2013-11-07T15:28:43-06:00 2012-12-31 161076996 TESTONE MARSHALL & DISCENZA LLP THE FOUNDRY 432 NORTH FRANKLIN ST SYRACUSE NY 13204 990 2012-01-01 800434367 JIM AND JULI BOEHEIM FOUNDATION JIMA 3154467516 7002 TIFFANY CIRCLE FAYETTEVILLE NY 13066 JAMES A BOEHEIM 3154467516 2013-10-30 1 JEFFREY E TRUBIA P00045913 3154764004 2013-10-30 2012 2016-02-25 16:41:14Z JAMES A BOEHEIM 7002 TIFFANY CIRCLE DEWITT NY 13214 1938707 0 X WWW.BOEHEIMFOUNDATION.ORG X 2009 NY THE JIM AND JULI BOEHEIM FOUNDATION STRIVES TO ENRICH THE LIVES OF KIDS IN NEED WITHIN OUR CENTRAL NEW YORK COMMUNITY, AS WELL AS, PROVIDE SUPPORT FOR ELIMINATING CANCER THROUGH RESEARCH AND ADVOCACY. 3 3 36 60 0 0 692367 469418 0 0 0 9731 -152663 281023 539704 760172 349848 547792 0 0 0 0 0 0 0 15016 104322 364864 652114 174840 108058 688105 933381 24000 148574 664105 784807 THE JIM AND JULI BOEHEIM FOUNDATION STRIVES TO ENRICH THE LIVES OF KIDS IN NEED WITHIN OUR CENTRAL NEW YORK COMMUNITY, AS WELL AS, PROVIDE SUPPORT FOR ELIMINATING CANCER THROUGH RESEARCH AND ADVOCACY. 0 0 518618 509792 OVER 14,000 CHILDREN IN DISADVANTAGED AREAS OF CENTRAL NEW YORK WERE ASSISTED THROUGH GRANTS FROM THE JIM AND JULI BOEHEIM FOUNDATION. LARGEST AWARDS WERE TO - SOLVAY GEDDES COMMUNITY YOUTH CENTER, CASEY'S PLACE, EAGLES WINGS ACADEMY, RONALD MCDONALD HOUSE, CROUSE HOSPITAL AND ENABLE. 9365 COURTS 4 KIDS - LEAVENWORTH PARK AND BOOKER T. WASHINGTON PART WERE RENOVATED. THAT WILL BENEFIT OVER 1,000 CHILDREN IN THE AREAS SURROUNDING THE PARKS. 87500 38000 CANCER PATIENTS AND FAMILIES - OVER 3,300 WILL BENEFIT FROM GRANTS FROM THE JIM AND JULI BOEHEIM TO THE AMERICAN CANCER SOCIETY, THE UPSTATE CANCER CENTER, AND THE KARA FUND. 615483 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 36 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 3 3 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 NY X JANE KLUCSIK 3154431877 CARMELO K ANTHONY BASKETBALL CENTER SYRACUSE NY 13244 JAMES BOEHEIM 10.00 X X 0 0 0 JULI BOEHEIM 10.00 X X 0 0 0 MICHAEL BRISTOL 10.00 X X 10000 0 0 JANE KLUCSIK 1.00 X 22900 0 0 32900 0 0 0 0 0 0 TURNING STONE RESORT AND CASINO 5618 PATRICK DR VERONA NY 13478 BANQUET AND GOLF 122260 1 340979 128439 469418 5145 5145 864197 859611 4586 4586 4586 584947 340979 315424 269523 269523 15000 3500 11500 11500 760172 0 0 290754 547792 547792 5925 5925 17250 17250 4060 4060 200 200 2471 2471 PATIENT NAVIGATION 49500 49500 COURTS FOR KIDS 9365 9365 SNEAKS 4 KIDS 8826 8826 CREDIT CARD & BANK FEES 6322 6322 403 403 652114 615483 36631 0 688105 427471 505410 500 688105 933381 91574 24000 57000 24000 148574 X 636798 783865 27307 942 664105 784807 688105 933381 108058 12644 0 X X 0 1 X 0 0 X 646453 539704 469418 1655575 5018 5018 281023 281023 646453 539704 755459 1941616 271273 183000 237300 691573 15140 14412 26588 56140 286413 197412 263888 747713 1193903 9731 9731 9731 9731 646453 539704 765190 1951347 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: THE FOUNDATION WAS ORGANIZED IN 2009. 