FURP.ORG / PUBLIC DATA EXPLORER

PEDIATRIC EPILEPSY RESEARCH FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PEDIATRIC EPILEPSY RESEARCH FOUNDATION (EIN 20-1779737)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-03-14
IRS object ID
201320739349100207
Schema version
2012v2.0
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)
Timestamp2013-03-14T12:17:48-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Gary C Vick CPA PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1525 E Centerville RdAddressLine1
CityGarlandCity
StateTXState
ZIP Code75041ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201779737EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Pediatric Epilepsy Research FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPEDINameControl
Phone2142178920Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17777 Forest LaneAddressLine1
CityDallasCity
StateTXState
ZIP Code75230ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDr Roy EltermanName
TitlePresidentTitle
Date Signed2013-03-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGary C Vick CPA-CFPName
PTINP00148107PTIN
Phone9722781090Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY6093528FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss1696InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm1696InterestOnSavingsNetInvstIncm
Interest On Savings Adj Net Incm1696InterestOnSavingsAdjNetIncm
Other Income Rev And Expnss1864579OtherIncomeRevAndExpnss
Other Income Net Invst Incm1864579OtherIncomeNetInvstIncm
Total Revenue And Expenses1866275TotalRevenueAndExpenses
Total Net Investment Income1866275TotalNetInvestmentIncome
Total Adjusted Net Income1696TotalAdjustedNetIncome
Oth Empl Slrs Wgs Rev And Expnss55000OthEmplSlrsWgsRevAndExpnss
Pension Empl Bnft Rev And Expnss10000PensionEmplBnftRevAndExpnss
Accounting Fees Rev And Expnss3275AccountingFeesRevAndExpnss
Taxes Rev And Expnss41534TaxesRevAndExpnss
Occupancy Rev And Expnss12000OccupancyRevAndExpnss
Other Expenses Rev And Expnss3165OtherExpensesRevAndExpnss
Tot Opr Expenses Rev And Expnss124974TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss455682ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps455682ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss580656TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps455682TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses1285619ExcessOfRevenueOverExpenses
Net Investment Income1866275NetInvestmentIncome
Adjusted Net Income1696AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY301CashBOY
Cash EOY2668CashEOY
Cash EOYFMV2701CashEOYFMV
Savings And Temp Cash Invst BOY1540177SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY2823462SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV2823462SavingsAndTempCashInvstEOYFMV
Prepaid Expenses BOY816PrepaidExpensesBOY
Prepaid Expenses EOY327PrepaidExpensesEOY
Investments Other EOYFMV3267365InvestmentsOtherEOYFMV
Total Assets BOY1541294TotalAssetsBOY
Total Assets EOY2826457TotalAssetsEOY
Total Assets EOYFMV6093528TotalAssetsEOYFMV
Grants Payable EOY252107GrantsPayableEOY
Total Liabilities EOY252107TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY1541294UnrestrictedBOY
Unrestricted EOY2574350UnrestrictedEOY
Total Net Assets BOY1541294TotalNetAssetsBOY
Total Net Assets EOY2574350TotalNetAssetsEOY
Total Liabilities Net Assets BOY1541294TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY2826457TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY1541294TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses1285619ExcessOfRevenueOverExpenses
Subtotal2826913Subtotal
Other Decreases252563OtherDecreases
Total Net Assets Fund Balances EOY2574350TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year1431474QualifyingDistributionsYear1
Noncharitable Assets Year13218355NoncharitableAssetsYear1
Distribution Ratio Year10.13407DistributionRatioYear1
Qualifying Distributions Year2568020QualifyingDistributionsYear2
Noncharitable Assets Year23858087NoncharitableAssetsYear2
Distribution Ratio Year20.14723DistributionRatioYear2
Total Distribution Ratio0.28130TotalDistributionRatio
Average Distribution Ratio0.14065AverageDistributionRatio
Net Noncharitable Assets5318179NetNoncharitableAssets
Adjusted Noncharitable Assets747991AdjustedNoncharitableAssets
One Percent Net Investment Income18663OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One766654AdjNonchrtblAssetsAndOnePct
Qualifying Distributions455682QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax37326InvestmentIncomeExciseTax
Subtotal37326Subtotal
Tax Based On Investment Income37326TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment37653EstTaxPaymentsAndOverpayment
Total Credits And Payments37653TotalCreditsAndPayments
Form2220 AttachedXForm2220Attached
Overpayment327Overpayment
Amount Credited To Next Year327AmountCreditedToNextYear

