SHODAIR CHILDRENS FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SHODAIR CHILDRENS FOUNDATION (EIN 81-0365625)
Tax period
2009-06-01 to 2010-05-31
Filed
2011-01-10
IRS object ID
201120129349301357
Schema version
2009v1.4
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)
Timestamp2011-01-10T10:08:42-06:00Timestamp
Tax Period End Date2010-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Galusha Higgins and GalushaBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1699AddressLine1
CityHelenaCity
StateMTState
ZIP Code596241699ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN810365625EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMONTNameControl
Phone4064447500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POBOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn P JACK CASEYName
TitleADMINISTRATORTitle
Phone4064447500Phone
Date Signed2010-12-20DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNathan D McCarthy CPAName
Phone4064425520Phone
Date Prepared2010-12-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJohn P JACK CASEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12755 COLONIAL DRAddressLine1
CityHelenaCity
StateMTState
ZIP Code59601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4522022GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.SHODAIRHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileMTStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE AND FURTHER OPERATIONS OF THE MONTANA CHILDREN'S HOME AND HOSPITAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year735197ContributionsGrantsPriorYear
Contributions Grants Current Year2198004ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year73157InvestmentIncomePriorYear
Investment Income Current Year299109InvestmentIncomeCurrentYear
Other Revenue Prior Year52368OtherRevenuePriorYear
Other Revenue Current Year145453OtherRevenueCurrentYear
Total Revenue Prior Year860722TotalRevenuePriorYear
Total Revenue Current Year2642566TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year514301GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY703999GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year129401TotalFundrsngExpCurrentYear
Other Expense Prior Year366145OtherExpensePriorYear
Other Expenses Current Year242757OtherExpensesCurrentYear
Total Expenses Prior Year880446TotalExpensesPriorYear
Total Expenses Current Year946756TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-19724RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1695810RevenuesLessExpensesCY
Total Assets BOY9746656TotalAssetsBOY
Total Assets EOY11817118TotalAssetsEOY
Total Liabilities BOY165831TotalLiabilitiesBOY
Total Liabilities EOY69733TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9580825NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11747385NetAssetsOrFundBalancesEOY
Mission DescriptionTO LEND FINANCIAL SUPPORT TO MONTANA CHILDREN'S HOME AND HOSPITAL (DBA SHODAIR HOSPITAL.)MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense706092Expense
Grants703999Grants
DescriptionPROGRAM SERVICE EXPENSES WENT DIRECTLY TO MONTANA CHILDREN'S HOME AND HOSPITAL, INC. TO ASSIST WITH OPERATIONS.Description
Total Program Service Expense706092TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art1CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Activities0FundraisingActivities
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 Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMTStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1John P JACK CASEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4064447500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12755 COLONIAL DRAddressLine1
CityHelenaCity
StateMTState
ZIP Code59601ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekKey EmployeeKeyEmployee
RITA GOWEN
PRESIDENTXX000
VIRGINIA THOMPSON
TRUSTEEXX000
BOB LEMM
TRUSTEEXX000
CYNTHIA MELTON
TrusteeXX000
JOE SHEVLIN
TRUSTEEX000
DAVID LEMM
TRUSTEEX000
ED TINSLEY
TRUSTEEX000
MOE WOSEPKA
Secretary/TreasurerX000
RED MENAHAN
TRUSTEEXX000
JOHN P Jack CASEY
ADMINISTRATORX00010.00
RON WIENS
CFO00010.00X
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
Fundraising Events21376FundraisingEvents
All Other Contributions2176628AllOtherContributions
Total Contributions2198004TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column147457TotalRevenueColumn
Exclusion$147,457ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column171140TotalRevenueColumn
Exclusion$171,140ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2005421Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1853769Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities151652Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column151652TotalRevenueColumn
Exclusion$151,652ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events21376CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses25687FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-25687TotalRevenueColumn
Exclusion-$25,687ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2642566TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$444,562ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total703999Total
Program Services703999ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total18457Total
Management And General18457ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9820Total
Management And General9820ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total42913Total
Management And General42913ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3504Total
Management And General3504ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total8799Total
Management And General1000ManagementAndGeneral
Fundraising7799Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16918Total
Management And General16027ManagementAndGeneral
Fundraising891Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total22065Total
Management And General8453ManagementAndGeneral
Fundraising13612Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11089Total
Management And General11089ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingProgram ServicesProgramServices
TELETHON EXPENSES9548295482
Other Fundraiser Expens1161711617
SUPPLIES20932093

