2012-04-25T09:33:04-05:00 2011-06-30 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990EZ 2010-07-01 431975486 FRIENDS OF FMC FOUNDATION INC FRIE 4067783331 202 S 4TH ST W BAKER MT 59313 MICHAEL GRIFFITH 4067783331 2012-04-11 1 KIM C HUNWARDSEN 6122536500 2012-04-12 2010 2016-02-24 21:20:13Z X WWW.FALLONMEDICAL.ORG X 93542 X 73420 6870 5238 -5238 13252 10961 2291 77343 28801 20286 892 14175 64154 13189 428246 40811 482246 X 422137 481770 6109 476 428246 482246 0 0 428246 482246 X 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." 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. 28801 75115 75115 X MICHAEL GRIFFITH 202 S 4TH ST W BAKER MT 59313 1.00 0 0 0 DAVID STEVENS 202 S 4TH ST W BAKER MT 59313 1.00 0 0 0 SUSAN STEVENS 202 S 4TH ST W BAKER MT 59313 1.00 0 0 0 RENEE MUELLER 202 S 4TH ST W BAKER MT 59313 1.00 0 0 0 SHARON GOOKIN 202 S 4TH ST W BAKER MT 59313 1.00 0 0 0 GLORIA BOGGS 202 S 4TH ST W BAKER MT 59313 1.00 0 0 0 LINDA MOORE 202 S 4TH ST W BAKER MT 59313 1.00 0 0 0 ROD JOHNSON 202 S 4TH ST W BAKER MT 59313 1.00 0 0 0 KAROL ZACHMANN 202 S 4TH ST W BAKER MT 59313 20.00 20286 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 SELENA NELSON PO BOX 820 BAKER MT 59313 4067785103 0 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X 58477 60638 99573 95114 84381 398183 58477 60638 99573 95114 84381 398183 167831 230352 2018 20245 6333 5116 6870 40582 438765 50468 0.52500 0.73660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED MAMMO WHAMMO 10032 7512 2520 1078 FANTASY FOOD FAIR 8024 5684 2340 265 4458 4 15048 6656 8392 100 5060 33104 19852 13252 365 10596 10961 2291 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. 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.