FURP.ORG / PUBLIC DATA EXPLORER

PEDIATRIC EPILEPSY RESEARCH FOUNDATION: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PEDIATRIC EPILEPSY RESEARCH FOUNDATION (EIN 20-1779737)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-03-05
IRS object ID
201240659349100104
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)
Timestamp2012-03-05T08:07:50-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Gary C Vick CPA PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1525 E Centerville RdAddressLine1
CityGarlandCity
StateTXState
ZIP Code75041ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201779737EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Pediatric Epilepsy Research FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPEDINameControl
Phone2142178920Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17777 Forest LaneAddressLine1
CityDallasCity
StateTXState
ZIP Code75230ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDr Roy EltermanName
TitlePresidentTitle
Date Signed2012-02-03DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGary C Vick CPA-CFPName
Phone9722781090Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY4808659FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss1494InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm1494InterestOnSavingsNetInvstIncm
Interest On Savings Adj Net Incm1494InterestOnSavingsAdjNetIncm
Other Income Rev And Expnss1489494OtherIncomeRevAndExpnss
Other Income Net Invst Incm1489494OtherIncomeNetInvstIncm
Total Revenue And Expenses1490988TotalRevenueAndExpenses
Total Net Investment Income1490988TotalNetInvestmentIncome
Total Adjusted Net Income1494TotalAdjustedNetIncome
Oth Empl Slrs Wgs Rev And Expnss32167OthEmplSlrsWgsRevAndExpnss
Pension Empl Bnft Rev And Expnss5833PensionEmplBnftRevAndExpnss
Legal Fees Rev And Expnss556LegalFeesRevAndExpnss
Legal Fees Net Invst Incm556LegalFeesNetInvstIncm
Accounting Fees Rev And Expnss2745AccountingFeesRevAndExpnss
Taxes Rev And Expnss56314TaxesRevAndExpnss
Occupancy Rev And Expnss7000OccupancyRevAndExpnss
Other Expenses Rev And Expnss4327OtherExpensesRevAndExpnss
Tot Opr Expenses Rev And Expnss108942TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm556TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss431474ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps431474ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss540416TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm556TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps431474TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses950572ExcessOfRevenueOverExpenses
Net Investment Income1490432NetInvestmentIncome
Adjusted Net Income1494AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY5379CashBOY
Cash EOY301CashEOY
Cash EOYFMV301CashEOYFMV
Savings And Temp Cash Invst BOY585343SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY1540177SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV1540177SavingsAndTempCashInvstEOYFMV
Prepaid Expenses EOY816PrepaidExpensesEOY
Prepaid Expenses EOYFMV816PrepaidExpensesEOYFMV
Investments Other EOYFMV3267365InvestmentsOtherEOYFMV
Total Assets BOY590722TotalAssetsBOY
Total Assets EOY1541294TotalAssetsEOY
Total Assets EOYFMV4808659TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY590722UnrestrictedBOY
Unrestricted EOY1541294UnrestrictedEOY
Total Net Assets BOY590722TotalNetAssetsBOY
Total Net Assets EOY1541294TotalNetAssetsEOY
Total Liabilities Net Assets BOY590722TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY1541294TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY590722TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses950572ExcessOfRevenueOverExpenses
Subtotal1541294Subtotal
Total Net Assets Fund Balances EOY1541294TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year1568020QualifyingDistributionsYear1
Noncharitable Assets Year13858087NoncharitableAssetsYear1
Distribution Ratio Year10.14723DistributionRatioYear1
Total Distribution Ratio0.14723TotalDistributionRatio
Average Distribution Ratio0.14723AverageDistributionRatio
Net Noncharitable Assets3218355NetNoncharitableAssets
Adjusted Noncharitable Assets473832AdjustedNoncharitableAssets
One Percent Net Investment Income14904OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One488736AdjNonchrtblAssetsAndOnePct
Qualifying Distributions431474QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax29809InvestmentIncomeExciseTax
Subtotal29809Subtotal
Tax Based On Investment Income29809TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment30645EstTaxPaymentsAndOverpayment
Total Credits And Payments30645TotalCreditsAndPayments
Form2220 AttachedXForm2220Attached
Overpayment836Overpayment
Amount Credited To Next Year836AmountCreditedToNextYear

