A SILVER LINING FOUNDATION CHICAGOLAND CANCER INFO COALITION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
A SILVER LINING FOUNDATION CHICAGOLAND CANCER INFO COALITION (EIN 90-0097495)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-09
IRS object ID
201131299349301303
Schema version
2009v1.7
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)
Timestamp2011-05-09T11:31:17-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1OSTROW REISIN BERK & ABRAMS LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1455 N CITYFRONT PLAZA DR STE 1500AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606115313ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN900097495EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1A SILVER LINING FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlASILNameControl
Phone3123451322Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1134 NORTH LASALLE STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code606021086ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDR SANDRA A GOLDBERGName
TitleFOUNDER AND CHAIRMANTitle
Phone3123451322Phone
Date Signed2011-04-18DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES G QUAIDName
Phone3126707444Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDr Sandra A GoldbergNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1134 N LASALLE STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code606021086ZIPCode
FieldValueIRS element (for citing)
Gross Receipts492931GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.ASILVERLININGFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO ENSURE DIGNIFIED, RESPECTFUL, AND EQUAL ACCESS TO QUALITY CANCER EDUCATION AND SERVICES FOR ALL, BY CREATING MEANINGFUL PARTNERSHIPS WITH COMMUNITY, ADVOCACY, AND HEALTHCARE ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year465823ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year16InvestmentIncomeCurrentYear
Other Revenue Current Year-62109OtherRevenueCurrentYear
Total Revenue Current Year403730TotalRevenueCurrentYear
Grants And Similar Amnts CY81999GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year132351SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year80537TotalFundrsngExpCurrentYear
Other Expenses Current Year109740OtherExpensesCurrentYear
Total Expenses Current Year324090TotalExpensesCurrentYear
Revenues Less Expenses CY79640RevenuesLessExpensesCY
Total Assets BOY92630TotalAssetsBOY
Total Assets EOY216339TotalAssetsEOY
Total Liabilities BOY117366TotalLiabilitiesBOY
Total Liabilities EOY161435TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-24736NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY54904NetAssetsOrFundBalancesEOY
Mission DescriptionTO ENSURE DIGNIFIED, RESPECTFUL, AND EQUAL ACCESS TO QUALITY CANCER EDUCATION AND SERVICES FOR ALL, BY CREATING MEANINGFUL PARTNERSHIPS WITH COMMUNITY, ADVOCACY, AND HEALTHCARE ORGANIZATIONS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTHE CHICAGOLAND CANCER INFORMATION COALITION'S FOCUS AND PURPOSE IS TO DEVELOP INNOVATIVE COLLABORATIVE INITIATIVES IN AN EFFORT TO PROVIDE COMMUNITY-BASED EDUCATIONAL AND RESOURCE INFORMATION TO CANCER PATIENTS WITHIN THEIR NEIGHBORHOODS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionTHE EVELYN GOLDBERG RESPITE CENTER OPENED AT THE UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO ON OCTOBER 1, 2004. THE CENTER'S GOAL IS TO EMPOWER INDIVIDUALS TO ACTIVELY PARTICIPATE IN THEIR HEALTH CARE DECISION-MAKING BY IMPROVING UNDERSTANDING OF TREATMENT OPTIONS, ENCOURAGING DIALOGUE BETWEEN PATIENT AND PROVIDER, PROVIDING ASSISTANCE IN NAVIGATING THE HEALTHCARE SYSTEM AND PROVIDING QUALITY OF LIFE SERVICES FOR PATIENTS GOING THROUGH CANCER TREATMENT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionIN FEBRUARY 2006, THE FOUNDATION BEGAN BUY A MOM A MAMMOGRAM TO FUND COST-FREE SCREENING MAMMOGRAMS TO MEDICALLY UNDERSERVED WOMEN IN THE CHICAGOLAND AREA. A DIAGNOSTIC COMPONENT IS ALSO IN PLACE TO ENSURE WOMEN IN NEED OF EVALUATION AND FOLLOW-UP TESTING WILL RECEIVE SUCH SERVICES IN A TIMELY FASHION. RESPONDING TO THE BASIC NEED OF MEDICALLY UNDERSERVED WOMEN TO OBTAIN SCREENING, THE FOUNDATION PARTNERS WITH VARIOUS HOSPITALS TO PROVIDE ACCESS TO COST-FREE MAMMOGRAMS IN A TIMELY, DIGNIFIED, AND RESPECTFUL FASHION.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp175550TotalOfOtherProgramServiceExp
Total Program Service Expense175550TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDR SANDRA A GOLDBERGNamePerson
Telephone Number3123451322TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1134 N LASALLE STREET SUITE 1218AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606021086ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ANDREW T BERLIN
DIRECTOR1.0X000
DENNIS CONROY
DIRECTOR1.0X000
TIMOTHY A CORRY
DIRECTOR1.0X000
SANDRA A GOLDBERG PHD
FOUNDER AND CHAIRMAN60.0X9208300X
JACK HAZAN
DIRECTOR - TERM1.0X000
GREGORY N HINES
VICE PRESIDENT1.0X000X
DIVYESH G MEHTA MD
DIRECTOR1.0X000
ROGER M SHINDELL
PRESIDENT1.0X000X
LAWRENCE WERT
DIRECTOR1.0X000
KAREN BATENIC
DIRECTOR1.0X000
SAMUEL GRIEF
DIRECTOR - TERM1.0X000
STEVEN MANNOS
DIRECTOR1.0X000
MONICA PEEK MD MPH
DIRECTOR1.0X000
J MORI JOHNSON MA
DIRECTOR1.0X000
GREGG HELFER
DIRECTOR1.0X000
LEONARD E WIATR
DIRECTOR1.0X000
CINDY HARTWIG
DIRECTOR - TERM1.0X000
SEAN CASEY
DIRECTOR1.0X000
BEN SOLDINGER
DIRECTOR1.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org92083TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNONENamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
Compensation0Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events177030FundraisingEvents