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total946756Total
Program Services706092ProgramServices
Management And General111263ManagementAndGeneral
Fundraising129401Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1619129BOY
EOY36830EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY887013BOY
EOY1965599EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY10000BOY
EOY10000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4223BOY
EOY6549EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4028BOY
EOY11973EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis144543LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22261LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY131234BOY
EOY122282EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3872399BOY
EOY6814580EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5000BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3213630BOY
EOY2849305EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9746656BOY
EOY11817118EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY68450BOY
EOY17133EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY600EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY97381BOY
EOY52000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY165831BOY
EOY69733EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7014494BOY
EOY8077430EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1757927BOY
EOY2860951EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY808404BOY
EOY809004EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9580825BOY
EOY11747385EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9746656BOY
EOY11817118EOY
FieldValueIRS element (for citing)
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S HOME AND HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN810231789EIN
Type Of Organization7TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$703,999Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts703999SumOfAmounts

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

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Assets In Part X5000AssetsInPartX
FieldValueIRS element (for citing)
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Solicited Assets For Sale0SolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance808404BeginningOfYearBalance
Contributions600Contributions
End Of Year Balance809004EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance807654BeginningOfYearBalance
Contributions750Contributions
End Of Year Balance808404EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis111163OtherCostOrOtherBasis
Book Value111163BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis33380OtherCostOrOtherBasis
Depreciation22261Depreciation
Book Value11119BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings122282TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
Accrued interest receivable16459
Long-term receivable - Thompson Tru99024
Long-term receivable - A. West Trus848739
Long-term receivable - Glasscock Tr499412
Long-term receivable - J CARSON Tru397198
ARTWORK (ARTWORK/WHIP)5000
L-term receivable - Hodson983473
FieldValueIRS element (for citing)
Total Book Value Other Assets2849305TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Shodair-ReimbursementDescription
Amount$52,000Amount
FieldValueIRS element (for citing)
Total Of Amounts52000TotalOfAmounts
Total Revenue2642566TotalRevenue
Total Expenses946756TotalExpenses
Excess Or Deficit For Year1695810ExcessOrDeficitForYear
Net Unrealized GL On Investments470750NetUnrealizedGLOnInvestments
Total Adjustments470750TotalAdjustments
Excess Or Deficit Per FS2166560ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3139003TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments470750NetUnrealizedGainsInvestments
Revenue Not Rptd F990470750RevenueNotRptdF990
Revenue Subtotal2668253RevenueSubtotal
Other Revenues Not Included-25687OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-25687RevenueNotRptdOnFinStmt
Total Revenue Per Form9902642566TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt972443TotExpensesEtcAuditedFinclStmt
Other Expenses Included25687OtherExpensesIncluded
Expenses Not Rptd F99025687ExpensesNotRptdF990
Expenses Subtotal946756ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990946756TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part XII, Line 4b - Other Adjustments:DIRECT SOCCER EVENT EXPENSES : -25687.
Part XIII, Line 2d - Other Adjustments:DIRECT SOCCER EVENT EXPENSES: 25687.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Shodair Soccer ClassicNameOfEvent1
Gross Receipts Event121376GrossReceiptsEvent1
Charitable Contributions Event121376CharitableContributionsEvent1
Other Direct Expenses Event125687OtherDirectExpensesEvent1
Gross Receipts Total21376GrossReceiptsTotal
Charitable Contributions Total21376CharitableContributionsTotal
Other Direct Expenses Total Events25687OtherDirectExpensesTotalEvents
Direct Expense Summary Events25687DirectExpenseSummaryEvents
Net Income Summary-25687NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S HOME & HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient810231789EINOfRecipient
Amount Of Cash Grant703999AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Purpose Of GrantGRANT FOR OPERATIONS AND CAPITALPurposeOfGrant

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2BOB LEMM IS THE FATHER OF DAVID LEMM, BOTH ARE BOARD MEMBERS.
Form 990, Part VI, Section B, line 11A DRAFT OF THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES AND APPROVED BEFORE THE FORM 990 IS FILED.
Form 990, Part VI, Section B, line 12cBOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. THE HOSPITAL ATTORNEY ATTENDS EACH BOARD MEETING AND MONITORS ADHERENCE TO THE POLICY.
Not applicable, organization does not pay compensation.
Form 990, Part VI, Section C, line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
The process of the selection of an independent accountant and the oversight of the audit has not changed since the prior year.
FORM 990, PART V, LINE 1aTHE FOUNDATION FILED TWO FORMS 1096 AND REPORTED 5 (FORMS 1099-MISC) IN BOX 3 OF ONE FORM 1096 AND REPORTED 2 (FORMS 1099-R) IN BOX 3 OF THE OTHER 1096 FILED.NUMBER REPORTED IN BOX 3 OF FORM 1096

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MONTANA CHILDREN'S HOME & HOSPITAL INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 5539AddressLine1
CityHELENACity
StateMTState
ZIP Code59604ZIPCode
FieldValueIRS element (for citing)
EIN810231789EIN
Primary ActivitiesPROVIDE INPATIENT AND RESIDENTIAL PSYCHIATRIC TREATMENT FOR CHILDRENPrimaryActivities
Legal Domicile StateMTLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status170(b)(1)(A)(III)PublicCharityStatus
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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