CHILDRENS HOSPITAL BRANCHES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL BRANCHES INC (EIN 94-2227650)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-01
IRS object ID
201322139349301262
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)
Timestamp2013-08-01T15:01:23-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FRANKLIN TAX SERVICEBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13037 HOPYARD RD STE MAddressLine1
CityPLEASANTONCity
StateCAState
ZIP Code945885257ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942227650EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDRENS HOSPITAL BRANCHES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone5104283355Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15700 MARTIN LUTHER KING JR WAY T-2AddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94609ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCYNDI SANTAELLAName
TitleTreasurerTitle
Date Signed2013-08-01DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn HarringtonName
PTINP00634829PTIN
Phone9254840620Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts1069386GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo aid Children's Hospital & Research Center Oakland in every possible way: to acquaint its members with important facts about the Hospital and the policies pertaining to all branch work and the purposes of the Hospital, and to carryout fund raising activities and to support multi-branch events.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees4TotalNbrEmployees
Total Nbr Volunteers120TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year128440ContributionsGrantsPriorYear
Contributions Grants Current Year337872ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-43InvestmentIncomePriorYear
Investment Income Current Year193InvestmentIncomeCurrentYear
Other Revenue Prior Year777465OtherRevenuePriorYear
Other Revenue Current Year473616OtherRevenueCurrentYear
Total Revenue Prior Year905862TotalRevenuePriorYear
Total Revenue Current Year811681TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year414570GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY588525GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year89238SalariesEtcPriorYear
Salaries Etc Current Year96369SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year30692OtherExpensePriorYear
Other Expenses Current Year38408OtherExpensesCurrentYear
Total Expenses Prior Year534500TotalExpensesPriorYear
Total Expenses Current Year723302TotalExpensesCurrentYear
Revenues Less Expenses Prior Year371362RevenuesLessExpensesPriorYear
Revenues Less Expenses CY88379RevenuesLessExpensesCY
Total Assets BOY1203269TotalAssetsBOY
Total Assets EOY1296510TotalAssetsEOY
Total Liabilities BOY1118TotalLiabilitiesBOY
Total Liabilities EOY5980TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1202151NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1290530NetAssetsOrFundBalancesEOY
Mission DescriptionTo aid Children's Hospital & Research Center Oakland in every possible way: to acquaint its members with important facts about the Hospital and the policies pertaining to all branch work and the purposes of the Hospital, and to carryout fund raising activities and to support multi-branch events.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense434325Expense
Grants434325Grants
DescriptionCHILDREN'S HOSPITAL BRANCHES, INC. IS THE SOLE, VOLUNTARY SUPPORT ORGANIZATION WHICH RAISES FUNDS FOR CHILDREN'S HOSPIAL OF NORTHERN CALIFORNIA. THE FUNDS RAISED ARE CONTRIBUTED TO CHILDREN'S HOSPIAL WHICH EXPENDS THEM ON BEHALF OF CHILDREN WHO COME TO THE HOSPITAL FOR MEDICAL CARE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense154200Expense
Grants154200Grants
DescriptionCHORI (Childrens Hospital Oakland Resesearch Institute) is the internationally renowned biomedical research institute of Children's Hospital and Research Center at Oakland. CHORI was most recently ranked 8th in the nation for National Institutes of Health pediatric research funding.Description
FieldValueIRS element (for citing)
Total Program Service Expense588525TotalProgramServiceExpense
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 EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
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 RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees4NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 BodyfalseMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHILDREN'S HOSPITAL BRANCHESNamePerson
Telephone Number5104283355TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 LAKESIDE DR STE 1375AddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94612ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployee
MARY ANN SUVA
Director0.000.00000
LYNNE WILSON
Director0.000.00000
KRISTINA SMITH
Director0.000.00000
PAM PAULETICH
Director0.000.00000
JOANNE KNAPP
Director0.000.00000
JEANNE GRAHAM
Director0.000.00000
SHEILA CHALLEY
Director0.000.00000
JOAN DEUEL
Director0.000.00000
DEBBIE CIVELLO
Secretary0.000.00000
CYNDI SANTAELLA
Treasurer0.000.00000
JOY FAUSSNER
Director0.000.00000
LUCY TALBOT
Director0.000.00000
WENDY DUNN
Director0.000.00000
CECE WERSON
Director0.000.00000
MARILYN ZECHER
Vice President0.000.00000
BETTY JO OLSON
President0.000.00000X
VIKI CEBERS
OFFICE MANAGER40.000.004194900X
SANGEETA PAL
ACCOUNTING20.000.003824000X
LEONOR RUMBOA
THIFT STORE20.000.002401200X
NITZA LOPEZ
THRIFT STORE10.000.00587500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org110076TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues7040MembershipDues
Fundraising Events249935FundraisingEvents
All Other Contributions80897AllOtherContributions
Total Contributions337872TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column193TotalRevenueColumn
Exclusion$193ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 Events557654GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events251335CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses257705FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column299949TotalRevenueColumn
Exclusion$299,949ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MEMORIALS9000991495214952
BAMBINO THRIFT SHOP453310158715$158,715
FieldValueIRS element (for citing)
Total Other Revenue173667TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column811681TotalRevenueColumn
Related Or Exempt Function Income14952RelatedOrExemptFunctionIncome
Exclusion$458,857ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total588525Total
Program Services588525ProgramServices

