WILLIE STARGELL FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WILLIE STARGELL FOUNDATION INC (EIN 20-1131483)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-14
IRS object ID
201332269349303978
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)
Timestamp2013-08-14T17:03:24-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID A KINGMAN CPA INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1210 AVONDALE AVENUE SUITE 1AddressLine1
CityWILMINGTONCity
StateNCState
ZIP Code28403ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201131483EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WILLIE STARGELL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWILLNameControl
Phone9107900187Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11213 CULBRETH DRIVEAddressLine1
CityWILMINGTONCity
StateNCState
ZIP Code28405ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARGARET WELLER-STARGELLName
TitlePRESIDENTTitle
Phone9107900187Phone
Date Signed2013-07-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID A KINGMAN CPAName
Phone9103503683Phone
Date Prepared2013-07-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARGARET WELLER-STARGELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11213 CLUBRETH DRIVEAddressLine1
CityWILMINGTONCity
StateNCState
ZIP Code28405ZIPCode
FieldValueIRS element (for citing)
Gross Receipts288091GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WILLIESTARGELLFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTO SUPPORT KIDNEY DISEASE RESEARCH AND TREATMENT FOR THOSE INDIVIDUALS SUFFERING WITH KIDNEY DISEASE.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers17TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year32880ContributionsGrantsPriorYear
Contributions Grants Current Year48474ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year33103OtherRevenuePriorYear
Other Revenue Current Year27417OtherRevenueCurrentYear
Total Revenue Prior Year65983TotalRevenuePriorYear
Total Revenue Current Year75891TotalRevenueCurrentYear
Grants And Similar Amnts CY50000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expenses Current Year0OtherExpensesCurrentYear
Total Expenses Current Year50000TotalExpensesCurrentYear
Revenues Less Expenses Prior Year65983RevenuesLessExpensesPriorYear
Revenues Less Expenses CY25891RevenuesLessExpensesCY
Total Assets BOY126507TotalAssetsBOY
Total Assets EOY152398TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY126507NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY152398NetAssetsOrFundBalancesEOY
Mission DescriptionTO SUPPORT KIDNEY DISEASE RESEARCH AND TREATMENT FOR THOSE INDIVIDUALS SUFFERING WITH KIDNEY DISEASE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense30000Expense
Grants30000Grants
DescriptionTHE WILLIE STARGELL DIALYSIS CENTER AT NEW HANOVER REGIONAL MEDICAL CENTER CURRENTLY TREATS OVER 1,000 PATIENTS ANNUALLY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense10000Expense
Grants10000Grants
DescriptionTHE DAVITI DIALYSIS CENTER IS A PROVIDER OF KIDNEY SERVICES IN THE COMMUNITYDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense10000Expense
Grants10000Grants
DescriptionUNC AND DUKE PROVIDE KIDNEY TRANSPLANT SERVICES TO THE COMMUNITYDescription
FieldValueIRS element (for citing)
Total Program Service Expense50000TotalProgramServiceExpense
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 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
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 ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
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 BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARGARET WELLER-STARGELLNamePerson
Telephone Number9103501211TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1812 WILD TURKEY PLACEAddressLine1
CityWILMINGTONCity
StateNCState
ZIP Code28405ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MARGARET WELLER-STARGELL
PRESIDENT2.00XX000
BO DEAN
DIRECTOR1.00X000
JONATHAN STARGELL
SECRETARY1.00XX000
FRANCES WELLER
TREASURER1.00XX000
KEVIN MCCLATCHY
DIRECTOR1.00X000
JOE MORGAN
DIRECTOR1.00X000
DAVE STEWART
DIRECTOR1.00X000
TRACY CONLON
DIRECTOR1.00X000
ARTHUR CULBREATH
DIRECTOR1.00X000
DAVID DAVIS
DIRECTOR1.00X000
JAMES MCCABE
DIRECTOR1.00X000
BETH QUINN
DIRECTOR1.00X000
TOM REICH
DIRECTOR1.00X000
CHICK YOUNG
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions48474AllOtherContributions
Noncash Contributions48000NoncashContributions
Total Contributions48474TotalContributions
Gross Income Fundraising Events239617GrossIncomeFundraisingEvents
Fundraising Direct Expenses212200FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column27417TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column75891TotalRevenueColumn

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total50000Total
Program Services50000ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total50000Total
Program Services50000ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY126507BOY
EOY152398EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY126507BOY
EOY152398EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY126507BOY
EOY152398EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY126507BOY
EOY152398EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY126507BOY
EOY152398EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses25891ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37009CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years42491CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39159CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32880CurrentTaxYearMinus1Year
Current Tax Year48474CurrentTaxYear
Total200013Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years143295CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years152046CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64789CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year150570CurrentTaxYearMinus1Year
Current Tax Year239617CurrentTaxYear
Total750317Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years180304CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years194537CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years103948CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year183450CurrentTaxYearMinus1Year
Current Tax Year288091CurrentTaxYear
Total950330Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years138295CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years76059CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93750CurrentTaxYearMinus1Year
Total338104Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years138295CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years76059CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93750CurrentTaxYearMinus1Year
Total338104Total
FieldValueIRS element (for citing)
Public Support Total509612226PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years180304CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years194537CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years103948CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year183450CurrentTaxYearMinus1Year
Current Tax Year288091CurrentTaxYear
Total950330Total
FieldValueIRS element (for citing)
Public Support Percentage5090.64420PublicSupportPercentage509
Prior Year Support Percentage0.44200PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
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 Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1239617GrossReceiptsEvent1
Gross Revenue Event1239617GrossRevenueEvent1
Other Direct Expenses Event1212200OtherDirectExpensesEvent1
Gross Receipts Total239617GrossReceiptsTotal
Gross Revenue Total Events239617GrossRevenueTotalEvents
Other Direct Expenses Total Events212200OtherDirectExpensesTotalEvents
Direct Expense Summary Events212200DirectExpenseSummaryEvents
Net Income Summary27417NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
DAVITA KIDNEY EMERGENCY FUND
2215 YAUPON DRIVEWILMINGTONNC28401Y10000KIDNEY DIALYSIS
NHRMC FOUNDATION
2259 SOUTH 17TH STREETWILMINGTONNC28401Y30000STARGELL DIALYSIS

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99048000NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITSFORM 990, PAGE 1, PART I, LINE 6THE VOLUNTEERS SERVE AS BOARD MEMBERS, ASSIST IN RUNNING THE GOLF TOURNAMENT AND THE ANNUAL AUCTION AND DINNER. NONE OF THE VOLUNTEERS ARE COMPENSATED FOR THEIR SERVICES.
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2MARGARET WELLER-STARGELL FRANCES WELLER PRESIDENT BOARD MEMBER SISTERS
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

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