2011-05-13T18:29:37-05:00 2010-06-30 CW Associates CPAS 700 Bishop Street Suite 1040 Honolulu HI 96813 990 2009-07-01 990299937 Hawaii Children's Cancer Foundation HAWA 8085285161 1814 Liliha Street Honolulu HI 96817 Steve Van Ribbink 8085285161 2011-05-13 1 Mark A Hayes 8085311040 2009 2016-02-24 21:20:13Z Kendis Teho 1814 Liliha Street Honolulu HI 96817 586777 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. 18 18 1 30 0 0 391570 464486 0 2676 1470 780 1025 395026 466981 345025 280021 0 47751 61618 0 5772 26454 23951 419230 365590 -24204 101391 456353 573156 67549 82961 388804 490195 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 327159 258914 Family financial assistance - paid medical costs and other costs for children with cancer who qualify under the requirements and guidelines established. 18093 12302 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. 4002 3165 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. 4599 3640 Professional conference program - provide funds for professional education and research conferences directly related to the care and treatment of children with cancer 2000 Frank Seleny Scholarship Fund - To help defray tuition costs for young adult survivors who are pursuing an education post high school. 4599 5640 353853 1 1 0 0 0 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 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 0 0 0 18 18 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 X 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 TRACY AIWOHI 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 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 1.00 X X 0 0 0 KenDIS TEHO 40.00 X 0 0 0 0 0 0 0 0 0 0 0 35998 276297 152191 600 464486 1470 1470 119796 276297 119796 0 OTHER REVENUE 900099 1025 1025 1025 466981 0 0 2495 280021 280021 61618 59500 1148 970 6254 6039 117 98 6191 5979 115 97 2397 2314 45 38 program costs 9109 4540 4569 365590 353853 5965 5772 122534 459450 305349 104680 3596 1329 922 14174 316 16270 8889 9778 7381 456353 573156 46949 82961 20600 67549 82961 X 310948 416478 77856 73717 388804 490195 456353 573156 X 0 1 1 0 X 270011 277337 363557 391570 464486 1766961 270011 277337 363557 391570 464486 1766961 5946 1761015 2161 4597 4387 2676 1470 15291 2164 916 544 780 1025 5429 1787681 385216 0.98510 0.97870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16270 8889 7381 7381 466981 365590 101391 0 101391 477120 6000 4139 10139 466981 0 466981 371590 6000 6000 365590 0 365590 Part XII, Line 2d - Other Adjustments: DECREASE IN TEMPORARILY RESTRICTED NET ASSETS: 4139. Golf Tournaments 214593 129547 85046 85046 Annual Gala 84921 73390 11531 11531 10 96579 73360 23219 23219 396093 276297 119796 119796 119796 0 1 FAMILY ASSISTANCE/SUPPORT 86 262079 Book Reimbursement Program 20 12302 FRANK SELENY SCHOLARSHIP FUND 2 2000 CONFERENCE GRANTS 3 3640 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. 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 Altres payments. Altres is an outsourced HR/Payroll provider.