FRIENDS OF FMC FOUNDATION: Form 990EZ, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- FRIENDS OF FMC FOUNDATION (EIN 43-1975486)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-04-25
- IRS object ID
- 201201169349200705
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-04-25T09:33:04-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NICOLLET MALL STE 1300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554027033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431975486 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIENDS OF FMC FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FRIE | NameControl |
| Phone | 4067783331 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 202 S 4TH ST W | AddressLine1 |
| City | BAKER | City |
| State | MT | State |
| ZIP Code | 59313 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL GRIFFITH | Name |
| Title | PRESIDENT OF BOARD | Title |
| Phone | 4067783331 | Phone |
| Date Signed | 2012-04-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIM C HUNWARDSEN | Name |
| Phone | 6122536500 | Phone |
| Date Prepared | 2012-04-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Web Site | WWW.FALLONMEDICAL.ORG | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 93542 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 73420 | ContributionsGiftsGrantsEtc |
| Investment Income | 6870 | InvestmentIncome |
| Cost Other Basis And Sales Expenses | 5238 | CostOtherBasisAndSalesExpenses |
| Gain Or Loss From Sale Of Assets | -5238 | GainOrLossFromSaleOfAssets |
| Fundraising Gross Income | 13252 | FundraisingGrossIncome |
| Special Events Direct Expenses | 10961 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 2291 | SpecialEventsNetIncomeLoss |
| Total Revenue | 77343 | TotalRevenue |
| Grants And Similar Amounts Paid | 28801 | GrantsAndSimilarAmountsPaid |
| Salaries Other Comp Empl Benefits | 20286 | SalariesOtherCompEmplBenefits |
| Occupancy Rent Utilities And Maint | 892 | OccupancyRentUtilitiesAndMaint |
| Other Expenses Total | 14175 | OtherExpensesTotal |
| Total Expenses | 64154 | TotalExpenses |
| Excess Or Deficit For Year | 13189 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 428246 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 40811 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 482246 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 422137 | BOY |
| EOY | 481770 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6109 | BOY |
| EOY | 476 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 428246 | BOY |
| EOY | 482246 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 428246 | BOY |
| EOY | 482246 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | FRIENDS OF FMC FOUNDATION'S MISSION IS TO HELP ENSURE THE CONTINUING QUALITY OF LOCAL HEALTHCARE SERVICES IN THE FALLON MEDICAL COMPLEX SERVICE AREA BY RAISING FUNDS FOR THE PURPOSE OF ENHANCING THE QUALITY AND DIGNITY OF LIFE OF ALL PERSONS EMPLOYED AND SERVED BY FALLON MEDICAL COMPLEX. "FRIENDS HELPING FRIENDS." | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | THE PURPOSE OF FRIENDS OF FALLON MEDICAL COMPLEX FOUNDATION IS TO PROVIDE, THROUGH ALL OF ITS FUNDS AND ACTIVITIES, DIRECT OR INDIRECT BENEFIT TO FALLON MEDICAL COMPLEX (FMC), A NOT-FOR-PROFIT HEALTHCARE CORPORATION, IN SUPPORT OF ITS MISSION, SO LONG AS FMC QUALIFIES AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE FOUNDATION OBTAINS AND RECEIVES CONTRIBUTIONS, DONATIONS, GIFTS, OR BEQUESTS ENTIRELY FOR THE DEVELOPMENT OF ONE OR MORE ENDOWMENT FUNDS, TO BE USED FOR FINANCIAL ASSISTANCE TO FMC FOR MEDICAL EDUCATION, EQUIPMENT UPGRADES AND PURCHASES, PHYSICAL PLANT IMPROVEMENTS AND ADDITIONS, PERSONNEL PROGRAMS, AND ANY ASPECT OF PROMOTION AND PUBLIC RELATIONS DEVOTED TO THE DELIVERY OF HEALTH CARE SERVICES IN FMC'S SERVICE AREA.THE FRIENDS OF FMC FOUNDATION ANNUALLY DISTRIBUTES FUNDS FROM ITS CAPITAL POOL FOR THE PURPOSE OF FUNDING SCHOLARSHIPS TO STUDENTS FROM OUR SERVICE AREA WHO ARE PURSING A FORMAL EDUCATION IN A HEALTHCARE-RELATED FIELD. THE SCHOLARSHIP PROCESS IS GOVERNED BY ESTABLISHED FORMAL PROGRAM CRITERIA THAT DEFINE HOW REQUESTS ARE TO BE SUBMITTED BY APPLICANTS AND HOW THEY ARE TO BE EVALUATED BY THE BOARD OF DIRECTORS. HOWEVER, DURING THE CURRENT FISCAL YEAR, THE BOARD DID NOT AWARD ANY SCHOLARSHIPS. | DescriptionProgramServiceAccom |
| Grants And Allocations | 28801 | GrantsAndAllocations |
| Program Service Expenses | 75115 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 75115 | TotalProgramServiceExpenses |
| Info In Schedule O Part IV | X | InfoInScheduleOPartIV |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| MICHAEL GRIFFITH | ||||||||
| 202 S 4TH ST W | BAKER | MT | 59313 | PRESIDENT, TRUSTEE | 1.00 | 0 | 0 | 0 |
| DAVID STEVENS | ||||||||
| 202 S 4TH ST W | BAKER | MT | 59313 | VICE PRESIDENT, TRUSTEE | 1.00 | 0 | 0 | 0 |
| SUSAN STEVENS | ||||||||
| 202 S 4TH ST W | BAKER | MT | 59313 | SECRETARY/TREASURER, TRUSTEE | 1.00 | 0 | 0 | 0 |
| RENEE MUELLER | ||||||||
| 202 S 4TH ST W | BAKER | MT | 59313 | TRUSTEE | 1.00 | 0 | 0 | 0 |
| SHARON GOOKIN | ||||||||
| 202 S 4TH ST W | BAKER | MT | 59313 | TRUSTEE | 1.00 | 0 | 0 | 0 |
| GLORIA BOGGS | ||||||||
| 202 S 4TH ST W | BAKER | MT | 59313 | TRUSTEE | 1.00 | 0 | 0 | 0 |
| LINDA MOORE | ||||||||
| 202 S 4TH ST W | BAKER | MT | 59313 | TRUSTEE (THRU 12/10) | 1.00 | 0 | 0 | 0 |