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political ActivitiesfalseLegislativePoliticalActivities
More Than100 SpentfalseMoreThan100Spent
Form1120 POL FiledfalseForm1120POLFiled
Activities Not Prev ReportedfalseActivitiesNotPrevReported
Changes To Articles Or BylawsfalseChangesToArticlesOrBylaws
Unrelated Bus Income Over1000falseUnrelatedBusIncomeOver1000
Form990 T FiledfalseForm990TFiled
Termination EtcfalseTerminationEtc
Requirements Of Sect508etrueRequirementsOfSect508e
At Least5000 In AssetstrueAtLeast5000InAssets
Form990 PF Filed With AGtrueForm990PFFiledWithAG
Private Operating FoundationfalsePrivateOperatingFoundation
New Substantial ContributorsfalseNewSubstantialContributors
Interest In Controlled EntityfalseInterestInControlledEntity
Applicable Insurance ContractfalseApplicableInsuranceContract
Comply With Public Inspection RqrtrueComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1Roy EltermanBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number2142178920BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line17777 Forest Lane Ste B116AddressLine1
CityDallasCity
StateTXState
ZIP Code752302507ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly PersonfalseSaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly PersonfalseBorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly PersonfalseFurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly PersonfalsePayCompensationToDsqflyPerson
Transfer Assets To Dsqfly PersonfalseTransferAssetsToDsqflyPerson
Payment To Government OfficalfalsePaymentToGovernmentOffical
Acts Fail To Qualify As ExceptionsfalseActsFailToQualifyAsExceptions
Uncorrected Prior ActsfalseUncorrectedPriorActs
Undistributed Income Prior YearsfalseUndistributedIncomePriorYears
Undistr Income4942a2 Not AppliedfalseUndistrIncome4942a2NotApplied
Business HoldingsfalseBusinessHoldings
Excess Business HoldingsfalseExcessBusinessHoldings
Jeopardy InvestmentsfalseJeopardyInvestments
Uncorrected Jeopardy InvestmentsfalseUncorrectedJeopardyInvestments
Influence LegislationfalseInfluenceLegislation
Influence ElectionfalseInfluenceElection
Grants To IndividualsfalseGrantsToIndividuals
Grants To OrganizationsfalseGrantsToOrganizations
Noncharitable PurposefalseNoncharitablePurpose
Tr Fail To Qualify As ExceptionsfalseTrFailToQualifyAsExceptions
Maint Expend ResponsibilityfalseMaintExpendResponsibility
Rcv Funds To Pay Prsnl Bnft ContractfalseRcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft ContractfalsePayPremiumsPrsnlBnftContract
Prohibited Tax Shelter TransactnfalseProhibitedTaxShelterTransactn
Proceeds Or Net IncomefalseProceedsOrNetIncome

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
Herbert Winokur
30 East Elm StreetGreenwichCT06830Director0.000
Cynthia Morriss
311 Eanes School RoadAustinTX78746Director0.000
Lawrence Madigan
14710 Bramblewood DriveHoustonTX77079Director0.000
David McLaughlin
18714 Campbell RoadDallasTX75252Director0.000
Alicia Freysinger
7535 InwoodHoustonTX77063Director0.000
Stephen Ashwal MD
11175 Campus Street Rm A 1120GLoma LindaCA92350Director0.000
W Donald Shields MD
5711 Stonecrest DriveAgoura HillsCA91301Director0.000
Roy D Elterman MD
15309 Cypress Hills DriveDallasTX75248President5.000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Description1Four non-profit and one for-profit organizations were supplied grants for pediatric epilepsy and neurology research.Description1
Expenses10Expenses1

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities0AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances0AvgMonthlyCashBalances
FMV All Other Noncharitable Assets3267365FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets3267365TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Adj Total FMV Of Unused Assets3267365AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable49010CashDeemedCharitable
Net Noncharitable Assets3218355NetNoncharitableAssets
Minimum Investment Return160918MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return160918MinimumInvestmentReturn
Tax Based On Investment Income29809TaxBasedOnInvestmentIncome
Total Tax29809TotalTax
Distributable Amount Before Adj131109DistributableAmountBeforeAdj
Distributable Amount Before Ded131109DistributableAmountBeforeDed
Distributable Amount As Adjusted131109DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions431474ExpensesAndContributions
Qualifying Distributions431474QualifyingDistributions
Adj Qualifying Distributions431474AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted131109DistributableAmountAsAdjusted
Excess Distri Carryover Year1414005ExcessDistriCarryoverYear1
Total Excess Distri Carryover414005TotalExcessDistriCarryover
Qualifying Distributions431474QualifyingDistributions
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year131109AppliedToCurrentYear
Remaining Distri From Corpus300365RemainingDistriFromCorpus
Total Corpus714370TotalCorpus
Undistributed Income CY0UndistributedIncomeCY
Excess Distri Cyov To Next Year714370ExcessDistriCyovToNextYear
Excess From Year1414005ExcessFromYear1
Excess From Current Year300365ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