Government Grants45000GovernmentGrants
All Other Contributions243793AllOtherContributions
Total Contributions465823TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column16TotalRevenueColumn
Exclusion$16ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events26299GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events177030CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses89201FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-62902TotalRevenueColumn
Exclusion-$62,902ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS OTHER INCOMEDescription
Total Revenue Column793TotalRevenueColumn
Exclusion$793ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue793TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column403730TotalRevenueColumn
Exclusion-$62,093ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total81999Total
Program Services81999ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total85000Total
Program Services46750ProgramServices
Management And General8500ManagementAndGeneral
Fundraising29750Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37946Total
Program Services15952ProgramServices
Management And General11171ManagementAndGeneral
Fundraising10823Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9405Total
Program Services4797ProgramServices
Management And General1505ManagementAndGeneral
Fundraising3103Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total133Total
Management And General133ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26945Total
Management And General26945ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10377Total
Management And General927ManagementAndGeneral
Fundraising9450Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15762Total
Program Services4630ProgramServices
Management And General7855ManagementAndGeneral
Fundraising3277Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4090Total
Program Services2086ProgramServices
Management And General654ManagementAndGeneral
Fundraising1350Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total26764Total
Program Services13650ProgramServices
Management And General4282ManagementAndGeneral
Fundraising8832Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3258Total
Program Services1662ProgramServices
Management And General521ManagementAndGeneral
Fundraising1075Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total3158Total
Management And General3158ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1635Total
Program Services833ProgramServices
Management And General262ManagementAndGeneral
Fundraising540Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2064Total
Program Services1053ProgramServices
Management And General330ManagementAndGeneral
Fundraising681Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraisingProgram ServicesProgramServices
FUNDRAISING11361108910272
PUBLIC RELATIONS419367113842138

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total324090Total
Program Services175550ProgramServices
Management And General68003ManagementAndGeneral
Fundraising80537Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY17847EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY75291BOY
EOY191900EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9112BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9230LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6138LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4727BOY
EOY3092EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3500BOY
EOY3500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY92630BOY
EOY216339EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY44980BOY
EOY50397EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY72386BOY
EOY111038EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY117366BOY
EOY161435EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-161779BOY
EOY-199927EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY137043BOY
EOY254831EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-24736BOY
EOY54904EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY92630BOY
EOY216339EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years317795CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years315272CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years251640CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year356244CurrentTaxYearMinus1Year
Current Tax Year465823CurrentTaxYear
Total1706774Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years317795CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years315272CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years251640CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year356244CurrentTaxYearMinus1Year
Current Tax Year465823CurrentTaxYear
Total1706774Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total421411AmountsSubstContributorsTotal
Public Support Total1701285363PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2853CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3863CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3409CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year197CurrentTaxYearMinus1Year
Current Tax Year16CurrentTaxYear
Total10338Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-77897CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-36841CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-18175CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-87141CurrentTaxYearMinus1Year
Current Tax Year-62109CurrentTaxYear
Total-282163Total
FieldValueIRS element (for citing)
Total Support1434949TotalSupport