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political ActivitiesfalseLegislativePoliticalActivities
More Than100 SpentfalseMoreThan100Spent
Form1120 POL FiledfalseForm1120POLFiled
Activities Not Prev ReportedfalseActivitiesNotPrevReported
Changes To Articles Or BylawsfalseChangesToArticlesOrBylaws
Unrelated Bus Income Over1000falseUnrelatedBusIncomeOver1000
Form990 T FiledfalseForm990TFiled
Termination EtcfalseTerminationEtc
Requirements Of Sect508etrueRequirementsOfSect508e
At Least5000 In AssetstrueAtLeast5000InAssets
Form990 PF Filed With AGtrueForm990PFFiledWithAG
Private Operating FoundationfalsePrivateOperatingFoundation
New Substantial ContributorsfalseNewSubstantialContributors
Interest In Controlled EntityfalseInterestInControlledEntity
Applicable Insurance ContractfalseApplicableInsuranceContract
Comply With Public Inspection RqrtrueComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1Roy EltermanBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number2142178920BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line17777 Forest Lane Ste B116AddressLine1
CityDallasCity
StateTXState
ZIP Code752302507ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly PersonfalseSaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly PersonfalseBorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly PersonfalseFurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly PersonfalsePayCompensationToDsqflyPerson
Transfer Assets To Dsqfly PersonfalseTransferAssetsToDsqflyPerson
Payment To Government OfficalfalsePaymentToGovernmentOffical
Acts Fail To Qualify As ExceptionsfalseActsFailToQualifyAsExceptions
Uncorrected Prior ActsfalseUncorrectedPriorActs
Undistributed Income Prior YearsfalseUndistributedIncomePriorYears
Undistr Income4942a2 Not AppliedfalseUndistrIncome4942a2NotApplied
Business HoldingsfalseBusinessHoldings
Excess Business HoldingsfalseExcessBusinessHoldings
Jeopardy InvestmentsfalseJeopardyInvestments
Uncorrected Jeopardy InvestmentsfalseUncorrectedJeopardyInvestments
Influence LegislationfalseInfluenceLegislation
Influence ElectionfalseInfluenceElection
Grants To IndividualsfalseGrantsToIndividuals
Grants To OrganizationsfalseGrantsToOrganizations
Noncharitable PurposefalseNoncharitablePurpose
Tr Fail To Qualify As ExceptionsfalseTrFailToQualifyAsExceptions
Maint Expend ResponsibilityfalseMaintExpendResponsibility
Rcv Funds To Pay Prsnl Bnft ContractfalseRcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft ContractfalsePayPremiumsPrsnlBnftContract
Prohibited Tax Shelter TransactnfalseProhibitedTaxShelterTransactn
Proceeds Or Net IncomefalseProceedsOrNetIncome

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
Herbert Winokur
30 East Elm StreetGreenwichCT06830Director0.000
Cynthia Morriss
311 Eanes School RoadAustinTX78746Director0.000
Lawrence Madigan
14710 Bramblewood DriveHoustonTX77079Director0.000
David McLaughlin
18714 Campbell RoadDallasTX75252Director0.000
Alicia Freysinger
7535 InwoodHoustonTX77063Director0.000
Stephen Ashwal MD
11175 Campus Street Rm A 1120GLoma LindaCA92350Director0.000
W Donald Shields MD
5711 Stonecrest DriveAgoura HillsCA91301Director0.000
Roy D Elterman MD
15309 Cypress Hills DriveDallasTX75248President5.000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Description1Eight non-profit organizations were supplied grants for pediatric epilepsy and neurology research.Description1
Expenses10Expenses1

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities2119888AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances11914AvgMonthlyCashBalances
FMV All Other Noncharitable Assets3267365FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets5399167TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Adj Total FMV Of Unused Assets5399167AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable80988CashDeemedCharitable
Net Noncharitable Assets5318179NetNoncharitableAssets
Minimum Investment Return265909MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return265909MinimumInvestmentReturn
Tax Based On Investment Income37326TaxBasedOnInvestmentIncome
Total Tax37326TotalTax
Distributable Amount Before Adj228583DistributableAmountBeforeAdj
Distributable Amount Before Ded228583DistributableAmountBeforeDed
Distributable Amount As Adjusted228583DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions455682ExpensesAndContributions
Qualifying Distributions455682QualifyingDistributions
Adj Qualifying Distributions455682AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted228583DistributableAmountAsAdjusted
Excess Distri Carryover Year2414005ExcessDistriCarryoverYear2
Excess Distri Carryover Year1300365ExcessDistriCarryoverYear1
Total Excess Distri Carryover714370TotalExcessDistriCarryover
Qualifying Distributions455682QualifyingDistributions
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year228583AppliedToCurrentYear
Remaining Distri From Corpus227099RemainingDistriFromCorpus
Total Corpus941469TotalCorpus
Undistributed Income CY0UndistributedIncomeCY
Excess Distri Cyov To Next Year941469ExcessDistriCyovToNextYear
Excess From Year2414005ExcessFromYear2
Excess From Year1300365ExcessFromYear1
Excess From Current Year227099ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

