A SILVER LINING FOUNDATION CHICAGOLAND CANCER INFO COALITION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
A SILVER LINING FOUNDATION CHICAGOLAND CANCER INFO COALITION (EIN 90-0097495)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201211329349302831
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

FieldValueIRS element (for citing)
Timestamp2012-05-11T14:38:30-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1OSTROW REISIN BERK & ABRAMS LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1455 N CITYFRONT PLAZA DRIVE SUITE 1AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606115313ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN900097495EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1A SILVER LINING FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlASILNameControl
Phone3123451322Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1134 NORTH LASALLE STREET NO 1218AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606021086ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDR SANDRA A GOLDBERGName
TitleFOUNDER, CHAIRMANTitle
Phone3123451322Phone
Date Signed2012-05-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES G QUAIDName
Phone3126707444Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDR SANDRA A GOLDBERGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1134 NORTH LASALLE STREET NO 1218AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606021086ZIPCode
FieldValueIRS element (for citing)
Gross Receipts570194GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ASILVERLININGFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO ENSURE DIGNIFIED, RESPECTFUL, AND EQUAL ACCESS TO QUALITY CANCER EDUCATION AND SERVICES FOR ALL, BY CREATING MEANINGFUL PARTNERSHIPS WITH COMMUNITY, ADVOCACY, AND HEALTHCARE ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year465823ContributionsGrantsPriorYear
Contributions Grants Current Year543765ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year16InvestmentIncomePriorYear
Investment Income Current Year6InvestmentIncomeCurrentYear
Other Revenue Prior Year-62109OtherRevenuePriorYear
Other Revenue Current Year-75038OtherRevenueCurrentYear
Total Revenue Prior Year403730TotalRevenuePriorYear
Total Revenue Current Year468733TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year81999GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY122108GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year132351SalariesEtcPriorYear
Salaries Etc Current Year140397SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year110881TotalFundrsngExpCurrentYear
Other Expense Prior Year109740OtherExpensePriorYear
Other Expenses Current Year117836OtherExpensesCurrentYear
Total Expenses Prior Year324090TotalExpensesPriorYear
Total Expenses Current Year380341TotalExpensesCurrentYear
Revenues Less Expenses Prior Year79640RevenuesLessExpensesPriorYear
Revenues Less Expenses CY88392RevenuesLessExpensesCY
Total Assets BOY216339TotalAssetsBOY
Total Assets EOY249004TotalAssetsEOY
Total Liabilities BOY161435TotalLiabilitiesBOY
Total Liabilities EOY105708TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY54904NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY143296NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENSURE DIGNIFIED, RESPECTFUL, AND EQUAL ACCESS TO QUALITY CANCER EDUCATION AND SERVICES FOR ALL, BY CREATING MEANINGFUL PARTNERSHIPS WITH COMMUNITY, ADVOCACY, AND HEALTHCARE ORGANIZATIONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTHE CHICAGOLAND CANCER INFORMATION COALITION'S FOCUS AND PURPOSE IS TO DEVELOP INNOVATIVE COLLABORATIVE INITIATIVES IN AN EFFORT TO PROVIDE COMMUNITY-BASED EDUCATIONAL AND RESOURCE INFORMATION TO CANCER PATIENTS WITHIN THEIR NEIGHBORHOODS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionTHE EVELYN GOLDBERG RESPITE CENTER OPENED AT THE UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO ON OCTOBER 1, 2004. THE CENTER'S GOAL IS TO EMPOWER INDIVIDUALS TO ACTIVELY PARTICIPATE IN THEIR HEALTH CARE DECISION-MAKING BY IMPROVING UNDERSTANDING OF TREATMENT OPTIONS, AND ENCOURAGING DIALOGUE BETWEEN PATIENT AND PROVIDER, PROVIDING ASSISTANCE IN NAVIGATING THE HEALTHCARE SYSTEM AND PROVIDING QUALITY OF LIFE SERVICES FOR PATIENTS GOING THROUGH CANCER TREATMENT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionIN JUNE 2006, THE FOUNDATION BEGAN BUY A MOM A MAMMOGRAM TO FUND COST-FREE SCREENING MAMMOGRAMS TO MEDICALLY UNDERSERVED, UNINSURED/UNDERINSURED WOMEN AND MEN IN THE CHICAGOLAND AREA. A DIAGNOSTIC COMPONENT IS ALSO IN PLACE TO ENSURE WOMEN IN NEED OF EVALUATION AND FOLLOW-UP TESTING WILL RECEIVE SUCH SERVICES IN A TIMELY FASHION. RESPONDING TO THE BASIC NEED OF MEDICALLY UNDERSERVED WOMEN TO OBTAIN SCREENING, THE FOUNDATION PARTNERS WITH VARIOUS HOSPITALS TO PROVIDE ACCESS TO COST-FREE MAMMOGRAMS IN A TIMELY, DIGNIFIED, AND RESPECTFUL FASHION.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense216638Expense
