GAMERS OUTREACH FOUNDATION: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- GAMERS OUTREACH FOUNDATION (EIN 26-0321174)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202313199349321906
- 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 B
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T15:41:07-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 310800053 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK SCHAEFER HACKETT & CO | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3505 COOLIDGE RD | AddressLine1Txt |
| City | EAST LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48823 | 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 | 260321174 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GAMERS OUTREACH FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GAME | BusinessNameControlTxt |
| Phone | 9096551975 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 694 | AddressLine1Txt |
| City | SALINE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48176 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ZACHARY WIGAL | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7344767506 | PhoneNum |
| Signature | 2023-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ZACHARY | PersonFirstNm |
| Person Last | WIGAL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JANE C OREWILER CPA | PreparerPersonNm |
| PTIN | P00159270 | PTIN |
| Phone | 5173515508 | PhoneNum |
| Preparation | 2023-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| 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 | ZACHARY WIGAL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 694 | AddressLine1Txt |
| City | SALINE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48176 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,239,042 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GAMERSOUTREACH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES RECREATION TO HOSPITALIZED CHILDREN THROUGH CUSTOMIZED MEDICAL EQUIPMENT, VIDEO GAMES AND THE GAMING COMMUNITY | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 13 | TotalEmployeeCnt |
| Total Volunteers | 67 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,170,586 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,776,119 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $153,048 | PYInvestmentIncomeAmt |
| CY Investment Income | -$18,151 | CYInvestmentIncomeAmt |
| PY Other Revenue | $434,476 | PYOtherRevenueAmt |
| CY Other Revenue | $479,833 | CYOtherRevenueAmt |
| PY Total Revenue | $3,758,110 | PYTotalRevenueAmt |
| CY Total Revenue | $4,237,801 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,040,053 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,127,087 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $840,080 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,167,641 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $205,590 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $936,595 | PYOtherExpensesAmt |
| CY Other Expenses | $1,017,789 | CYOtherExpensesAmt |
| PY Total Expenses | $2,816,728 | PYTotalExpensesAmt |
| CY Total Expenses | $3,312,517 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $941,382 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $925,284 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,997,235 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,786,992 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $620,327 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $693,549 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,376,908 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,093,443 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDES RECREATION TO HOSPITALIZED CHILDREN THROUGH CUSTOMIZED MEDICAL EQUIPMENT, VIDEO GAMES AND THE GAMING COMMUNITY | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,643,872 | ExpenseAmt |
| Grant | $1,127,087 | GrantAmt |
| Desc | GAMERS OUTREACH FOUNDATION PROVIDES THERAPEUTIC RECREATION TO CHILDREN IN HOSPITALS THROUGH AN INITIATIVE CALLED PROJECT GO KART. THE INITIATIVE SERVES THOUSANDS. GO KARTS ARE MEDICAL-GRADE VIDEO GAME KIOSKS THAT ENABLE NURSES AND HOSPITAL CHILD LIFE SPECIALISTS TO EASILY PROVIDE PATIENTS AND FAMILIES WITH A SOURCE OF RELIEF DURING LONG-TERM HOSPITALIZATION. | Desc |
| Total Program Service Expenses | $2,643,872 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 13 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZACHARY WIGAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9096551975 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 694 | AddressLine1Txt |
| City | SALINE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48176 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| RYAN FITZPATRICK | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JORDAN REISS | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVE WALSH | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HEATHER STONE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RYAN WYATT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AARON GREENBERG | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR JUAN ESPINOZA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ZACH WIGAL | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $175,196 | $0 | $5,619 | ||
| DAVID FRASER | |||||||
