2011-02-10T14:58:16-06:00 2010-06-30 Kehlenbrink Lawrence & Pauckner 6296 Rucker Rd Suite G Indianapolis IN 46220 990 2009-07-01 350868147 JAMES WHITCOMB RILEY MEMORIAL ASSOCIATION JAME 3176344474 30 SOUTH MERIDIAN STREET No 200 INDIANAPOLIS IN 46204 David Schapker 3176344474 2011-02-07 1 Thomas R Lawrence 3172571540 2011-02-07 X 2009 2016-02-24 21:20:13Z David Schapker 30 SOUTH MERIDIAN STREET No 200 INDIANAPOLIS IN 46204 45717299 0 X WWW.RILEYKIDS.ORG X 1921 IN THE JAMES WHITCOMB RILEY MEMORIAL ASSOCIATION WAS ORGANIZED IN 1921 TO COMMEMORATE THE LIFE OF INDIANA'S POET FOR WHOM IT IS NAMED. THE ASSOCIATION PROVIDES SUPPORT FOR THREE PROGRAMS WHICH INCLUDE RILEY HOSPITAL FOR CHILDREN, CAMP RILEY FOR YOUTH WITH PHYSICAL DISABILITIES AND THE RILEY MUSEUM HOME. 26 26 57 0 0 -29508 21573361 25249874 132290 113836 5117895 4982850 -8734 -3155 26814812 30343405 11326639 9527682 0 0 3710248 3711335 298261 265907 3367056 3570055 3014224 18905203 16519148 7909609 13824257 253737500 274033719 44303663 34022634 209433837 240011085 TO SUPPORT FUNDRAISING ACTIVITIES FOR RILEY HOSPITAL for children, CAMP RILEY AND THE RILEY MUSEUM HOME. 0 0 9466776 9466776 0 RILEY HOSPITAL: SUPPORT FOR THE RILEY HOSPITAL FOR CHILDREN IN INDIANAPOLIS, IN. FUNDS ARE USED FOR patient care, research, education and equipment. 678415 108017 CAMP RILEY: THE CAMP FEATURES PROGRAMS AND FACILITIES DESIGNED FOR PHYSICALLY DISABLED YOUTHS. THE PROGRAMS PROVIDE EXPERIENCES AND OPPORTUNITIES NOT READILY AVAILABLE TO THE DISABLED. 259597 0 4819 RILEY MUSEUM HOME: THE HOME IS A NATIONAL HISTORIC LANDMARK WHICH IS OPEN TO THE PUBLIC. BY TOURING THE HOME VISITORS MAY OBSERVE ONE OF THE FINEST VICTORIAN PRESERVATIONS IN THE UNITED STATES. 10404788 1 1 0 0 0 0 1 0 1 1 0 1 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 1 58 0 1 57 1 0 0 0 0 0 0 0 0 0 0 0 26 26 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 0 IN X J W RILEY MEMORIAL ASSOCIATION 3176344474 30 S MERIDIAN STREET STE 200 INDIANAPOLIS IN 462043509 JAMES R CUMMING MD 0.00 X 0 0 0 KRISTIN G FRUEHWALD 0.00 X 0 0 0 OTTO N FRENZEL III 0.00 X 0 0 0 C PERRY GRIFFITH JR 0.00 X 0 0 0 GLENN W IRWIN JR MD 0.00 X 0 0 0 R MATTHEW NEFF 0.00 X 0 0 0 JERRY D SEMLER 0.00 X 0 0 0 DONALD DANIELSON 0.00 X 0 0 0 D CRAIG BRATER MD 0.00 X 0 0 0 FRED FEHSENFELD JR 0.00 X 0 0 0 ROBERT G JONES 0.00 X 0 0 0 DR GEORGE RAPP 0.00 X 0 0 0 MICHAEL RAY 0.00 X 0 0 0 RICHARD D WATERFIELD 0.00 X 0 0 0 JOHN BANKS 0.00 X 0 0 0 Anton H GEORGE 0.00 X 0 0 0 Jacqueline S Simon 0.00 X 0 0 0 Willard WELLMAN 0.00 X 0 0 0 Francina A Dlouhy 0.00 X 0 0 0 Forrest Lucas 0.00 X 0 0 0 Michael A McRobbie 0.00 X 0 0 0 James T morris 0.00 X 0 0 0 Anne Nobles 0.00 X 0 0 0 Gerald Bepko 0.00 X 0 0 0 Richard Johnson Jr 0.00 X 0 0 0 John Thompson 0.00 X 0 0 0 KEVIN O'KEEFE 40.00 X X 256862 0 40072 PATRICIA L GAULT 40.00 X 47968 0 16616 David Schapker 40.00 X 125415 0 17413 STEPHEN BARITEAU 40.00 X 128896 0 25105 559141 0 99206 3 0 1 0 OXFORD FINANCIAL GROUP 11711 N Meridian Street Suite 600 Carmel IN 46032 InvESTMENT CONSULTING 128081 Baker & Daniels 300 N Meridian Street Suite 2700 IndIANAPOLIS IN 46266 Attorney Fees 109481 2 1882364 23367510 146995 25249874 Camperships 900099 108017 108017 Riley Home Admissions 900099 5819 5819 113836 4958697 4958697 15389115 15359309 5653 29806 -5653 24153 24153 5777 8932 -3155 -3155 30343405 110681 0 4982850 9527682 9527682 2826639 191137 1063688 1571814 204407 7652 80588 116167 485659 29795 171201 284663 194630 14365 67777 112488 146120 146120 77242 77242 40272 40272 265907 265907 1291848 12162 636412 643274 137471 2375 40354 94742 3702 726 2976 721864 523557 198307 35752 1119 7331 27302 12484 12484 84191 84191 39079 15346 23733 Equipment Rental & Main 152262 43645 46499 62118 Miscellaneous 110542 1066 20998 88478 Monthly Parking 56731 20000 36731 Bad Debt Expense 45889 45889 Physicians/Nurses 32445 32445 26330 1716 7131 17483 16519148 10404788 2747304 3367056 19899739 16743837 38658471 41407572 225420 235789 502650 454980 123987 47670 1461686 1551448 174519314 193999812 18848883 20047591 253737500 274033719 235640 76651 43620607 33558714 447416 387269 44303663 34022634 X 53442932 66116149 73101924 86322083 82888981 87572853 209433837 240011085 253737500 274033719 X 0 1 1 X 0 X 20205419 28654236 44151163 21573361 