Grants122108Grants
FieldValueIRS element (for citing)
Total Of Other Program Service Exp216638TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt122108TotalOfOtherProgramServiceGrnt
Total Program Service Expense216638TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DR SANDRA A GOLDBERGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3123451322TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1134 NORTH LASALLE STREET NO 1218AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606021086ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ANDREW T BERLIN
DIRECTOR1.00X000
DENNIS CONROY
DIRECTOR1.00X000
TIMOTHY A CORRY
DIRECTOR - TERM1.00X000
SANDRA A GOLDBERG PHD
CHAIRMAN AND FOUNDER40.00X8500000X
GREGORY N HINES
VICE PRESIDENT1.00X000X
DIVYESH G MEHTA MD
DIRECTOR1.00X000
ROGER M SHINDELL
PRESIDENT1.00X000X
LAWRENCE WERT
DIRECTOR1.00X000
KAREN BATENIC
DIRECTOR - TERM1.00X000
STEVEN MANNOS
DIRECTOR1.00X000
MONICA PEEK MD MPH
DIRECTOR1.00X000
J MORI JOHNSON MA
DIRECTOR1.00X000
GREGG HELFER
DIRECTOR1.00X000
LEONARD E WIATR
DIRECTOR1.00X000
SEAN CASEY
DIRECTOR1.00X000
BEN SOLDINGER
DIRECTOR1.00X000
NANCY AMICANGELO
DIRECTOR25.00X000
BELA NAND MD
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org85000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events243085FundraisingEvents
All Other Contributions300680AllOtherContributions
Total Contributions543765TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6TotalRevenueColumn
Exclusion$6ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events26423GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events243085CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses101461FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-75038TotalRevenueColumn
Exclusion-$75,038ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column468733TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$75,032ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total122108Total
Program Services122108ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total85000Total
Program Services34000ProgramServices
Management And General8500ManagementAndGeneral
Fundraising42500Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total45420Total
Program Services28602ProgramServices
Management And General4542ManagementAndGeneral
Fundraising12276Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9977Total
Program Services4789ProgramServices
Management And General998ManagementAndGeneral
Fundraising4190Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total182Total
Management And General182ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19105Total
Management And General19105ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8651Total
Management And General1210ManagementAndGeneral
Fundraising7441Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total3031Total
Program Services1455ProgramServices
Management And General303ManagementAndGeneral
Fundraising1273Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20675Total
Program Services6685ProgramServices
Management And General8087ManagementAndGeneral
Fundraising5903Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4610Total
Program Services2213ProgramServices
Management And General461ManagementAndGeneral
Fundraising1936Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total25677Total
Program Services12325ProgramServices
Management And General2568ManagementAndGeneral
Fundraising10784Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5643Total
Program Services2709ProgramServices
Management And General564ManagementAndGeneral
Fundraising2370Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total3497Total
Management And General3497ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1528Total
Program Services733ProgramServices
Management And General153ManagementAndGeneral
Fundraising642Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2123Total
Program Services1019ProgramServices
Management And General212ManagementAndGeneral
Fundraising892Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionFUNDRAISINGDescription
Total23114Total
Management And General2440ManagementAndGeneral
