2011-11-15T17:52:27-06:00 2011-06-30 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2010-07-01 990299937 HAWAII CHILDREN'S CANCER FOUNDATION HAWA 8085285161 1814 LILIHA STREET HONOLULU HI 96817 STEVE VAN RIBBINK 8085285161 2011-11-17 1 MARK A HAYES 8085311040 2010 2016-03-07 17:11:31Z TRACY AIWOHI 1814 LILIHA STREET HONOLULU HI 96817 508190 0 X WWW.HCCF.ORG X 1992 HI HAWAII CHILDREN'S CANCER FOUNDATION SERVES TO ASSIST, SUPPORT, AND ADVOCATE FOR THE NEEDS OF PATIENTS, FAMILIES AND LONG-TERM SURVIVORS OF CHILDHOOD CANCER. THE FOUNDATION ADVOCATES AND PROMOTES STATE OF THE ART HEALTH CARE FOR PATIENTS AND SURVIVORS. THE FOUNDATION'S PRIMARY PURPOSE IS TO PROVIDE SERVICES AND PROGRAMS TO CHILDREN WITH CANCER AND THEIR FAMILIES. 21 21 1 40 0 0 464486 418809 0 0 1470 1207 1025 407 466981 420423 280021 345883 0 0 61618 78891 0 0 1900 23951 23584 365590 448358 101391 -27935 573156 531465 82961 69205 490195 462260 X HAWAII CHILDREN'S CANCER FOUNDATION SERVES TO ASSIST, SUPPORT, AND ADVOCATE FOR THE NEEDS OF PATIENTS, FAMILIES AND LONG-TERM SURVIVORS OF CHILDHOOD CANCER. THE FOUNDATION ADVOCATES AND PROMOTES STATE OF THE ART HEALTH CARE FOR PATIENTS AND SURVIVORS. THE FOUNDATION'S PRIMARY PURPOSE IS TO PROVIDE SERVICES AND PROGRAMS TO CHILDREN WITH CANCER AND THEIR FAMILIES. 0 0 414914 322501 FAMILY FINANCIAL ASSISTANCE - PAID MEDICAL COSTS AND OTHER COSTS FOR CHILDREN WITH CANCER WHO QUALIFY UNDER THE REQUIREMENTS AND GUIDELINES ESTABLISHED. 24086 18276 BOOK REIMBURSEMENT PROGRAM - PAID FOR BOOKS, TOOLS AND SUPPLIES USED FOR EDUCATION FOR CHILDREN WITH CANCER WHO QUALIFY UNDER THE REQUIREMENTS AND GUIDELINES OF THE PROGRAM. 2709 2106 FAMILY SUPPORT SERVICES - PROVIDE SOCIAL EVENTS, NEWSLETTER, SCHOOL ADVOCACY AND OTHER SERVICES FOR FAMILIES WITH CHILDREN WITH CANCER. INCLUDES PROVIDING NEWLY DIAGNOSED CHILDREN WITH BASKETS AND PROVIDING THEM WITH INFORMATION NECESSARY TO HELP COPE WITH THE DISEASE. 1286 1000 PROFESSIONAL CONFERENCE PROGRAM - PROVIDE FUNDS FOR PROFESSIONAL EDUCATION AND RESEARCH CONFERENCES DIRECTLY RELATED TO THE CARE AND TREATMENT OF CHILDREN WITH CANCER 2000 2000 FRANK SELENY SCHOLARSHIP FUND - TO HELP DEFRAY TUITION COSTS FOR YOUNG ADULT SURVIVORS WHO ARE PURSUING AN EDUCATION POST HIGH SCHOOL. 3286 3000 444995 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 X 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 HI X X HAWAII CHILDREN'S CANCER FOUNDATION 8085285161 1814 LILIHA STREET HONOLULU HI 96817 TRACY AIWOHI 1.00 X X 0 0 0 DALE F SAITO CPA CFE 1.00 X X 0 0 0 WENDI M HIRSCH PHD 1.00 X X 0 0 0 STEVE VAN RIBBINK 1.00 X X 0 0 0 DEREK CHING 1.00 X 0 0 0 LYNETTE PM ADAMS 1.00 X 0 0 0 RANDALL MS AINA 1.00 X 0 0 0 LAURA B BONILLA 1.00 X 0 0 0 MINA HUMPHREYS 1.00 X 0 0 0 MITCHELL M KAAIALII MBA 1.00 X 0 0 0 NOREEN KAMIYA 1.00 X 0 0 0 ROBERT W WILKINSON MD 1.00 X 0 0 0 JOHN L LEDERER MD 1.00 X 0 0 0 CRAIG MATSUMOTO 1.00 X 0 0 0 DON MURPHY 1.00 X 0 0 0 DIANE T ONO 1.00 X 0 0 0 CRAIG K SHIKUMA ESQ 1.00 X 0 0 0 LEI OHAMA ROL 1.00 X 0 0 0 KENDIS TEHO 40.00 X 55000 0 14031 55000 0 14031 0 0 0 0 0 39353 184050 195406 41139 418809 1207 1207 87767 184050 87767 0 OTHER REVENUE 900099 407 407 407 420423 0 0 1614 345883 345883 78891 78299 257 335 7067 7014 23 30 9193 9124 30 39 2648 2628 9 11 PROGRAM COSTS 2615 1138 1477 OTHER 2061 2047 6 8 448358 444995 1463 1900 459450 202027 104680 319960 1329 2050 316 185 18780 11537 7381 7243 573156 531465 82961 69205 82961 69205 X 416478 378326 73717 83934 490195 462260 573156 531465 -27935 0 X 0 1 1 X 0 X 277337 