, GOV BODY & MNGMTLIFENET FOUNDATION HAS NO LOCAL CHAPTERS, BRANCHES, OR AFFILIATES.
CONFLICT OF INTEREST POLICYPART VI, POLICIES AND DISCLOSURESTHE FOUNDATION ADOPTS THE POLICIES OF LIFENET HEALTH - THE FOUNDATION DOES NOT HAVE SEPARATE POLICIES SPECIFIC TO THE ENTITY. THE FOUNDATION ADOPTED LIFENET HEALTH'S CONFLICT OF INTEREST POLICY (GA-120-011) DESIGNED TO PROTECT THE COMPANY'S INTEREST WHEN IT IS ENTERING OR CONTEMPLATING ENTRY INTO A TRANSACTION THAT MIGHT BENEFIT THE INTEREST OF ITS MEMBERS. THE POLICY COVERS ALL INTERESTED PERSONS WHO ARE DEFINED AS ANY PRINCIPAL OFFICER, BOARD MEMBER, EMPLOYEE AND THEIR IMMEDIATE FAMILY, AND THIRD PARTIES THAT ARE INVOLVED IN THE DECISION MAKING PROCESS AND HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. UPON COMMENCEMENT AND ANNUALLY THEREAFTER, ALL EMPLOYEES MUST COMPLETE A "CONFLICT OF INTEREST QUESTIONNAIRE" AND UPDATE WHENEVER EMPLOYEE AFFILIATIONS CHANGE. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE COMPLIANCE OFFICER WILL INVESTIGATE AND DETERMINE THE FINAL ACTIONS NECESSARY TO ADDRESS THE CONFLICT.
WHISTLEBLOWER POLICYPART VI, GOV BODY & MNGMTTHE COMPANY HAS A WHISTLEBLOWER POLICY (GA-120-012) DESIGNED TO PROMOTE AND ENABLE EMPLOYEES TO RAISE ISSUES INTERNALLY BEFORE SEEKING RESOLUTION OUTSIDE OF THE ORGANIZATION.
COMPENSATIONPART VI, GOV BODY & MNGMTTHE COMPANY DOES NOT COMPENSATE ITS OFFICERS, KEY EMPLOYEES, AND MANAGEMENT.
990 REVIEWTHE COMPANY CONTRACTS WITH AN INDEPENDENT ACCOUNTING FIRM TO COMPLETE THE 990. THE 990 IS REVIEWED BY THE CFO AND CEO PRIOR TO FILING WITH THE IRS. THE 990 IS APPROVED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS AS PROXY FOR THE FULL BOARD PER RESOLUTION OF THE BOARD. DISTRIBUTION OF THE 990 IS TRANSMITTED TO THE FULL BOARD BEFORE FILING.
PUBLIC DISCLOSURE OF FINANCIAL STATEMENTS, ETCTHE COMPANY DOES NOT MAKE ITS AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY OR GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Florida Tissue Services
1864 Concert DriveVirginia BeachVA23453593605624tissue servicFL501(c)(3)PFLifeNet Healtrue
LifeNet Health
1864 Concert DriveNorfolkVA23453521273592tissue servicVA501(c)(3)9NAfalse
FTS Foundation
1864 Concert DriveNorfolkVA23453205859793fundraisingFL501(c)(3)11ALifeNet Healtrue
LIFENET HEALTH OF CANADA
1864 CONCERT DRIVENORFOLKVA23453999999999TISSUE SERVICCALIFENET HEALtrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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