Fundraising20674Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total380341Total
Program Services216638ProgramServices
Management And General52822ManagementAndGeneral
Fundraising110881Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17847BOY
EOY14548EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY191900BOY
EOY217520EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY11872EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9230LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7666LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3092BOY
EOY1564EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3500BOY
EOY3500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY216339BOY
EOY249004EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY50397BOY
EOY46456EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY111038BOY
EOY59252EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY161435BOY
EOY105708EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-199927BOY
EOY-156883EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY254831BOY
EOY300179EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY54904BOY
EOY143296EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY216339BOY
EOY249004EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses88392ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years315272CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years426640CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years356244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year465823CurrentTaxYearMinus1Year
Current Tax Year543765CurrentTaxYear
Total2107744Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years315272CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years426640CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years356244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year465823CurrentTaxYearMinus1Year
Current Tax Year543765CurrentTaxYear
Total2107744Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total376743AmountsSubstContributorsTotal
Public Support Total1701731001PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3863CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3409CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years197CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16CurrentTaxYearMinus1Year
Current Tax Year6CurrentTaxYear
Total7491Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years132CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years758CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year793CurrentTaxYearMinus1Year
Total1683Total
FieldValueIRS element (for citing)
Total Support2116918TotalSupport
Gross Receipts From Admissions Etc133677GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.81770PublicSupportPertcentage170
Public Support Pertcent Prior Year0.89580PublicSupportPertcentPriorYear
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 Basis9230OtherCostOrOtherBasis
Depreciation7666Depreciation
Book Value1564BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1564TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED RENT$9,691
LINE OF CREDIT$49,561
FieldValueIRS element (for citing)
Total Of Amounts59252TotalOfAmounts
Total Revenue468733TotalRevenue
Total Expenses380341TotalExpenses
Excess Or Deficit For Year88392ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS88392ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt569536TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities146897DonatedSrvcAndUseOfFacilities
Other Revenues-46094OtherRevenues
Revenue Not Rptd F990100803RevenueNotRptdF990
Revenue Subtotal468733RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990468733TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt481144TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities146897DonatedServicesUseOfFacilities
Other Expenses Included-46094OtherExpensesIncluded
Expenses Not Rptd F990100803ExpensesNotRptdF990
Expenses Subtotal380341ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990380341TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationSCHEDULE D PART XII LINE 2D AND PART XIII LINE 2D CONTRIBUTED SPECIAL EVENT EXPENSES - $46,094Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1A STERLING EVENT GALANameOfEvent1
Gross Receipts Event1196122GrossReceiptsEvent1
Charitable Contributions Event1175374CharitableContributionsEvent1
Gross Revenue Event120748GrossRevenueEvent1
Rent Facility Costs Event142734RentFacilityCostsEvent1
Entertainment Event14000EntertainmentEvent1
