2022-08-30T08:55:24-05:00 2021-12-31 351346211 HARDING SHYMANSKI & CO PSC PO BOX 3677 EVANSVILLE IN 47735 990 2021-01-01 351935366 INDIANA BREAST CANCER AWARENESS TRUST INDI 8128688769 PO BOX 8212 EVANSVILLE IN 47716 SHEILA HAUCK EXECUTIVE DIRECTOR 8128688769 2022-07-18 1 SHEILA HAUCK 999009999 MICHAEL J VOGEL P00075676 8124649161 2022-07-18 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z BETH KNAPP PO BOX 8212 EVANSVILLE IN 47716 428812 0 X WWW.BREASTCANCERPLATE.ORG X 1996 IN INCREASE AWARENESS AND IMPROVE ACCESS TO BREAST CANCER SCREENING AND DIAGNOSIS THROUGHOUT INDIANA. 10 10 1 10 0 0 484320 428370 0 0 521 442 0 0 484841 428812 403316 241922 0 0 58131 57594 0 0 5932 54710 61036 516157 360552 -31316 68260 461542 529802 0 0 461542 529802 INCREASE AWARENESS AND IMPROVE ACCESS TO BREAST CANCER SCREENING AND DIAGNOSIS THROUGHOUT INDIANA. 0 0 318395 229422 THE PURPOSE OF THE PATIENT SERVICES GRANT PROGRAM IS TO DETECT BREAST CANCER THROUGH SCREENING AND/OR DIAGNOSTIC SERVICES. THE PROGRAMS PROVIDE INFORMATION ON BREAST CANCER RISK, AVAILABLE TREATMENT, AND FUNDING FOR MAMMOGRAPHY SCREENING SERVICES. IN 2021, THERE WERE 1,199 SCREENING & DIAGNOSTIC MAMMOGRAMS, 257 BREAST ULTRASOUNDS, 42 BIOPSY/PATHOLOGIES, 5 MRI OR MBIS, AND 17 CANCERS DETECTED. 12500 12500 NANCY JAYNES MEMORIAL SCHOLARSHIP AWARDS UP TO $2,500 FOR COLLEGE OR POST-SECONDARY TECHNICAL SCHOOLING TO AN INDIANA HIGH SCHOOL SENIOR WHOSE PARENT IS BATTLING BREAST CANCER OR WHO HAS LOST A PARENT TO BREAST CANCER. CONTINUATION SCHOLARSHIPS ARE ALSO AVAILABLE TO PAST AWARDEES UP TO $2,500. TO BE ELIGIBLE FOR A CONTINUATION AWARD, THE STUDENT MUST BE ENROLLED FULL-TIME AND MAINTAIN A 3.0 GPA. 330895 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 IN X CARMEN TEED 3175027103 4510 NORTH PARK DR INDIANAPOLIS IN 46205 SHEILA HAUCK PRESIDENT 2.00 X X 0 0 0 BETH ANN BOYER AT LARGE MEMBER 1.00 X 0 0 0 DUBBIE BUCKLER AT LARGE MEMBER 1.00 X 0 0 0 GRETCHEN GUTMAN AT LARGE MEMBER 1.00 X 0 0 0 CARMEN TEED TREASURER 3.00 X X 0 0 0 DONNA NICHOLS THRELKELD SECRETARY 1.00 X X 0 0 0 ANN WHITE AT LARGE MEMBER 1.00 X 0 0 0 CHERRISH PRYOR AT LARGE MEMBER 1.00 X 0 0 0 LINDA JACKSON AT LARGE MEMBER 1.00 X 0 0 0 SUSAN MATTHEWS AT LARGE MEMBER 1.00 X 0 0 0 BETH A KNAPP EXECUTIVE DIRECTOR 25.00 X 53500 0 0 53500 0 0 0 0 0 0 0 428370 428370 442 442 428812 0 0 442 229422 229422 12500 12500 53500 40125 10700 2675 4094 3070 819 205 951 713 190 48 786 590 157 39 45146 33860 9029 2257 3836 2877 767 192 1225 919 245 61 417 313 83 21 SPECIAL PROGRAMS 6498 4873 1300 325 CAPITAL EXPENSE 2177 1633 435 109 360552 330895 23725 5932 461542 529802 1590 1590 0 0 461542 529802 0 0 X 0 0 0 0 461542 529802 461542 529802 461542 529802 68260 0 X 0 0 0 X 497674 476485 460940 484320 428370 2347789 497674 476485 460940 484320 428370 2347789 311879 2035910 1148 1124 1516 521 442 4751 2352540 2352540 0.86540 0.93600 X 1590 1590 0 0 1 CANCER SERVICES OF GRANT COUNTY 305 SOUTH NORTON AVENUE MARION IN 46952 351058216 501(C)3 10000 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT COMMUNITY HOSPITAL ANDERSON 1515 N MADISON AVENUE ANDERSON IN 46011 351069822 501(C)3 19518 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT GENNESARET FREE CLINIC 615 N ALABAMA STREE GROUND FL STE B INDIANAPOLIS IN 46204 351776518 501(C)3 18165 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT INTERLOCAL COMMUNITY ACTION PROGRAM 525 E 7TH STREET RUSHVILLE IN 46173 351116629 501(C)3 11829 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT ST ELIZABETH MEDICAL CENTER INC 1 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 610445850 501(C)3 20006 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT DEACONESS HEALTH SYSTEM 600 MARY STREET EVANSVILLE IN 47747 350593390 501(C)3 13999 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT FRANCISCAN HEALTH FOUNDATION 3510 