DATTOLI CANCER FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DATTOLI CANCER FOUNDATION INC (EIN 65-0544103)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-15
IRS object ID
201221369349301417
Schema version
2011v1.2
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)
Timestamp2012-05-15T09:07:11-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN591753337EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KERKERING BARBERIO & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 49348AddressLine1
CitySARASOTACity
StateFLState
ZIP Code342306348ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN650544103EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DATTOLI CANCER FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDATTNameControl
Phone9419574926Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12803 FRUITVILLE ROADAddressLine1
CitySARASOTACity
StateFLState
ZIP Code34237ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL J DATTOLI MDName
TitleVICE PRESIDENT/TREASURERTitle
Phone9419574926Phone
Date Signed2012-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameREBECCA U STONERName
PTINP00585910PTIN
Phone9413654617Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDONALD KALTENBACHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12803 FRUITVILLE ROADAddressLine1
CitySARASOTACity
StateFLState
ZIP Code34237ZIPCode
FieldValueIRS element (for citing)
Gross Receipts138000GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DATTOLIFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO RAISE AWARENESS OF THE WIDE-SPREAD INCIDENCE OF PROSTATE CANCER AND THE NEED FOR EARLY AND ANNUAL SCREENING EXAMS. TO PROVIDE INFORMATION AND SUPPORT TO MEN NEWLY DIAGNOSED WITH PROSTATE CANCER. TO FOSTER RESEARCH INTO BETTER DIAGNOSTIC TOOLS AND TREATMENT OPTIONS FOR PROSTATE CANCER.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees2TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year97012ContributionsGrantsPriorYear
Contributions Grants Current Year82371ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year32671InvestmentIncomePriorYear
Investment Income Current Year14593InvestmentIncomeCurrentYear
Other Revenue Prior Year1273OtherRevenuePriorYear
Other Revenue Current Year728OtherRevenueCurrentYear
Total Revenue Prior Year130956TotalRevenuePriorYear
Total Revenue Current Year97692TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year100GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year50607SalariesEtcPriorYear
Salaries Etc Current Year50268SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year12571TotalFundrsngExpCurrentYear
Other Expense Prior Year89392OtherExpensePriorYear
Other Expenses Current Year52129OtherExpensesCurrentYear
Total Expenses Prior Year140099TotalExpensesPriorYear
Total Expenses Current Year102397TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9143RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4705RevenuesLessExpensesCY
Total Assets BOY374815TotalAssetsBOY
Total Assets EOY309411TotalAssetsEOY
Total Liabilities BOY50723TotalLiabilitiesBOY
Total Liabilities EOY112TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY324092NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY309299NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE DATTOLI CANCER FOUNDATION:1) TO RAISE AWARENESS OF THE WIDE-SPREAD INCIDENCE OF PROSTATE CANCER AND THE NEED FOR EARLY AND ANNUAL SCREENING EXAMS, 2) TO PROVIDE INFORMATION AND SUPPORT TO MEN NEWLY DIAGNOSED WITH PROSTATE CANCER, AND 3) TO FOSTER RESEARCH INTO BETTER DIAGNOSTIC TOOLS AND TREATMENT OPTIONS FOR PROSTATE CANCER.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense80863Expense
DescriptionTO EDUCATE AND INFORM THE RECENTLY DIAGNOSED PROSTATE CANCER PATIENT OF THE TREATMENT OPTIONS; TO PROVIDE INFORMATION, HOPE AND ENCOURAGEMENT TO PROSTATE CANCER PATIENTS AND THEIR FAMILIES; TO EDUCATE THE PUBLIC AS TO THE IMPORTANCE OF PROSTATE CANCER SCREENING.Description
Total Program Service Expense80863TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 Member0BsnssRltnshpThruFamilyMember
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 With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
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 Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL GRABERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9419574926TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12803 FRUITVILLE ROADAddressLine1
CitySARASOTACity
StateFLState
ZIP Code34237ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
STEWART BITTERMAN
DIRECTOR1.00X000
DONALD KALTENBACH
PRESIDENT1.00X000X
MICHAEL DATTOLI
VICE PRESIDENT/TREASURER1.00X000X
RICHARD SORACE
SECRETARY1.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
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
All Other Contributions82371AllOtherContributions
Noncash Contributions1523NoncashContributions
Total Contributions82371TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9409TotalRevenueColumn
Exclusion$9,409ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities45492Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities40308Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5184Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5184TotalRevenueColumn
Exclusion$5,184ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory728GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column728TotalRevenueColumn
Related Or Exempt Function Income728RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column97692TotalRevenueColumn
Related Or Exempt Function Income728RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$14,593ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total41634Total
Program Services35389ProgramServices
Management And General2082ManagementAndGeneral
Fundraising4163Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5588Total
Program Services4750ProgramServices
Management And General279ManagementAndGeneral
Fundraising559Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3046Total
Program Services2589ProgramServices
Management And General152ManagementAndGeneral
Fundraising305Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3350Total
Management And General3350ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2546Total
Program Services1273ProgramServices
Management And General1273ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3836Total
Program Services2132ProgramServices
Management And General767ManagementAndGeneral
Fundraising937Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total550Total
Program Services275ProgramServices
Fundraising275Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total85Total
Management And General85ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6418Total
Program Services5134ProgramServices
Management And General642ManagementAndGeneral
Fundraising642Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total356Total
Program Services178ProgramServices
Management And General89ManagementAndGeneral
Fundraising89Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
MARKETING34600289995601
TELEPHONE288144144
MISCELLANEOUS100100