2010 IS THE FIRST FULL YEAR. PART III LINE 12 GAIN ON SALE OF INVESTMENTS $4,586. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 REFUNDABLE ADVANCES 57000 57000 1144662 12644 52922 318924 384490 760172 0 760172 932386 52922 318924 371846 560540 91574 91574 652114 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES $315,424 RAFFLE EXPENSE $3,500 PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES $315,424 RAFFLE EXPENSE $3,500 PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANTS EXPENSE - PROMISE TO GIVE $91,574 GALA 491695 175470 316225 59706 18200 21157 GOLF TOURNAMENT 171578 74459 97119 10400 14385 30728 2 262653 91050 171603 160848 925926 340979 584947 10400 74091 18200 212733 315424 269523 1 AMERICAN DIABETES ASSOCIATION 6390 FLY ROAD 2ND FLOOR EAST SYRACUSE NY 13057 131626888 501(C)(3) 5500 YOUTH DEVELOPMENT BISHOP'S ACADEMY AT MOST HOLY ROSARY 111 ROBERTS AVENUE SYRACUSE NY 13207 150532135 501(C)(3) 16448 SPECIAL EDUCATION PROGRAM DEVELOPMENT EAGLE WINGS ACADEMY 423 VALLEY DRIVE SYRACUSE NY 13207 263237636 501(C)(3) 20000 YOUTH DEVELOPMENT GRANT HILLSIDE WORK SCHOLARSHIP CONNECTION 1183 MONROE AVENUE ROCHESTER NY 14620 161453581 501(C)(3) 15000 YOUTH DEVELOPMENT GRANT SAY YES TO EDUCATION 1 STATE STREET 20TH FLOOR HARTFORD CT 06103 223139858 501(C)(3) 10000 HELP SUPPORT PROGRAMS OF SCHOOL AGE CHILDREN CAMP GOOD DAYS AND SPECIAL TIMES 1132 PITTSFORD MENDON ROADPO BOX 665 MENDEN NY 14506 222329654 501(C)(3) 10000 YOUTH DEVELOPMENT CROUSE HEALTH FOUNDATION 735 IRVING AVENUE SYRACUSE NY 13210 161035427 501(C)(3) 15000 YOUTH NUTRITION EDUCATION YOUTH DEVELOPMENT YOUTH DEVELOPMENTYOUTH DEVELOPMENT CANCER CONNECTS INC 5008 BRITTONFIELD PARKWAY EAST SYRACUSE NY 13057 203767018 501(C)(3) 8500 COMPLIMENTARY THERAPY HOSPICE OF CNY-CAMP HEALING HEARTS 990 7TH NORTH STREET LIVERPOOL NY 13088 161047041 501(C)(3) 5500 YOUTH DEVELOPMENT JEWISH COMMUNITY CENTER OF SYRACUSE 5655 THOMPSON ROAD DEWITT NY 13214 150539101 501(C)(3) 5400 YOUTH DEVELOPMENT MCMAHONRYAN CHILD ADVOCACY SITE 601 EAST GENESEE STREET SYRACUSE NY 13202 161563195 501(C)(3) 10000 CHILD ABUSE EDUCATION & SERVICES NEW HOPE FAMILY SERVICES 3519 JAMES STREET SYRACUSE NY 13206 237103133 501(C)(3) 10000 FAMILY PLANNING & SUPPORT PROGRAMS CASEY'S PLACE 228 LAFAYETTE ROAD SYRACUSE NY 13205 150539090 501(C)(3) 30000 HELP TO PURCHASE PASSENGER VAN TO TRANSPORT CHILDREN STAYING AT CASEYS PLACE CHAMPIONS FOR LIFE PO BOX 1228 AUBURN NY 13021 208823881 501(C)(3) 6800 PROVIDE FUNDS TO PURCHASE WHEELCHAIR EQUIPMENT SO CHILDREN CAN PARTICIPATE IN SPORTS SOLVAY-GEDDES COMMUNITY YOUTH CENTER 1010 WOODS ROAD SOLVAY NY 13209 160876947 501(C)(3) 14000 PHYSICAL FITNESS PROGRAM FOR YOUTH THE FIRST TEE OF SYRACUSE 36 DRUMLINS TERRACE SYRACUSE NY 13224 260504848 