Appication Submission Info AppicationSubmissionInfo

FieldValueIRS element (for citing)
Recipient NameDr Roy EltermanRecipientName

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line17777 Forest Lane B116AddressLine1
CityDallasCity
StateTXState
ZIP Code752302507ZIPCode
FieldValueIRS element (for citing)
Recipient Phone Number9725668439RecipientPhoneNumber
Form And Info And MaterialsApplicants should contact the foundation to obtain their application forms and a listing of required materials.FormAndInfoAndMaterials
Submission DeadlinesNone - Applications are accepted throughout the year.SubmissionDeadlines
Restrictions On AwardsAwards are for research in the fields of pediatric epilepsy and neurology research only.RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (5 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmountAddress Line1RecipientForeignAddress/AddressLine1CityRecipientForeignAddress/CityProvince Or StateRecipientForeignAddress/ProvinceOrStateCountryRecipientForeignAddress/CountryPostal CodeRecipientForeignAddress/PostalCode
Children's Memorial Hospital
2300 Childrens Plaza Box 205ChicagoIL60614NoneExemptResearch$104,724
Tuberous Sclerosis Alliance
801 Roeder Road Ste 750Silver SpringMD20910NoneExemptResearch$90,000
Hospital for Sick Children
NoneExemptResearch$90,000555 University AveTorontoOntarioCAM5G1X8
Child Neurology Foundation
2000 W 98th StreetBloomingtonMN55431NoneExemptResearch$70,000
Dallas Pediatric Neurology Associates
7777 Forest Lane B -116DallasTX75230NoneProfitResearch$76,750
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year431474TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion$1,494ExclusionAmount

Other Revenue Described OtherRevenueDescribed

FieldValueIRS element (for citing)
DescriptionRoyalty Income - ResearchDescription
Exclusion Code15ExclusionCode
Exclusion$1,489,494ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Exclusion$1,490,988ExclusionAmount
FieldValueIRS element (for citing)
Total Part XVIA1490988TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EOfalseTrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EOfalseTrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssets
Purchase Assets Noncharitable EOfalsePurchaseAssetsNoncharitableEO
Rental Of Facilities EtcfalseRentalOfFacilitiesEtc
Reimbursement ArrangementsfalseReimbursementArrangements
Loans Or Loan GuaranteesfalseLoansOrLoanGuarantees
Performance Of Services EtcfalsePerformanceOfServicesEtc
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtc
Relationships Noncharitable E OsfalseRelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryAccounting Fees - GeneralCategory
Amount$2,745Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther

FieldValueIRS element (for citing)
Category Or ItemFMV Royalty Rights on Drug StudyCategoryOrItem
Listed At Cost Or FMVFMVListedAtCostOrFMV
EOYFMV3267365EOYFMV

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFees

FieldValueIRS element (for citing)
CategoryAttorney Fees - Contract & GrantsCategory
Amount$556Amount
Net Investment Income556NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooks
Subcontractor Fees4166
Office Expense161

Other Income Schedule2 OtherIncomeSchedule2

Other Income OtherIncome

FieldValueIRS element (for citing)
DescriptionRoyalty Income - ResearchDescription
Revenue And Expenses Per Books1489494RevenueAndExpensesPerBooks

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationThe exempt organization paid its income tax on gross receipts within the time period required by law. Other than interest income, which was minimual, the organization received only two payments: $631,019 on 4/29/11 and $858,475 on 10/27/11.Explanation

Taxes Schedule TaxesSchedule

Taxes Taxes (3 entries)

CategoryCategoryAmountAmount
Payroll Taxes$2,461
Income Tax on 2011 Income$29,828
Income Tax on 2010 Income$24,025