FIREFIGHTERS QUEST FOR BURN SURVIVORS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FIREFIGHTERS QUEST FOR BURN SURVIVORS (EIN 95-4615023)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201333169349304028
Schema version
2012v2.2
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)
Timestamp2013-11-12T12:19:43-00:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WAYNE WRIGHT EABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line129317 VIA MILAGROAddressLine1
CityVALENCIACity
StateCAState
ZIP Code91354ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN954615023EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Firefighters Quest For Burn SurvivorsBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFIRENameControl
Phone8669378378Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11146 N Central Avenue Room 398AddressLine1
CityGlendaleCity
StateCAState
ZIP Code912022506ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameThomas PropstName
TitleExecutive DirectorTitle
Phone8669378378Phone
Date Signed2013-11-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWAYNE WRIGHTName
Phone6612951950Phone
Date Prepared2013-11-12DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonThomas PropstNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11146 N Central Avenue No 398AddressLine1
CityGlendaleCity
StateCAState
ZIP Code912022506ZIPCode
FieldValueIRS element (for citing)
Gross Receipts191079GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.firefightersquest.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionFirefighters Quest For Burn Survivors is dedicated to assist people affected by burn injuries. The organization provides funding and education to burn centers, burn foundations, and burn survivors and their families.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers400TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year57385ContributionsGrantsPriorYear
Contributions Grants Current Year53188ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year19InvestmentIncomePriorYear
Investment Income Current Year4769InvestmentIncomeCurrentYear
Other Revenue Prior Year94081OtherRevenuePriorYear
Other Revenue Current Year91704OtherRevenueCurrentYear
Total Revenue Prior Year151485TotalRevenuePriorYear
Total Revenue Current Year149661TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year78257GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year9567TotalFundrsngExpCurrentYear
Other Expense Prior Year53575OtherExpensePriorYear
Other Expenses Current Year124687OtherExpensesCurrentYear
Total Expenses Prior Year131832TotalExpensesPriorYear
Total Expenses Current Year124687TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19653RevenuesLessExpensesPriorYear
Revenues Less Expenses CY24974RevenuesLessExpensesCY
Total Assets BOY77839TotalAssetsBOY
Total Assets EOY104910TotalAssetsEOY
Total Liabilities BOY4499TotalLiabilitiesBOY
Total Liabilities EOY6596TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY73340NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY98314NetAssetsOrFundBalancesEOY
Mission DescriptionThe organization is dedicated to assisting people and their families affected by burn injuries, whose lives are thrown into disarray by the sheer magnitude of the long road to recovery. Medical professionals are provided training in burn injuries and hundreds of elementary school-aged children are educated in burn prevention yearly.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense48790Expense
DescriptionBurn Center and Foundation Support Program Provides funding to various organizations specializing in burn treatment and rehabilitation services helping burn survivors recover and regain normal lives.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense33218Expense
DescriptionEducation and Burn Prevention Program Provides funding to send nurses, firefighters, and burn survivors to various educational programs taught by the American Burn Association and the World Burn Congress. The program also provides funding for medical and firefighting professionals to attend advanced burn life support courses and conferences. In calendar year 2012, Firefighters Quest provided educational burn assemblies for over 3,000 elementary -aged school children through stage shows provided by L.A. Troupe. The organizations annual burn camp trained 25 firefighters, nurses, and doctors in 2012.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense26304Expense
DescriptionPatient Care and Family Support Program Assists burn survivors and their families with bandages, clothing, personal items, burn garments, medications, outpatient surgery, uninsured patient care, accomodations, meals, and physical and psychological therapy. The organization aided 42 burn survivors and their families in 2011.Description
FieldValueIRS element (for citing)
Total Program Service Expense108312TotalProgramServiceExpense
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 FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
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 BodyfalseMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonThomas PropstNamePerson
Telephone Number8669378378TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11146 N Central Avenue No 398AddressLine1
CityGlendaleCity
StateCAState
ZIP Code912022506ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Thomas Propst
Executive Director004.00XX000
Kathryn Stefani
Treasurer004.00XX000
Elaine Rojas
Secretary004.00XX000
Craig Hammond
Director002.00X000
Scott French
Director002.00X000
J Michael Rojas
Director002.00X000
Stuart Stefani
Director002.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions53188AllOtherContributions
Noncash Contributions20515NoncashContributions
Total Contributions53188TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column121TotalRevenueColumn
Exclusion$121ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4648Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4648Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4648TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events133122GrossIncomeFundraisingEvents
Fundraising Direct Expenses41418FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column91704TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column149661TotalRevenueColumn
Exclusion$121ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total600Total
Management And General600ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