| DEVELOPMENT DIRECTOR | 40.00 | $140,000 | $0 | $4,861 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $315,196 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $10,480 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $116,763 | FundraisingAmt |
| All Other Contributions | $3,659,356 | AllOtherContributionsAmt |
| Noncash Contributions | $216,688 | NoncashContributionsAmt |
| Total Contributions | $3,776,119 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,742 | TotalRevenueColumnAmt |
| Exclusion | $8,742 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,194,354 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,221,247 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$26,893 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$26,893 | TotalRevenueColumnAmt |
| Exclusion | -$26,893 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $116,763 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $2,036 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,036 | TotalRevenueColumnAmt |
| Exclusion | -$2,036 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $259,827 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | -$222,042 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $481,869 | TotalRevenueColumnAmt |
| Exclusion | $481,869 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,237,801 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $461,682 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $866,499 | TotalAmt |
| Program Services | $866,499 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,588 | TotalAmt |
| Program Services | $260,588 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,815 | TotalAmt |
| Program Services | $90,407 | ProgramServicesAmt |
| Management And General | $36,163 | ManagementAndGeneralAmt |
| Fundraising | $54,245 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $813,895 | TotalAmt |
| Program Services | $604,766 | ProgramServicesAmt |
| Management And General | $162,779 | ManagementAndGeneralAmt |
| Fundraising | $46,350 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,066 | TotalAmt |
| Program Services | $13,346 | ProgramServicesAmt |
| Management And General | $3,813 | ManagementAndGeneralAmt |
| Fundraising | $1,907 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,551 | TotalAmt |
| Program Services | $50,510 | ProgramServicesAmt |
| Management And General | $14,110 | ManagementAndGeneralAmt |
| Fundraising | $5,931 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,314 | TotalAmt |
| Program Services | $58,320 | ProgramServicesAmt |
| Management And General | $16,663 | ManagementAndGeneralAmt |
| Fundraising | $8,331 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,745 | TotalAmt |
| Program Services | $201,676 | ProgramServicesAmt |
| Management And General | $8,924 | ManagementAndGeneralAmt |
| Fundraising | $53,145 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,520 | TotalAmt |
| Management And General | $3,520 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,194 | TotalAmt |
| Management And General | $70,194 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,799 | TotalAmt |
| Management And General | $16,799 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,073 | TotalAmt |
| Program Services | $2,766 | ProgramServicesAmt |
| Fundraising | $307 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,071 | TotalAmt |
| Program Services | $4,982 | ProgramServicesAmt |
| Management And General | $4,982 | ManagementAndGeneralAmt |
| Fundraising | $1,107 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,543 | TotalAmt |
| Program Services | $14,136 | ProgramServicesAmt |
| Management And General | $39,580 | ManagementAndGeneralAmt |
| Fundraising | $2,827 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,011 | TotalAmt |
| Program Services | $21,005 | ProgramServicesAmt |
| Management And General | $18,905 | ManagementAndGeneralAmt |
| Fundraising | $2,101 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,588 | TotalAmt |
| Program Services | $65,329 | ProgramServicesAmt |
| Management And General | $3,629 | ManagementAndGeneralAmt |
| Fundraising | $3,630 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,626 | TotalAmt |
| Program Services | $22,576 | ProgramServicesAmt |
| Management And General | $1,881 | ManagementAndGeneralAmt |
| Fundraising | $13,169 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,899 | TotalAmt |
| Program Services | $945 | ProgramServicesAmt |
| Management And General | $17,954 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,781 | TotalAmt |
| Program Services | $15,103 | ProgramServicesAmt |
| Management And General | $839 | ManagementAndGeneralAmt |
| Fundraising | $839 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,468 | TotalAmt |
| Program Services | $2,447 | ProgramServicesAmt |
| Management And General | $22,021 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PAYMENT PROCESSING FEES | $223,537 | $201,182 | $11,177 | $11,178 |
| SHIPPING COSTS | $126,317 | $126,317 | ||
| SUPPLIES | $19,927 | $19,927 | ||
| MISCELLANEOUS EXPENSES | $8,599 | $8,599 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,091 | TotalAmt |
| Program Services | $1,045 | ProgramServicesAmt |
| Management And General | $523 | ManagementAndGeneralAmt |