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total102397Total
Program Services80863ProgramServices
Management And General8963ManagementAndGeneral
Fundraising12571Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY56130BOY
EOY48534EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5878BOY
EOY1883EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2BOY
EOY132EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis37323LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec36546LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2935BOY
EOY777EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY104966BOY
EOY69498EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY196385BOY
EOY184328EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY8519BOY
EOY4259EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY374815BOY
EOY309411EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY115BOY
EOY112EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY50608BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY50723BOY
EOY112EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY324092BOY
EOY309299EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY324092BOY
EOY309299EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY374815BOY
EOY309411EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-4705ReconcilationRevenueExpenses
Reconcilation Other Changes-10088ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years162437CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116536CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79912CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year97012CurrentTaxYearMinus1Year
Current Tax Year82371CurrentTaxYear
Total538268Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6481CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3460CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3385CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1273CurrentTaxYearMinus1Year
Current Tax Year728CurrentTaxYear
Total15327Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years168918CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years119996CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years83297CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year98285CurrentTaxYearMinus1Year
Current Tax Year83099CurrentTaxYear
Total553595Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20000CurrentTaxYearMinus4Years
Total20000Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20000CurrentTaxYearMinus4Years
Total20000Total
FieldValueIRS element (for citing)
Public Support Total509533595PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10416CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9383CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10021CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11775CurrentTaxYearMinus1Year
Current Tax Year9409CurrentTaxYear
Total51004Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10416CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9383CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10021CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11775CurrentTaxYearMinus1Year
Current Tax Year9409CurrentTaxYear
Total51004Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years179334CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years129379CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years93318CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year110060CurrentTaxYearMinus1Year
Current Tax Year92508CurrentTaxYear
Total604599Total
FieldValueIRS element (for citing)
Public Support Percentage5090.88260PublicSupportPercentage509
Prior Year Support Percentage0.81480PriorYearSupportPercentage
Investment Income Percentage0.08440InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.08270PriorYrInvestIncomePercentage
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 D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis37323OtherCostOrOtherBasis
Depreciation36546Depreciation
Book Value777BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings777TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CHUBB 5.2% (25,000 SHARES - FIXED INCOME STOCK)26155F
NUCOR CORP 5% (25,000 SHARES - FIXED INCOME STOCK)26453F
WACHOVIA 4.875% (25,000 SHARES - FIXED INCOME STOCK)26148F
SECTOR ALLOCATION MODEL FUND (9857.297 SHARES - COMMON STOCK105572F
FieldValueIRS element (for citing)
Total Of Book Value Securities184328TotalOfBookValueSecurities

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
VOLUNTEERSFORM 990, PART I, LINE 6ALL BOARD MEMBERS ARE VOLUNTEERS. ADDITIONAL VOLUNTEERS ASSIST IN FREE PROSTATE CANCER SCREENINGS, GENERAL CLERICAL DUTIES (MAILING, FILING, ETC.) AND PATIENT TO PATIENT COUNSELING.
FORM 990, PART VI, SECTION A, LINE 2DR. MICHAEL DATTOLI AND DR. RICHARD SORACE HAVE A BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES
FORM 990, PART VI, SECTION B, LINE 11THE TAX RETURN IS PREPARED BY THE ORGANIZATION'S CPA. IT IS THEN REVIEWED BY THE ORGANIZATION'S CONTROLLER, WHO THEN EMAILS A COPY OF THE 990 TO ALL BOARD MEMBERS FOR REVIEW AND COMMENTS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL NEW BOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO DISCLOSE ANY CONFLICTS AS THEY ARISE.
PART VI, SECTION B, LINES 15A & 15B: THE ORGANIZATION'S TOP MANAGEMENT ARE ALL VOLUNTEERS RECEIVING NO SALARIES FROM THE ORGANIZATION
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:UNREALIZED GAIN/LOSS ON INVESTMENTS -10,088. TOTAL TO FORM 990, PART XI, LINE 5: -10,088.

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