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)
Total2664Total
Management And General2664ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total930Total
Management And General930ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total913Total
Management And General913ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total797Total
Management And General797ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total21Total
Management And General21ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total883Total
Management And General883ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraising
Burn Center Fdn Support Program4879048790
Education for Burn Prevention Program3321833218
Patient Care Family Support Program2630426304
Newsletter95679567

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total124687Total
Program Services108312ProgramServices
Management And General6808ManagementAndGeneral
Fundraising9567Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY68492BOY
EOY70179EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9347BOY
EOY9468EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY25263EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY77839BOY
EOY104910EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4499BOY
EOY6596EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4499BOY
EOY6596EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY73340BOY
EOY98314EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY73340BOY
EOY98314EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77839BOY
EOY104910EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses24974ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years279716CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years196060CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years175142CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year173275CurrentTaxYearMinus1Year
Current Tax Year182553CurrentTaxYear
Total1006746Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1545CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3534CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5943CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4908CurrentTaxYearMinus1Year
Current Tax Year3757CurrentTaxYear
Total19687Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years281261CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years199594CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years181085CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year178183CurrentTaxYearMinus1Year
Current Tax Year186310CurrentTaxYear
Total1026433Total
FieldValueIRS element (for citing)
Public Support Total5091026433PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2144CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1548CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19CurrentTaxYearMinus1Year
Current Tax Year121CurrentTaxYear
Total3911Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2144CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1548CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19CurrentTaxYearMinus1Year
Current Tax Year121CurrentTaxYear
Total3911Total

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 Years283405CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years201142CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years181164CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year178202CurrentTaxYearMinus1Year
Current Tax Year186431CurrentTaxYear
Total1030344Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99620PublicSupportPercentage509
Prior Year Support Percentage0.99570PriorYearSupportPercentage
Investment Income Percentage0.00380InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00430PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestPart III Line 12 The organization had revenue of 4,648 in capital gains from mutual fund distributions not reported on the Form 990, Sch A.FactsAndCircumstancesTest
General ExplanationPart III Line 12 The organization had revenue of 4,648 in capital gains from mutual fund distributions not reported on the Form 990, Sch A.GeneralExplanation

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

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

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1RallyNameOfEvent1
Gross Receipts Event1104175GrossReceiptsEvent1
Gross Revenue Event1104175GrossRevenueEvent1
Other Direct Expenses Event118177OtherDirectExpensesEvent1
Name Of Event2Golf TournamentNameOfEvent2
Gross Receipts Event221989GrossReceiptsEvent2
Gross Revenue Event221989GrossRevenueEvent2
Other Direct Expenses Event217596OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events6958GrossReceiptsOtherEvents
Gross Revenue Other Events6958GrossRevenueOtherEvents
Other Direct Expenses Other Events5645OtherDirectExpensesOtherEvents
Gross Receipts Total133122GrossReceiptsTotal
Gross Revenue Total Events133122GrossRevenueTotalEvents
Other Direct Expenses Total Events41418OtherDirectExpensesTotalEvents
Direct Expense Summary Events41418DirectExpenseSummaryEvents
Net Income Summary91704NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Circle of Care Burn Fdn
16255 Ventura Blvd Ste 707EncinoCA91436760740674501c318700Burn Ctr Support
Alisa Ann Ruch Champ Camp
665 3rd St Ste 345San FranciscoCA94107237162017501c310301Burn Ctr Support
Inland Empire Burn Institute
400 N Pepper AveColtonCA92324050552671501c36052Burn Ctr Support
UCI Burn Center
101 The City Drive SOrangeCA92860952540117501c37535Burn Ctr Support
LAC USC Burn Center
1200 N State StLos AngelesCA90033951642394501c34250Burn Ctr Support
FieldValueIRS element (for citing)
Total Nbr Of Other Organizations5TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantHealth Care Ins, Mental Health Care, Rent AssistanceTypeOfGrant
Number Of Recipients42NumberOfRecipients
Amount Of Cash Grant26304AmountOfCashGrant

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

ExplanationExplanation
Form 990 Part VI Section A Line 2 Two married couples serve as unpaid volunteers on the board of directors. Both husbands are firefighters. Their wives complement the level of expertise on the board one as a nurse for a major burn center, and the other in accounting.
Form 990 Part VI Section B Line 11b A draft copy of the Form 990 is provided to all board members via U.S. mail, in person, or email. Upon completion of the Form 990 review, the board either approves the return for filing, or remands the return back to the accountant for further changes.
Form 990 Part VI Section C Line 19 The Form 990 is made available to the public through GuideStar, a non-profti internet site whose mission is to provide transparency to how non-profits operate by posting Form 990s provided by the Internal Revenue Service on the world wide web. The organization will also provide a copy of the Form 990, or financial statements upon written or phoned-in request.

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