501(C)(3) 10000 PHYSICAL FITNESS PROGRAM FOR YOUTH WHOLE ME INC 1015 STATE FAIR BLVD SYRACUSE NY 13209 043743001 501(C)(3) 10000 PROGRAMS FOR HEARING IMPAIRED YOUTH CNY RONALD MCDONALD HOUSE CHARITIES 1027 EAST GENESEE STREET SYRACUSE NY 13210 222371193 501(C)(3) 15000 OPERATION SUPPORT COUNTY NORTH CHILDREN'S CENTER 205 SCHOOL ROAD LIVERPOOL NY 13088 161004253 501(C)(3) 10000 RENOVATE INDOOR AND OUTDOOR RECREATION AREAS FOR CHILDREN IN NEED ENABLE 1603 COURT STREET SYRACUSE NY 13208 150532247 501(C)(3) 15000 RENOVATE THE GYM AT ENABLE FOR CHILDREN WITH DISABILITIES GIGI'S PLAYHOUSE 5885 EAST CIRCLE DRIVE SUITE 250 CICERO NY 13039 200058563 501(C)(3) 10000 FITNESS EQUIPMENT FOR GROSS MOTOR SKILLS FOR CHILDREN WITH DOWN SYNDROME IMAGINE SYRACUSE 7000 OLD QUARRY ROAD FAYETTEVILLE NY 13066 271857608 501(C)(3) 7500 YOUTH DEVELOPMENT JOWONIO SCHOOL 3049 EAST GENESEE STREET SYRACUSE NY 13224 160981162 501(C)(3) 10000 ADAPTIVE PLAYGROUND EQUIPMENT FOR CHILDREN WITH DISABILITIES THE KARA FUND 5817 AUGSBURG CIRCLE EAST SYRACUSE NY 13057 300739725 501(C)(3) 18000 HELP SERIOUSLY ILL CHILDREN AND THEIR FAMILIES WITH MEDICAL EQUIPMENT YOUTH DEVELOPMENTYOUTH DEVELOPMENT LION'S CAMP HICKORY INC PO BOX 108 BALDWINSVILLE NY 13027 200613284 501(C)(3) 5500 YOUTH DEVELOPMENT THE MARY NELSON YOUTH DAY FOUNDATION 2849 SOUTH SALINA STREET SYRACUSE NY 13204 251916320 501(C)(3) 10000 FUNDING FOR BACKPACK GIVEAWAY MERCY WORKS INC PO BOX 25 SYRACUSE NY 13205 161553234 501(C)(3) 10000 YOUTH DEVELOPMENT YOUTH DEVELOPMENT PEACE INC 217 SOUTH SALINA STREET SYRACUSE NY 13202 166095039 501(C)(3) 10000 REPLACE AND UPGRADE COMPUTER SYSTEMS FOR FAMILY RESOURCES CENTERS IN SYRACUSE SARAH HOUSE INC 100 ROBERTS AVENUE SYRACUSE NY 13207 161426336 501(C)(3) 10000 OPERATING EXPENSE SUPPORT SYRACUSE COMMUNITY HEALTH CENTER 819 SOUTH SALINA STREET SYRACUSE NY 13202 161080039 501(C)(3) 10000 EQUIPMENT FOR PEDIATRIC DENTAL CLINIC UPSTATE CANCER CENTER 750 EAST ADAMS STREET SYRACUSE NY 13202 161068101 501(C)(3) 111574 NEW CANCER CENTER UPSTATE CEREBAL PALSY 1020 MARY STREET UTICA NY 13051 150543657 501(C)(3) 15000 RENOVATION AND CONSTRUCTION OF OUTDOOR PLAY AREA FOR CHILDREN WITH CP 32 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE FOUNDATION SENDS AN ANNUAL GRANT REPORT FORM OUT TO THE RECIPIENTS OF THE GRANTS TO HAVE THEM REPORT ON HOW THEY USED THE GRANT FUNDS. EACH RECIPIENT IS REQUESTED TO RETURN THE FORM BY THE END OF OCTOBER OF THE FOLLOWING YEAR. FORM 990, PART VI, SECTION A, LINE 2 PRESIDENT JIM BOEHEIM IS MARRIED TO VICE PRESIDENT JULI BOEHEIM FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AND WILL BE REVIEWED BY THEM. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XIII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED THEIR OVERSIGHT PROCESS IN REGRARDS TO THE AUDIT OF THEIR FINANCIAL STATEMENTS AND SELECTIONS OF THEIR INDEPENDENT ACCOUNTANT.