Appication Submission Info AppicationSubmissionInfo

FieldValueIRS element (for citing)
Recipient NameDr Roy EltermanRecipientName

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line17777 Forest Lane B116AddressLine1
CityDallasCity
StateTXState
ZIP Code752302507ZIPCode
FieldValueIRS element (for citing)
Recipient Phone Number9725668439RecipientPhoneNumber
Form And Info And MaterialsApplicants should contact the foundation to obtain their application forms and a listing of required materials.FormAndInfoAndMaterials
Submission DeadlinesNone - Applications are accepted throughout the year.SubmissionDeadlines
Restrictions On AwardsAwards are for research in the fields of pediatric epilepsy and neurology research only.RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (8 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
Ann Robert Lurie Children's Hospita
225 E Chicago Avenue Box 205ChicagoIL60611NoneExemptResearch$11,636
University of California
3333 California Steet Ste 315San FranciscoCA94118NoneExemptResearch$112,046
CURE
223 West Erie Street Ste 2SWChicagoIL60654NoneExemptResearch$25,000
Loma Linda University
24887 Taylor Street Ste 202Loma LindaCA92350NoneExemptResearch$45,000
American Epilepsy Society
342 North Main StreetWest HartfordCT06117NoneExemptResearch$10,000
Child Neurology Foundation
201 Chicago Avenue Ste 200MinneapolisMN55415NoneExemptResearch$52,000
Child Neurology Society
1000 West County Road E Ste 290St PaulMN55126NoneExemptResearch$100,000
Tuberous Sclerosis Alliance
801 Roeder Road Ste 750Silver SpringMD20910NoneExemptResearch$100,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year455682TotGrantOrContriPaidDuringYear

Grant Or Contri Approved For Future GrantOrContriApprovedForFuture (5 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmountAddress Line1RecipientForeignAddress/AddressLine1CityRecipientForeignAddress/CityProvince Or StateRecipientForeignAddress/ProvinceOrStateCountryRecipientForeignAddress/CountryPostal CodeRecipientForeignAddress/PostalCode
Tuberous Sclerosis Alliance
801 Roeder Road Ste 750Silver SpringMD20910NoneExemptResearch$10,000
Children's Memorial Hospital
2300 Childrens Plaza Box 205ChicagoIL60614NoneExemptResearch$34,210
Hospital for Sick Children
NoneExemptResearch$10,000555 University AveTorontoOntarioCAM5G1X8
Loma Linda University
24887 Taylor Street Ste 202Loma LindaCA92350NoneExemptResearch$55,000
University of California
3333 California Steet Ste 315San FranciscoCA94118NoneExemptResearch$142,897
FieldValueIRS element (for citing)
Tot Grant Or Contri Approved Future252107TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion$1,696ExclusionAmount

Other Revenue Described OtherRevenueDescribed

FieldValueIRS element (for citing)
DescriptionRoyalty Income - ResearchDescription
Exclusion Code15ExclusionCode
Exclusion$1,864,579ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Exclusion$1,866,275ExclusionAmount
FieldValueIRS element (for citing)
Total Part XVIA1866275TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EOfalseTrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EOfalseTrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssets
Purchase Assets Noncharitable EOfalsePurchaseAssetsNoncharitableEO
Rental Of Facilities EtcfalseRentalOfFacilitiesEtc
Reimbursement ArrangementsfalseReimbursementArrangements
Loans Or Loan GuaranteesfalseLoansOrLoanGuarantees
Performance Of Services EtcfalsePerformanceOfServicesEtc
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtc
Relationships Noncharitable E OsfalseRelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryAccounting Fees - GeneralCategory
Amount$3,275Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther

FieldValueIRS element (for citing)
Category Or ItemFMV Royalty Rights on Drug StudyCategoryOrItem
Listed At Cost Or FMVFMVListedAtCostOrFMV
EOYFMV3267365EOYFMV

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases OtherDecreases (2 entries)

DescriptionDescriptionAmountAmount
Correcting Accounting of 2011 Income Tax$456
Adjustment for Unpaid Grants$252,107

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionOffice ExpenseDescription
Revenue And Expenses Per Books3165RevenueAndExpensesPerBooks

Other Income Schedule2 OtherIncomeSchedule2

Other Income OtherIncome

FieldValueIRS element (for citing)
DescriptionRoyalty Income - ResearchDescription
Revenue And Expenses Per Books1864579RevenueAndExpensesPerBooks

Taxes Schedule TaxesSchedule

Taxes Taxes (2 entries)

CategoryCategoryAmountAmount
Payroll Taxes$4,208
Income Tax on 2012 Income$37,326