PARK PLACE WEST SUITE 200 MISHAWAKA IN 46545 351955283 501(C)3 22546 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT NORTON HEALTHCARE FOUNDATION PO BOX 950183 LOUISVILLE KY 402950183 310914919 501(C)3 6063 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT ASCENSION ST VINCENT EVANSVILLE FOUNDATION 3700 WASHINGTON AVENUE EVANSVILLE IN 47714 350869065 501(C)3 14889 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT UNITED HEALTH SERVICES 6910 N MAIN STREET BLDG 9 MAIL UNIT 10 GRANGER IN 46530 351118647 501(C)3 14829 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT YWCA GREATER LAFAYETTE 605 NORTH SIXTH STREET LAFAYETTE IN 47901 350868224 501(C)3 51983 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT GOOD SAMARITAN 520 S 7TH STREET VINCENNES IN 47591 356001532 501(C)3 9961 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT HANCOCK REGIONAL HOSPITAL 801 N STATE STREET GREENFIELD IN 46140 351092610 501(C)3 21078 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT SHALOM HEALTH CARE CENTER 3400 LAFAYETTE ROAD SUITE 200 INDIANAPOLIS IN 46222 061645027 501(C)3 9969 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT NEWDAY FOUNDATION OF LAPORTE 140 E SHORE PKWY LA PORTE IN 46350 844430954 501(C)3 6409 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT CAMERON MEMORIAL COMMUNITY HOSPITAL 416 E MAUMEE STREET ANGOLA IN 46703 350211370 501(C)3 6000 0 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT 17 SCHOLARSHIP 7 12500 PART I, LINE 2: THE PURPOSE OF THE GRANT FUNDING IS TO PROVIDE SCREENING MAMMOGRAMS FOR MEDICALLY UNDERSERVED WOMEN. THERE IS A MAXIMUM OF $20,000 PER GRANT REQUEST AND IS LIMITED TO $85 PER SCREENING MAMMOGRAM AND $130 PER DIGITAL SCREENING MAMMOGRAM. GENERAL RESTRICTIONS INCLUDE THE FOLLOWING: PROJECT MUST BE SPECIFIC TO PROVIDING SCREENING MAMMOGRAMS TO UNDERSERVED WOMEN. AMERICAN CANCER SOCIETY (ACS) GUIDELINES FOR SCREENING MAMMOGRAPHY SHOULD BE FOLLOWED. MAMMOGRAPHY SERVICE PROVIDERS MUST BE AMERICAN COLLEGE OF RADIOLOGY (ACR) CERTIFIED. APPLICANTS MUST BE A U.S. NONPROFIT (FEDERALLY TAX-EXEMPT) ORGANIZATION. SERVICES ARE PROVIDED WITHIN THE STATE OF INDIANA. A GRANT CONTRACT WILL BE THE LEGAL MECHANISM FOR FUNDING OF GRANT. ONCE GRANT APPLICATIONS ARE RECEIVED, A GRANT REVIEW PANEL OF 4-6 MEMBERS RATE EACH APPLICATION, AND SCORES ARE TALLIED. THE REVIEW PANEL MEETS TO DETERMINE THE PROPOSED SLATE OF GRANTS. THE PROPOSAL IS PRESENTED TO THE BOARD OF DIRECTORS, WHO REVIEW AND VOTE ON THE SLATE. GRANTEES WILL SUBMIT MID-TERM AND FINAL GRANT REPORTS. REPORTS SHALL INCLUDE PROGRESS MADE TOWARD MEETING OBJECTIVES OUTLINED IN GRANT APPLICATIONS, NUMBER OF PEOPLE SERVED, OTHER SOURCES OF SUPPORT,DOCUMENTATION AND ARTICLES SUBMITTED FOR PUBLICATION, AND PRESENTATIONS MADE AT SCIENTIFIC CONFERENCES. FINAL REPORTS MUST INCLUDE AN ACCOUNTING OF THE GRANT FUNDS EXPENDED DURING THE TERM OF THE GRANT CONTRACT. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS DISTRIBUTED TO DIRECTORS AND MADE AVAILABE TO ENTIRE BOARD OF DIRECTORS FOR ANY QUESTIONS/COMMENTS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C REVIEWED EACH YEAR AT ANNUAL MEETING OF NEW CONFLICTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC SHEILA HAUCK - 3400 WESTHAMPTON DR., NEWBURGH, IN 47630. BETH ANN BOYER - 11432 BROUGHAM RUN, FORT WAYNE, IN 46845. DUBBIE BUCKLER - 9917 CEDAR RIDGE DR., CARMEL, IN 46032. GRETCHEN GUTMAN - 1474 N NEW JERSEY STREET, INDIANAPOLIS, IN 46202. CARMEN TEED - 4510 NORTH PARK DRIVE., INDIANAPOLIS, IN 46205. DONNA NICHOLS THRELKELD - 6440 SHAMEL DR., INDIANAPOLIS, IN 46278. ANN WHITE - 5711 CALLE LAS BRISAS, EVANSVILLE, IN 47712. CHERRISH PRYOR - 5276 DEER CREEK DR, INDIANAPOLIS, IN 46254. LINDA JACKSON - 6019 N. PARK AVENUE, INDIANAPOLIS, IN 46220. SUSAN MATTHEWS - 27000 N. ALMA SCHOOL PWKY, UNIT 2012, SCOTTSDALE, AZ 85262.