PEDIATRIC FOUNDATION OF MICHIGAN INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: PEDIATRIC FOUNDATION OF MICHIGAN INC (EIN 33-1065901)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-05-12
IRS object ID: 202301329349308140
Schema version: 2022v5.0
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
Form 990
Schedule A
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T16:33:30-04:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	383016622	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	C L MOORE & ASSOCIATES	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	530 S PINE STREET	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48933	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	331065901	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PEDIATRIC FOUDNATION OF MICHIG	BusinessNameLine1Txt
Business Name Line2	INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	PEDI	BusinessNameControlTxt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 W ALLEGAN ST SUITE 310	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48933	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RYAN HANDY	PersonNm
Person Title	COMMUNICATIONS & OPERATIONS MA	PersonTitleTxt
Phone	5174843013	PhoneNum
Signature	2023-03-16	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	RYAN	PersonFirstNm
Person Last	HANDY	PersonLastNm

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Charles L Moore	PreparerPersonNm
PTIN	P00589721	PTIN
Phone	5173717876	PhoneNum
Preparation	2023-03-16	PreparationDt
Self Employed	Yes (X)	SelfEmployedInd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RYAN HANDY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 W ALLEGAN ST STE 310	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48933	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$142,367	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	MIAAP.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	TO ASSIST CHILDREN	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$140,542	PYContributionsGrantsAmt
CY Contributions Grants	$142,317	CYContributionsGrantsAmt
PY Program Service Revenue	$5,000	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$13	PYInvestmentIncomeAmt
CY Investment Income	$27	CYInvestmentIncomeAmt
CY Other Revenue	$23	CYOtherRevenueAmt
PY Total Revenue	$145,555	PYTotalRevenueAmt
CY Total Revenue	$142,367	CYTotalRevenueAmt
PY Grants And Similar Paid	$325	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$5,020	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$66,115	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$39,594	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$104,458	PYOtherExpensesAmt
CY Other Expenses	$97,754	CYOtherExpensesAmt
PY Total Expenses	$170,898	PYTotalExpensesAmt
CY Total Expenses	$142,368	CYTotalExpensesAmt
PY Revenues Less Expenses	-$25,343	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1	CYRevenuesLessExpensesAmt
Total Assets BOY	$163,758	TotalAssetsBOYAmt
Total Assets EOY	$174,999	TotalAssetsEOYAmt
Total Liabilities BOY	$4,077	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$174,528	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$159,681	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$471	NetAssetsOrFundBalancesEOYAmt
Mission	TO ASSIST CHILDREN	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$142,367	ExpenseAmt
Grant	$133,368	GrantAmt
Revenue	$142,367	RevenueAmt
Desc	MDHHS/HRSA, ACE, AAP, MICHIGAN PEDIATRIC EPILEPSY PROJECT	Desc
Total Program Service Expenses	$142,367	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	false	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Excs Tax Sect4951 Or4952 Or4953	false	ExcsTaxSect4951Or4952Or4953Ind
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	RYAN HANDY	PersonNm
Phone	5174843013	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 W ALLEGAN	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48933	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
COLIN FORD
CEO	5	0	Yes (X)	Yes (X)	$0	$0	$0
EMILY RAMBO
EVENTS AND MEM	1	0	Yes (X)		$0	$0	$0
RYAN HANDY
COMMUNICATIONS	1	0	Yes (X)		$0	$0	$0
ABEBA BERHANE
BOARD PRESIDEN	1	0	Yes (X)	Yes (X)	$0	$0	$0
NEAL WEINBERG
TREASURER	1	0	Yes (X)	Yes (X)	$0	$0	$0
MATTHEW HORNIK
PAST PRESIDENT	1	0	Yes (X)	Yes (X)	$0	$0	$0
GURBAKSH ESCH
MEM-AT-LARGE	1	0	Yes (X)		$0	$0	$0
B KEITH ENGLIS
APPOINTED MEM	1	0	Yes (X)		$0	$0	$0
JOSEPH FAKHOUR
PRESIDENT-ELEC	1	0	Yes (X)	Yes (X)	$0	$0	$0
LAUREN AZEVEDO
SECRETARY	1	0	Yes (X)	Yes (X)	$0	$0	$0
NICOLE HAMP
MEM-AT-LARGE	1	0	Yes (X)		$0	$0	$0
LETISHA CARTER
MEM-AT-LARGE	1	0	Yes (X)		$0	$0	$0
ALEXANDRA BLUM
RESIDENT REPRE	1	0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$142,317	AllOtherContributionsAmt
Total Contributions	$142,317	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27	TotalRevenueColumnAmt
Related Or Exempt Func Income	$27	RelatedOrExemptFuncIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS	Desc
Business	813920	BusinessCd
Total Revenue Column	$23	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$23	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$142,367	TotalRevenueColumnAmt
Related Or Exempt Func Income	$50	RelatedOrExemptFuncIncomeAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$5,020	TotalAmt
Program Services	$5,020	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$21,594	TotalAmt
Program Services	$21,594	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,000	TotalAmt
Program Services	$18,000	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$14,817	TotalAmt
Program Services	$14,817	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,590	TotalAmt
Program Services	$9,590	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,712	TotalAmt
Program Services	$8,712	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,470	TotalAmt
Program Services	$2,470	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$18,867	TotalAmt
Program Services	$18,867	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
HONORARIUMS	$1,338	$1,338
OTHER EXPENSES	$14,885	$14,885
CONTRACTUAL	$8,500	$8,500
MI PEDIATRIC EPILEPSY PR	$18,575	$18,575

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$142,368	TotalAmt
Program Services	$142,368	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$119,711	BOYAmt
EOY	$153,806	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,047	BOYAmt
EOY	$15,749	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,000	BOYAmt
EOY	$5,444	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$163,758	BOYAmt
EOY	$174,999	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,077	BOYAmt
EOY	$17,130	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$157,398	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,077	BOYAmt
EOY	$174,528	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$159,681	BOYAmt
EOY	$471	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$159,681	BOYAmt
EOY	$471	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$163,758	BOYAmt
EOY	$174,999	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1	ReconcilationRevenueExpnssAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	Yes (true)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	false	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind
Support Sum	$0	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year	$142,318	CurrentTaxYearAmt
Total	$142,318	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year	$142,318	CurrentTaxYearAmt
Total	$142,318	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$142,318	PublicSupportTotal170Amt
Total Support	$142,318	TotalSupportAmt
Public Support CY170	1.00000	PublicSupportCY170Pct
Public Support PY170	1.00000	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
T VI-A LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS THE	OFFICERS ARE APPOINTED ACCORDING TO THE BY-LAWS.
PT VI-A, LINE 7B DECISION SUBJUCT TO APPROVAL OF MEMBERS OF	THE BOARD.
PT VI-A 8A DOCUMENTATION BY GOVERNING BODY MEETING MINUTES	ARE WRITTEN FROM EACH COMMITTEE MEETING
FORM 990 IS GIVEN TO THE TREASURER THE TREASURER PROVIDES	COPY TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL
PT LINE 15 COMPENSATION PROCESS FOR THE TOP OFFICIALS IS	SUBJECT TO APPROVAL OF THE BOARD
PAGE 2 LINE 26 ADJUSTMENT DETAIL	THERE WHERE NO ADJUSTMENTS