363557 391570 464486 416759 1913709 277337 363557 391570 464486 416759 1913709 12732 1900977 4597 4387 2676 1470 1207 14337 916 544 780 1025 407 3672 1931718 377360 0.98410 0.98510 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 73717 65453 55236 83934 77856 51623 55762 73717 71832 63102 57078 77856 1.00000 0 0 18780 11537 7243 7243 420423 448358 -27935 0 -27935 417346 7140 7140 410206 10217 10217 420423 455498 7140 7140 448358 0 448358 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INTENDED USE OF THE ORGANIZATION'S TERM ENDOWMENT FUNDS IS TO CONTINUE THE PROGRAMS OF THE ORGANIZATION. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MANAGEMENT IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS IN THE FOUNDATION'S INCOME TAX RETURNS. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 10,217. ANNUAL GALA 161141 102243 58898 58899 GOLF TOURNAMENTS 41554 28342 13212 13212 10 69122 53465 15657 15656 271817 184050 87767 87767 87767 0 1 FAMILY ASSISTANCE/SUPPORT 108 324607 BOOK REIMBURSEMENT PROGRAM 27 18276 FRANK SELENY SCHOLARSHIP FUND 2 2000 CONFERENCE GRANTS 2 1000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: TO RECEIVE FINANCIAL ASSISTANCE, PARENTS OR GUARDIANS OF THE PATIENT SUBMIT AN HCCF FINANCIAL ASSISTANCE APPLICATION AND FAMILY INFORMATION FORM INCLUDING CHILD'S AGE AND DIAGNOSIS, TREATING PHYSICIAN, AND OTHER INFORMATION. THE HOSPITAL SOCIAL WORKER OR PHYSICIAN CO-SIGNS THE APPLICATION TO CONFIRM THE CANCER DIAGNOSIS. ONCE THE APPLICATION IS RECEIVED AND APPROVED BY HCCF, THE FAMILY MAY SUBMIT RECEIPTS OR BILLS FOR REIMBURSEMENT OR DIRECT PAYMENT BY HCCF. HCCF HAS WRITTEN GUIDELINES TO DETERMINE WHETHER OR NOT TO APPROVE REQUESTS FOR ASSISTANCE. THE EXECUTIVE DIRECTOR APPROVES REQUESTS ACCORDING TO THESE GUIDELINES; CHECKS ARE SIGNED BY THE PRESIDENT, IMMEDIATE PAST PRESIDENT, OR TREASURER. IN ADDITION, THERE IS A COMMITTEE OF BOARD MEMBERS WHO HELP INTERPRET THE GUIDELINES IN THE CASE OF UNUSUAL REQUESTS. EACH PATIENT HAS A FILE MAINTAINED BY HCCF DOCUMENTING EACH SUBMISSION AND ANY DISTRIBUTIONS MADE TO THE FAMILY OR ON THEIR BEHALF. BOOK REIMBURSEMENT APPROVALS ARE DETERMINED IN A SIMILAR MANNER; WRITTEN GUIDELINES FOR APPROVAL ARE FOLLOWED, A RECORD OF EACH STUDENT'S REQUEST IS KEPT, CHECKS ARE SIGNED BY PRESIDENT, IMMEDIATE PAST PRESIDENT, OR TREASURER, AND A BOARD MEMBER CO-SIGNS APPROVALS MADE BY THE EXECUTIVE DIRECTOR. FOR PROFESSIONAL CONFERENCE AND SCHOLARSHIP FUNDS, THERE IS AN APPLICATION PROCESS, WRITTEN GUIDELINES, AND A COMMITTEE TO APPROVE CONFERENCE REQUESTS AND SELECT SCHOLARSHIP WINNERS. X 4 9300 FAIR MARKET VALUE X 2397 FAIR MARKET VALUE X 2 950 FAIR MARKET VALUE X 20 1780 FAIR MARKET VALUE X GIFT CARDS 200 6000 FAIR MARKET VALUE X PHOTOVOLTAIC SYSTEM STARTER KIT 1 15000 FAIR MARKET VALUE X GIFT CARDS 38 5712 FAIR MARKET VALUE 0 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART V, LINE 2A: HAWAII CHILDREN'S CANCER FOUNDATION HAS A CO-EMPLOYMENT ARRANGEMENT WITH ALTRES, WHO IS THE EMPLOYER OF RECORD. HAWAII CHILDREN'S CANCER FOUNDATION IS THE WORKSITE EMPLOYER. FORM 990, PART VI, SECTION B, LINE 11 HCCF'S TREASURER IS PRIMARILY RESPONSIBLE FOR REVIEW OF THE FORM 990, WITH ADDITIONAL COMMENT INVITED FROM THE EXECUTIVE COMMITTEE AND, AS NECESSARY, OTHER MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 5, COMPENSATION OF CURRENT OFFICERS: THE AMOUNTS REPORTED INCLUDE WAGES, EMPLOYEE BENEFITS, PAYROLL TAXES, AND PAYMENTS TO ALTRES FOR MANAGEMENT FEES. ALTRES IS AN OUTSOURCED HR/PAYROLL PROVIDER.