| ROD JOHNSON | ||||||||
| 202 S 4TH ST W | BAKER | MT | 59313 | TRUSTEE | 1.00 | 0 | 0 | 0 |
| KAROL ZACHMANN | ||||||||
| 202 S 4TH ST W | BAKER | MT | 59313 | FOUNDATION DIRECTOR | 20.00 | 20286 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SELENA NELSON | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 820 | AddressLine1 |
| City | BAKER | City |
| State | MT | State |
| ZIP Code | 59313 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4067785103 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction With Control Entity | 0 | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 58477 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 60638 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 99573 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 95114 | CurrentTaxYearMinus1Year |
| Current Tax Year | 84381 | CurrentTaxYear |
| Total | 398183 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 58477 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 60638 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 99573 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 95114 | CurrentTaxYearMinus1Year |
| Current Tax Year | 84381 | CurrentTaxYear |
| Total | 398183 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 167831 | AmountsSubstContributorsTotal |
| Public Support Total170 | 230352 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2018 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20245 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6333 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5116 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6870 | CurrentTaxYear |
| Total | 40582 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 438765 | TotalSupport |
| Gross Receipts From Admissions Etc | 50468 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.52500 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.73660 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | MAMMO WHAMMO | NameOfEvent1 |
| Gross Receipts Event1 | 10032 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 7512 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 2520 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 1078 | OtherDirectExpensesEvent1 |
| Name Of Event2 | FANTASY FOOD FAIR | NameOfEvent2 |
| Gross Receipts Event2 | 8024 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 5684 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 2340 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 265 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 4458 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 4 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 15048 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 6656 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 8392 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 100 | RentFacilityCostsOtherEvents |
| Other Direct Expenses Other Events | 5060 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 33104 | GrossReceiptsTotal |
| Charitable Contributions Total | 19852 | CharitableContributionsTotal |
| Gross Revenue Total Events | 13252 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 365 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 10596 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 10961 | DirectExpenseSummaryEvents |
| Net Income Summary | 2291 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | INTEREST INCOME 1,789.. DIVIDEND INCOME 5,081.. TOTAL INCLUDED ON FORM 990-EZ, LINE 4: 6,870. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: DONATION FOR OPERATIONS. GRANTEE NAME: FALLON MEDICAL COMPLEX, INC.. GRANTEE ADDRESS: 202 SOUTH 4TH STREET WEST BAKER, MT 59313. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 06/30/11. AMOUNT GIVEN: 28,801. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: ADVERTISING. AMOUNT: 579. DESCRIPTION: OFFICE EXPENSES. AMOUNT: 6,339. DESCRIPTION: MISCELLANEOUS FUNDRAISING EXPENSES. AMOUNT: 834. DESCRIPTION: LICENSES & TAXES. AMOUNT: 40. DESCRIPTION: ACCOUNTING, LEGAL AND INSURANCE. AMOUNT: 1,463. DESCRIPTION: BAD DEBT EXPENSE. AMOUNT: 4,920. TOTAL TO FORM 990-EZ, LINE 16: 14,175. |
| OTHER CHANGES IN NET ASSETS | FORM 990-EZ, PART I, LINE 20 | DESCRIPTION: NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS. AMOUNT: 40,811. |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | DESCRIPTION: PLEDGES & GRANTS RECEIVABLE. BEG. OF YEAR AMOUNT: 4,721. END OF YEAR AMOUNT: 0. DESCRIPTION: OTHER ASSETS. BEG. OF YEAR AMOUNT: 207. END OF YEAR AMOUNT: 82. DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 1,181. END OF YEAR AMOUNT: 394. |
| FROM 990-EZ, PART IV, INDIVIDUAL 11, COLUMN B | COMPENSATION OF FOUNDATION DIRECTOR | KAROL ZACHMAN, FOUNDATION DIRECTOR OF FRIENDS OF FMC FOUNDATION, INC., IS AN EMPLOYEE OF FALLON MEDICAL COMPLEX INC. HER WAGES ARE PAID BY FALLON MEDICAL COMPLEX WHICH IS REIMBURSED BY FRIENDS OF FMC FOUNDATION, INC. FOR SERVICES SHE RENDERS AS FOUNDATION DIRECTOR. |
| EXPLANATION FOR NOT REPORTING UBI ON FORM 990-T | FORM 990-EZ, PART V, LINE 35 | REVENUE IS GENERATED FROM PROVIDING SPECIAL FUNDRAISING EVENTS TO THE COMMUNITY. THE ORGANIZATION CONDUCTS SPECIAL FUNDRAISING EVENTS TO HELP RAISE FUNDS TO FURTHER THEIR EXEMPT PURPOSE OF SUPPORTING THE HEALTHCARE MISSION OF FALLON MEDICAL COMPLEX. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | Declaration |