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)
Total76321Total
Management And General76321ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10536Total
Management And General10536ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9512Total
Management And General9512ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total950Total
Management And General950ManagementAndGeneral

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)
Total772Total
Management And General772ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2405Total
Management And General2405ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4598Total
Management And General4598ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1391Total
Management And General1391ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total335Total
Management And General335ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total9547Total
Management And General9547ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
Postage and Shipping16131613
CREDIT CARD FEES29192919
MISCELLANEOUS37003700
Printing and Publications91659165

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1013Total
Management And General1013ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total723302Total
Program Services588525ProgramServices
Management And General134777ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4564BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY754046BOY
EOY1018979EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY425128BOY
EOY256659EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY18270BOY
EOY18270EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23865LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21263LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1261BOY
EOY2602EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1203269BOY
EOY1296510EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1118BOY
EOY5980EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1118BOY
EOY5980EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY15004BOY
EOY15004EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY1187147BOY
EOY1275526EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1202151BOY
EOY1290530EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1203269BOY
EOY1296510EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses88379ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years199803CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77354CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years643983CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year128282CurrentTaxYearMinus1Year
Current Tax Year337872CurrentTaxYear
Total1387294Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years199803CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77354CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years643983CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year128282CurrentTaxYearMinus1Year
Current Tax Year337872CurrentTaxYear
Total1387294Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total19515AmountsSubstContributorsTotal
Public Support Total1701367779PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25663CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17737CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years200CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-42CurrentTaxYearMinus1Year
Current Tax Year193CurrentTaxYear
Total43751Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20668CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16218CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23724CurrentTaxYearMinus1Year
Current Tax Year14952CurrentTaxYear
Total93225Total
FieldValueIRS element (for citing)
Total Support1524270TotalSupport
Gross Receipts From Admissions Etc2294574GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.89730PublicSupportPertcentage170
Public Support Pertcent Prior Year0.86370PublicSupportPertcentPriorYear
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 Basis8533OtherCostOrOtherBasis
Depreciation5931Depreciation
Book Value2602BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15332OtherCostOrOtherBasis
Depreciation15332Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2602TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1HILL WINTER BALLNameOfEvent1
Gross Receipts Event1265055GrossReceiptsEvent1
Charitable Contributions Event15500CharitableContributionsEvent1
Gross Revenue Event1259555GrossRevenueEvent1
Food And Beverage Event174683FoodAndBeverageEvent1
Entertainment Event17500EntertainmentEvent1
Other Direct Expenses Event133833OtherDirectExpensesEvent1
Name Of Event2ROWAN GALA DES ENFANTSNameOfEvent2
Gross Receipts Event2211979GrossReceiptsEvent2
Charitable Contributions Event2164154CharitableContributionsEvent2
Gross Revenue Event247825GrossRevenueEvent2
Rent Facility Costs Event29723RentFacilityCostsEvent2
Food And Beverage Event213413FoodAndBeverageEvent2
Other Direct Expenses Event218012OtherDirectExpensesEvent2
Total Number Of Other Events12TotalNumberOfOtherEvents
Gross Receipts Other Events330555GrossReceiptsOtherEvents
Charitable Contrib Other Events80281CharitableContribOtherEvents
Gross Revenue Other Events250274GrossRevenueOtherEvents
Non Cash Prizes Other Events2311NonCashPrizesOtherEvents
Rent Facility Costs Other Events29991RentFacilityCostsOtherEvents
Food And Beverage Other Events31814FoodAndBeverageOtherEvents
Entertainment Other Events3500EntertainmentOtherEvents
Other Direct Expenses Other Events32925OtherDirectExpensesOtherEvents
Gross Receipts Total807589GrossReceiptsTotal
Charitable Contributions Total249935CharitableContributionsTotal
Gross Revenue Total Events557654GrossRevenueTotalEvents
Non Cash Prizes Total Events2311NonCashPrizesTotalEvents
Rent Facility Costs Total Events39714RentFacilityCostsTotalEvents
Food And Beverage Total Events119910FoodAndBeverageTotalEvents
Entertainment Total Events11000EntertainmentTotalEvents
Other Direct Expenses Total Events84770OtherDirectExpensesTotalEvents
Direct Expense Summary Events257705DirectExpenseSummaryEvents
Net Income Summary299949NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Childrens Hospital of Northern
747 52nd StreetOaklandCA946094343250Support Children Hospital of Northern California
Childrens Hospital Oakland Research
5700 Martin Luther King Jr WayOaklandCA946091542000Support Medical Research
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessPresented at Board of Directors meeting

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