| Fundraising | $523 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,312,517 | TotalAmt |
| Program Services | $2,643,872 | ProgramServicesAmt |
| Management And General | $463,055 | ManagementAndGeneralAmt |
| Fundraising | $205,590 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $393,667 | BOYAmt |
| EOY | $165,757 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,675 | BOYAmt |
| EOY | $79,950 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $299,205 | BOYAmt |
| EOY | $477,560 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,192 | BOYAmt |
| EOY | $733,080 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $135,188 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,254 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,453 | BOYAmt |
| EOY | $88,934 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,072,183 | BOYAmt |
| EOY | $2,203,395 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,860 | BOYAmt |
| EOY | $38,316 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,997,235 | BOYAmt |
| EOY | $3,786,992 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,107 | BOYAmt |
| EOY | $158,010 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $499,220 | BOYAmt |
| EOY | $496,752 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $38,787 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $620,327 | BOYAmt |
| EOY | $693,549 | 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 | $2,237,149 | BOYAmt |
| EOY | $2,765,913 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,759 | BOYAmt |
| EOY | $327,530 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,376,908 | BOYAmt |
| EOY | $3,093,443 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,997,235 | BOYAmt |
| EOY | $3,786,992 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $925,284 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$217,677 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $8,928 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $937,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,503,369 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,502,314 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,103,606 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,776,119 | CurrentTaxYearAmt |
| Total | $11,822,858 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $937,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,503,369 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,502,314 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,103,606 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,776,119 | CurrentTaxYearAmt |
| Total | $11,822,858 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $11,822,858 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,834 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,837 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,712 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $153,048 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,742 | CurrentTaxYearAmt |
| Total | $190,173 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $12,013,031 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,689,753 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98420 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97940 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $135,188 | OtherCostOrOtherBasisAmt |
| Depreciation | $46,254 | DepreciationAmt |
| Book Value | $88,934 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $88,934 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITY | Desc |
| Amt | $38,787 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,787 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,783,319 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$217,677 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$217,677 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,000,996 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $16,799 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $220,006 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $236,805 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,237,801 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,075,712 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$220,006 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$220,006 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,295,718 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $16,799 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $16,799 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,312,517 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE FOUNDATION EVALUATES ALL SIGNIFICANT TAX POSITIONS UNDER A MORE LIKELY THAN NOT THRESHOLD AS REQUIRED BY U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. AS OF DECEMBER 31, 2022, THE FOUNDATION DOES NOT BELIEVE THAT IT HAS TAKEN ANY TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF ANY ADDITIONAL TAX LIABILITY NOR DOES IT BELIEVE THAT THERE ARE ANY UNREALIZED TAX BENEFITS THAT WOULD EITHER INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. THE FOUNDATION'S TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE APPROPRIATE TAXING JURISDICTIONS. AT DECEMBER 31, 2022, THE FOUNDATION'S FEDERAL TAX RETURNS GENERALLY REMAIN OPEN FOR THE LAST THREE YEARS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSE -2,036. COST OF GOODS SOLD 222,042. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSE 2,036. COST OF GOODS SOLD -222,042. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $0 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $0 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp (3 entries)