25249874 139834053 20205419 28654236 44151163 21573361 25249874 139834053 30839650 108994403 7354499 8941167 9697056 5117895 4982850 36093467 175927520 575054 0.61950 0.57080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X 0 96306072 5987521 11269378 3608824 798205 109155942 80605699 30176651 -10080840 3568825 826613 96306072 0.46870 0.53130 0 0 502650 454980 47670 47670 Riley Children's Foundation Pooled 193188438 F Cash Value of Life Insurance Polici 778750 F Partnership Investments 32624 C 193999812 Investment Income Receivable 487921 Riley Museum Home 43189 Beneficial Interest in Perpetual Trusts 19267154 Prepaid Expense 243730 Other Assets 5597 20047591 Annuities 98910 Assets Held for Riley Hospital for 288359 387269 30343405 16519148 13824257 16752991 16752991 30577248 47096396 16752991 16752991 30343405 0 30343405 16519148 0 16519148 0 16519148 Part III, Line 1a: The foundation has a collection of books, paintings and other memorabilia of James Whitcomb Riley. Some of the collections are on display at the Riley Museum Home, Riley Hospital and the Foundation's administrative office. The collections are not reflected in the accompanying statements since the Foundation does not capitalize collections. Part III, Line 4: The collections further the Organization's exempt purpose by commemorating the life of poet James Whitcomb Riley. X X X 0 1 Clarian Health Partners 340 West 10th Street Indianapolis IN 46206 351955872 501(c)(3) 507302 Hospital Projects and Programs Indiana University PO Box 66057 Indianapolis IN 46266 356001673 501(c)(3) 8027484 Hospital Projects and Programs Indiana University Foundation 950 North Meridian St Suite 250 Indianapolis IN 46204 356018940 501(c)(3) 28379 Professorship 3 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Expenditures for grant funds are monitored quarterly and compared with the grant award cumulative amount before the disbursement of funds occurs. Accountability reports are solicited from grantees and reviewed on an annual basis. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 KEVIN O'KEEFE 256862 0 0 0 0 0 0 0 40072 0 296934 0 310449 0 STEPHEN BARITEAU 128896 0 0 0 0 0 0 0 25105 0 154001 0 158582 0 Francina Dlouhy Board Member 78980 Legal fees paid to Board Members law firm who serves as legal counsel to the Foundation 0 Donald Danielson Board Member 57102 Insurance premiums paid to the Company in which the Board Member is a shareholder 0 C Perry Griffith Board Member 17035 Lease of parking facilities paid to the Company in which the Board Member is an officer 0 Robert Jones Board Member 23551 Payment of investment management fees to Investment Banking firm in which Board Member is an officer 0 X 13 146995 Market value 0 0 1 Third Party Use: Part I, Line 32b: The Association uses a brokerage company to sell publicly traded securities that are received as contributions. Form 990, Part VI, Section B, line 11 The 990 return is reviewed by the chairman of the audit committee and the organization's CFO. The results from their review are communicated to the Board of Governors. Form 990, Part VI, Section B, line 12c The Board reviews the conflict of interest policy and submits disclosure forms at its annual meeting. Form 990, Part VI, Section B, line 15 Compensation for the President and Key Employees is reviewed and approved annually by the Board of Directors. The Compensation Committee of the Board uses an annual compensation and benefits survey provided by a Human Resource consulting firm for comparability data. Decisions on compensation and benefits are documented in Board minutes and included in Board files and the President and Key Employee personnel files. Form 990, Part VI, Section C, line 19 The organization makes the governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990. Part XI, Line 2c: The audit committee selects the independent auditor and oversees the audit of the financial statements. Supporting Riley Children 30 south meridian street suite 200 indianapolis IN 46204 201219081 Fundraising IN 501(c)(3) 11 James Whitcomb Riley Memorial Association 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 Supporting Riley Children C 1882364 supporting Riley Children M 20000 supporting Riley Children N 81000 supporting Riley Children P 2000