Public Support Pertcentage1700.89575PublicSupportPertcentage170
Public Support Pertcent Prior Year0.86270PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9230OtherCostOrOtherBasis
Depreciation6138Depreciation
Book Value3092BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings3092TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED RENT$11,474
LINE OF CREDIT$99,564
FieldValueIRS element (for citing)
Total Of Amounts111038TotalOfAmounts
Total Revenue403730TotalRevenue
Total Expenses324090TotalExpenses
Excess Or Deficit For Year79640ExcessOrDeficitForYear
Excess Or Deficit Per FS79640ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt541275TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities202821DonatedSrvcAndUseOfFacilities
Other Revenues-65276OtherRevenues
Revenue Not Rptd F990137545RevenueNotRptdF990
Revenue Subtotal403730RevenueSubtotal
Total Revenue Per Form990403730TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt461635TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities202821DonatedServicesUseOfFacilities
Other Expenses Included-65276OtherExpensesIncluded
Expenses Not Rptd F990137545ExpensesNotRptdF990
Expenses Subtotal324090ExpensesSubtotal
Total Expenses Per Form990324090TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierCONTRIBUTED SPECIAL EVENTS EXPENSESIdentifier
Return ReferenceSCH D PART XII QUESTION 2D AND PART XIII QUESTION 2DReturnReference
ExplanationCONTRIBUTED SPECIAL EVENTS EXPENSES - VARIOUS $65,276.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1180988GrossReceiptsEvent1
Charitable Contributions Event1154689CharitableContributionsEvent1
Gross Revenue Event126299GrossRevenueEvent1
Other Direct Expenses Event181989OtherDirectExpensesEvent1
Name Of Event23rd partyNameOfEvent2
Gross Receipts Event210844GrossReceiptsEvent2
Charitable Contributions Event210844CharitableContributionsEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events11497GrossReceiptsOtherEvents
Charitable Contrib Other Events11497CharitableContribOtherEvents
Other Direct Expenses Other Events7212OtherDirectExpensesOtherEvents
Gross Receipts Total203329GrossReceiptsTotal
Charitable Contributions Total177030CharitableContributionsTotal
Gross Revenue Total Events26299GrossRevenueTotalEvents
Other Direct Expenses Total Events89201OtherDirectExpensesTotalEvents
Direct Expense Summary Events89201DirectExpenseSummaryEvents
Net Income Summary-62902NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
INGALLS HEALTH SYSTEM
ONE INGALLS DRIVEHARVEYIL604263631811703195803000MAMMOGRAMS
SOUTH SHORE HOSPITAL CORPORATION
8012 SOUTH CRANDON AVENUECHICAGOIL6061736179952036565MAMMOGRAMS
SWEDISH COVENANT HOSPITAL
5145 NORTH CALIFORNIA AVENUECHICAGOIL60625362179813333405MAMMOGRAMS
UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO
1740 WEST TAYLOR SUITE 1400CHICAGOIL60612376000511318200MAMMOGRAMS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORINGIdentifier
Return ReferenceSCH I QUESTION 2ReturnReference
ExplanationMAMMOGRAMS ARE FUNDED TO VARIOUS HOSPITALS IN CONNECTION WITH THE BUY A MOM A MAMMOGRAM PROGRAM. MONTHLY REPORTS ARE RECEIVED FROM EACH HOSPITAL OUTLINING EACH PROCEDURE PERFORMED. THESE REPORTS, WHICH CONTAIN A CODE NUMBER FOR THE PATIENT, ARE CHECKED AND RECORDED AGAINST THE ORGANIZATION'S RECORDS.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDr Sandra A GoldbergNamePerson
FieldValueIRS element (for citing)
RelationshipFOUNDER AND CHAIRMANRelationship
Amount Of Transaction92083AmountOfTransaction
Description Of TransactionSalaryDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Review of 990 by Governing BodyPART VI, QUESTION 11AONCE A DRAFT HAS BEEN COMPLETED, THE FORM 990 IS DISTRIBUTED TO THE MEMBERS OF THE BOARD OF DIRECTORS WHO ARE ABLE TO REVIEW, COMMENT, AND RESPOND WITH QUESTIONS. AT THE END OF THE REVIEW PERIOD, THE BOARD OF DIRECTORS ARE ASKED TO EITHER APPROVE OR NOT APPROVE THE 990 FILING. UPON APPROVAL, THE 990 IS THEN FILED WITH THE IRS.
CONFLICT OF INTEREST POLICYPART VI SECTION B QUESTION 12 A-CAll directors and employees have an obligation to: 1. Avoid conflicts of interest, or the appearance of conflicts, between their personal interests and those of the organization in dealing with outside entities or individuals, 2. Disclose real and apparent conflicts of interest to the board of directors, and 3. Refrain from participation in any decisions on matters that involve a real conflict of interest or the appearance of a conflict. All real or apparent conflicts of interest shall be disclosed to the audit committee and the executive director of the organization. Failure to comply with the standards contained in this policy will result in disciplinary action that may include termination, referral for criminal prosecution, and reimbursement to the Organization or to the government, for any loss or damage resulting from the violation. As with all matters involving disciplinary action, principles of fairness will apply. Any employee charged with a violation of this policy will be afforded an opportunity to explain her/his actions before disciplinary action is taken.
INDEPENDENT REVIEW OF EXECUTIVE PAYPART VI QUESTIONS 15A-BEXECUTIVE PAY IS DETERMINED BY REVIEWING SIMILAR ORGANIZATIONS' FORM 990 AND COMPENSATION SURVEYS, AND IS APPROVED BY A COMMITTEE, COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS.
FAMILY RELATIONSHIPPART VI QUESTION 2SANDRA A. GOLDBERG, PHD AND GREGORY N. HINES ARE SPOUSES.
MISC DOCUMENTSPART VI QUESTION 19THE ORGANIZATION FURNISHES THESE DOCUMENTS UPON REQUEST.

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