Other Direct Expenses Event136212OtherDirectExpensesEvent1
Name Of Event23RD PARTY EVENTSNameOfEvent2
Gross Receipts Event253942GrossReceiptsEvent2
Charitable Contributions Event248267CharitableContributionsEvent2
Gross Revenue Event25675GrossRevenueEvent2
Food And Beverage Event210023FoodAndBeverageEvent2
Other Direct Expenses Event22156OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events19444GrossReceiptsOtherEvents
Charitable Contrib Other Events19444CharitableContribOtherEvents
Other Direct Expenses Other Events6336OtherDirectExpensesOtherEvents
Gross Receipts Total269508GrossReceiptsTotal
Charitable Contributions Total243085CharitableContributionsTotal
Gross Revenue Total Events26423GrossRevenueTotalEvents
Rent Facility Costs Total Events42734RentFacilityCostsTotalEvents
Food And Beverage Total Events10023FoodAndBeverageTotalEvents
Entertainment Total Events4000EntertainmentTotalEvents
Other Direct Expenses Total Events44704OtherDirectExpensesTotalEvents
Direct Expense Summary Events101461DirectExpenseSummaryEvents
Net Income Summary-75038NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
INGALLS HEALTH SYSTEM
ONE INGALLS DRIVEHARVEYIL60426363181170324450MAMMOGRAMS
SOUTH SHORE HOSPITAL CORPORATION
8012 SOUTH CRANDON AVENUECHICAGOIL6061736179952036885MAMMOGRAMS
SWEDISH COVENANT HOSPITAL
5145 NORTH CALIFORNIA AVENUECHICAGOIL60625362179813321525MAMMOGRAMS
UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO
1740 WEST TAYLOR SUITE 1400CHICAGOIL60612376000511319454MAMMOGRAMS
LORETTO HOSPITAL
645 SOUTH CENTRAL AVENUECHICAGOIL60644362200248345120MAMMOGRAMS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: MAMMOGRAMS ARE FUNDED TO VARIOUS HOSPITALS IN CONNECTION WITH THE BUY A MOM A MAMMOGRAM PROGRAM. MONTHLY REPORTS ARE RECEIVED FROM EACH HOSPITAL OUTLINING EACH PROCEDURE PERFORMED. THESE REPORTS, WHICH CONTAIN A CODE NUMBER FOR THE PATIENT, ARE CHECKED AND RECORDED AGAINST THE ORGANIZATION'S RECORDS.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDR SANDRA A GOLDBERGNamePerson
FieldValueIRS element (for citing)
RelationshipCHAIRMAN AND FOUNDERRelationship
Amount Of Transaction85000AmountOfTransaction
Description Of TransactionSALARYDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L PART IVIdentifier
Return ReferenceBUSINESS TRANSACTIONSReturnReference
ExplanationDR. SANDRA A. GOLDBERG, CHAIRMAN AND FOUNDER, IS A PAID EMPLOYEE OF THE FOUNDATION. SHE IS MARRIED TO GREGORY N. HINES, A BOARD MEMBER OF THE FOUNDATION.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2SANDRA A. GOLDBERG, PHD AND GREGORY N. HINES ARE SPOUSES.
FORM 990, PART VI, SECTION B, LINE 11ONCE A DRAFT HAS BEEN COMPLETED, THE FORM 990 IS DISTRIBUTED TO THE MEMBERS OF THE BOARD OF DIRECTORS WHO ARE ABLE TO REVIEW, COMMENT, AND RESPOND WITH QUESTIONS. AT THE END OF THE REVIEW PERIOD, THE BOARD OF DIRECTORS ARE ASKED TO APPROVE THE 990 FILING. UPON APPROVAL, THE 990 IS THEN FILED WITH THE IRS.
ALL DIRECTORS AND EMPLOYEES HAVE AN OBLIGATION TO: 1. AVOID CONFLICTS OF INTEREST, OR THE APPEARANCE OF CONFLICTS, BETWEEN THEIR PERSONAL INTERESTS AND THOSE OF THE ORGANIZATION IN DEALING WITH OUTSIDE ENTITIES OR INDIVIDUALS, 2. DISCLOSE REAL AND APPARENT CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS, AND 3. REFRAIN FROM PARTICIPATION IN ANY DECISIONS ON MATTERS THAT INVOLVE A REAL CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT. ALL REAL OR APPARENT CONFLICTS OF INTEREST SHALL BE DISCLOSED TO THE AUDIT COMMITTEE AND THE EXECUTIVE DIRECTOR OF THE ORGANIZATION. FAILURE TO COMPLY WITH THE STANDARDS CONTAINED IN THIS POLICY WILL RESULT IN DISCIPLINARY ACTION THAT MAY INCLUDE TERMINATION, REFERRAL FOR CRIMINAL PROSECUTION, AND REIMBURSEMENT TO THE ORGANIZATION OR TO THE GOVERNMENT, FOR ANY LOSS OR DAMAGE RESULTING FROM THE VIOLATION. AS WITH ALL MATTERS INVOLVING DISCIPLINARY ACTION, PRINCIPLES OF FAIRNESS WILL APPLY. ANY EMPLOYEE CHARGED WITH A VIOLATION OF THIS POLICY WILL BE AFFORDED AN OPPORTUNITY TO EXPLAIN HER/HIS ACTIONS BEFORE DISCIPLINARY ACTION IS TAKEN.FORM 990, PART VI, SECTION B, LINE 12C
EXECUTIVE PAY IS DETERMINED BY REVIEWING SIMILAR ORGANIZATIONS' FORM 990 AND COMPENSATION SURVEYS, AND IS APPROVED BY A COMMITTEE, COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS.FORM 990, PART VI, SECTION B, LINE 15A
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
SUPPORT SCHEDULEAMOUNTS REPORTED IN YEARS 2006-2009 HAVE BEEN RESTATED IN CONFORMITY WITH THE IRS INSTRUCTIONS FOR SCHEDULE A.SCHEDULE A PART II

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