| RegionRegionTxt | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Description Of Non Cash AsstDescriptionOfNonCashAsstTxt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|---|---|
| NORTH AMERICA | 25 MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | $0 | $93,320 | 25 MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | COST |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 31 MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | $0 | $126,217 | 2 MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | COST |
| EAST ASIA AND THE PACIFIC | 10 MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | $0 | $41,051 | 10 MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | COST |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 20 | Total501c3OrgCnt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (44 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENTHEALTH FOR CHILDREN | |||||||||||
| 601 E ROLLINGS STREET | ORLANDO | FL | 32803 | 590724459 | 501(C)(3) | $0 | $14,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| AMERICAN FAMILY CHILDREN'S HOSPITAL | |||||||||||
| 600 HIGHLAND AVENUE MC C500 | MADISON | WI | 53792 | 391835630 | 501(C)(3) | $0 | $7,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| ASCENSION ST JOHN HOSPITAL | |||||||||||
| 22101 MOROSS ROAD | DETROIT | MI | 48236 | 381359063 | 501(C)(3) | $0 | $7,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| BANNER CHILDREN'S AT DESERT | |||||||||||
| 1400 S DOBSON DOAD | MESA | MI | 48236 | 450233470 | 501(C)(3) | $0 | $7,200 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| CHILDREN'S HOSPITAL COLORADO - AURORA | |||||||||||
| 13123 E 16TH AVE | AURORA | CO | 80045 | 840166760 | 501(C)(3) | $0 | $10,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| CHILDREN'S - ST PAUL | |||||||||||
| 345 N SMITH AVE | ST PAUL | MN | 55102 | 411814223 | 501(C)(3) | $0 | $17,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| CHILDREN'S WISCONSIN | |||||||||||
| 9000 WEST WISCONSIN AVE MAIL | MILWAUKEE | WI | 53226 | 391500075 | 501(C)(3) | $0 | $7,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | STATION C630 |
| COHEN CHILDREN'S MEDICAL CENTER | |||||||||||
| 269-01 76TH AVE | QUEENS | NY | 11040 | 112241326 | 501(C)(3) | $0 | $10,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| DAYTON CHILDREN'S HOSPITAL | |||||||||||
| 1 CHILDRENS PLAZA | DAYTON | OH | 45404 | 310672132 | 501(C)(3) | $0 | $10,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| DRISCOLL CHILDREN'S HOSPITAL | |||||||||||
| 3533 S ALAMEDA STREET | CORPUS CHRISTI | TX | 78411 | 742577746 | 501(C)(3) | $0 | $7,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| EL PASO CHILDREN'S HOSPITAL | |||||||||||
| 4845 ALAMEDA AVE | EL PASO | TX | 79905 | 263075429 | 501(C)(3) | $0 | $10,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| FLORIDA RESIDENCE SHIPMENT | |||||||||||
| 129 OUTLOOK DR | PONTE VEDRA | FL | 32081 | 501(C)(3) | $0 | $11,705 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | ||
| HELEN DEVOS CHILDREN'S HOSPTIAL | |||||||||||
| 100 MICHIGAN STREET NE | GRAND RAPIDS | MI | 49503 | 383382353 | 501(C)(3) | $0 | $24,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| HENRY FORD WYANDOTTE HOSPITAL | |||||||||||
| 2333 BIDDLE AVE | WYANDOTTE | MI | 48192 | 382791823 | 501(C)(3) | $0 | $7,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| KECK MEDICAL CENTER | |||||||||||
| 1500 SAN PABLO STREET | LOS ANGELES | CA | 90033 | 851644866 | 501(C)(3) | $0 | $8,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| LEVINE CHILDREN'S HOSPITAL | |||||||||||
| 100 E 77TH STREET | NEW YORK | NY | 10075 | 566060481 | 501(C)(3) | $0 | $38,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| LOGAN HEALTH MEDICAL CENTER | |||||||||||
| 320 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 810406485 | 501(C)(3) | $0 | $21,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| LOMA LINDA | |||||||||||
| 320 SUNNYVIEW LANE | KALISPELL | MT | 59901 | 953804495 | 501(C)(3) | $0 | $10,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| MARSHFIELD CHILDREN'S HOSPITAL | |||||||||||
| 611 N ST JOSEPH AVENUE WEST | MARSHFIELD | WI | 54449 | 461495343 | 501(C)(3) | $0 | $14,200 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | BUILDING |
| METHODIST CHILDREN'S HOSPITAL | |||||||||||
| 700 FLOYD CURL DRIVE | SAN ANTONIO | TX | 78229 | 746035267 | 501(C)(3) | $0 | $10,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| MILLER'S CHILDREN'S & WOMEN'S HOSPITAL | |||||||||||
| 2801 ATLANTIC AVE | LONG BEACH | CA | 90806 | 956068402 | 501(C)(3) | $0 | $17,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| MONROE CARELL JR CHILDREN'S HOSPITAL AT VANDERBILT | |||||||||||
| 2200 CHILDRENS WAY SUITE 2116 | NASHVILLE | TN | 37232 | 352528741 | 501(C)(3) | $0 | $21,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| MOSES H CONE MEMORIAL HOSPITAL | |||||||||||
| 1121 NORTH CHURCH ST ENTRANCE A | GREENSBORO | NC | 27401 | 560532302 | 501(C)(3) | $0 | $10,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| MU WOMEN'S AND CHILDREN'S HOSPITAL | |||||||||||
| 404 N KEENE ST | COLUMBIA | MO | 65201 | 436003859 | 501(C)(3) | $0 | $7,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| MUSC CHILDREN'S HEALTH | |||||||||||
| 404 N KEENE ST | COLUMBIA | MO | 65201 | 576028985 | 501(C)(3) | $0 | $14,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| NEMOURS DUPONT HOSPITAL FOR CHILDREN | |||||||||||
| 13535 NEMOURS PARKWAY | ORLANDO | FL | 32827 | 590634433 | 501(C)(3) | $0 | $14,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| NORTHERN WESTCHESTER HOSPITAL | |||||||||||
| 400 MAIN ST | MT KISCO | NY | 10549 | 131740118 | 501(C)(3) | $0 | $7,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| PENN STATE CHILDREN'S HOSPITAL | |||||||||||
| 600 UNIVERSITY DR | HERSHEY | PA | 17033 | 473769205 | 501(C)(3) | $0 | $7,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| PRISMA HEALTH CHILDREN'S HOSPITAL - MIDLANDS | |||||||||||
| 7 RICHLAND MEDICAL PARK SUITE 7215 | COLUMBIA | SC | 29203 | 582296052 | 501(C)(3) | $0 | $14,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | |||||||||||
| 830 S BUNCOMBE RD | GREER | SC | 29650 | 822595551 | 501(C)(3) | $0 | $14,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| RADY CHILDREN'S HOSPITAL | |||||||||||
| 3020 CHILDRENS WAY | SAN DIEGO | CA | 92123 | 953545901 | 501(C)(3) | $0 | $14,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| SCOTTISH RITE FOR CHILDREN - TEXAS | |||||||||||
| 2222 WELBORN ST | DALLAS | TX | 95219 | 750818178 | 501(C)(3) | $0 | $7,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| ST JOSEPH CHILDREN'S HOSPITAL | |||||||||||
| 775 S MAIN ST | CHELSEA | MI | 48118 | 590774199 | 501(C)(3) | $0 | $35,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| ST JOSEPH MERCY - OAKLAND | |||||||||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | 352356789 | 501(C)(3) | $0 | $14,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| ST JOSEPH'S CHILDREN'S HOSPITAL | |||||||||||
| 6901 SIMMONS LOOP | RIVERVIEW | FL | 33578 | 590774199 | 501(C)(3) | $0 | $17,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| ST LOUIS CHILDRENS | |||||||||||
| 32121 WOODWARD AVE SUITE 350 | ROYAL OAK | MI | 48073 | 431626863 | 501(C)(3) | $0 | $17,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| TEXAS CHILDREN'S HOSPITAL | |||||||||||
| 6621 FANNIN ST B16231 | HOUSTON | TX | 77030 | 741100555 | 501(C)(3) | $0 | $24,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| THE JIMMY FUND CLINIC | |||||||||||
| 450 BROOKLINE AVE | BOSTON | MA | 02215 | 042263040 | 501(C)(3) | $0 | $10,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| THE KAIGAN FOUNDATION | |||||||||||
| 250 DEEP HOLE RD | DRUMS | PA | 182221649 | 810947975 | 501(C)(3) | $0 | $5,853 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| TRINITY HEALTH ST JOSEPH ANN ARBOR | |||||||||||
| 2630 UNION LAKE RD SUITE 100 | COMMERCE CHARTER TOWNS | MI | 48382 | 382113393 | 501(C)(3) | $0 | $10,500 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| U OF M MASONIC CHILREN'S HOSPITAL | |||||||||||
| 50 MEDICAL DR N 4 | SALT LAKE CITY | UT | 84132 | 416007513 | 501(C)(3) | $0 | $7,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| VALLEY CHILDREN'S HOSPITAL | |||||||||||
| 9300 VALLEY CHILDRENS PLACE | MADERA | CA | 93636 | 942797447 | 501(C)(3) | $0 | $7,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| WOLFSON CHILDREN'S HOSPITAL | |||||||||||
| 800 PRUDENTIAL DR | JACKSONVILE | FL | 32207 | 591452787 | 501(C)(3) | $0 | $14,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| YALE NEW HAVEN CHILDREN'S HOSPITAL | |||||||||||
| 20 YORK STREET | NEW HAVEN | CT | 06510 | 060646652 | 501(C)(3) | $0 | $7,000 | COST | MEDICAL-GRADE VIDEO GAME KIOSKS (GO KARTS) | PROGRAM SERVICE ACCOMPLISHMENT I | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 45 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Payments For Use Of Residence | Yes (X) | PaymentsForUseOfResidenceInd |
| Personal Services | Yes (X) | PersonalServicesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ZACH WIGAL | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $175,196 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $5,619 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $180,815 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | IN ORDER SAVE MONEY ON OFFICE SPACE, THE ORGANIZATION REIMBURSES THE DIRECTOR FOR HOME OFFICE USE FOR THE CONVENIENCE OF THE EMPLOYER. OTHER PERSONAL SERVICES ARE PROVIDED DUE TO THE AMOUNT OF TRAVEL REQUIRED FOR THE POSITION. | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | GAMES AND GAMES SYSTEMS | Desc |
| Contribution | 7813 | ContributionCnt |
| Noncash Contributions Rpt F990 | $216,688 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | ESTIMATED FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS REVIEWS THE TAX RETURN BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE DISCLOSED CONFLICTS ARE ACKNOWLEDGED AND REVIEWED PERIODICALLY BY THE BOARD. WHEN A CONFLICT OF INTEREST ARISES, THAT BOARD MEMBER EXCUSES THEMSELVES FROM THE VOTE. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD SEEKS THIRD PARTY INPUT AND COMPETENT SURVEY INFORMATION TO HELP DETERMINE THE COMPENSATION OF KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |