TORCH RELAY FOR CHILDRENS MIRACLE NETWORK INC: Form 990, tax year 2021
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- Organization
- TORCH RELAY FOR CHILDRENS MIRACLE NETWORK INC (EIN 80-0080028)
- Tax period
- 2021-03-01 to 2022-02-28
- Filed
- 2022-08-02
- IRS object ID
- 202232159349300523
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-02T15:12:17-04:00 | ReturnTs |
| Tax Period End | 2022-02-28 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592907578 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Holland & Reilly | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 North Fern Creek Ste 200 | AddressLine1Txt |
| City | Orlando | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-03-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800080028 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Torch Relay for Childrens Miracle Network Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TORC | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 692589 | AddressLine1Txt |
| City | Orlando | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32869 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Keith Kocarek | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 4072066239 | PhoneNum |
| Signature | 2022-08-02 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Keith | PersonFirstNm |
| Person Last | Kocarek | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | David S Holland | PreparerPersonNm |
| PTIN | P00278847 | PTIN |
| Phone | 4078946803 | PhoneNum |
| Preparation | 2022-08-02 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Torch Relay for CMN Hospit | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Keith Kocarek | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7380 W Sand Lake Road Ste 500 | AddressLine1Txt |
| City | Orlando | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32819 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $400,391 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.torch-relay.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | Maximize fundraising to support healthy children through innovative programs and events that support both individual and organizational fundraising opportunities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 28 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $271,317 | PYContributionsGrantsAmt |
| CY Contributions Grants | $400,391 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $271,317 | PYTotalRevenueAmt |
| CY Total Revenue | $400,391 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $177,782 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $285,391 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $93,535 | PYOtherExpensesAmt |
| CY Other Expenses | $115,000 | CYOtherExpensesAmt |
| PY Total Expenses | $271,317 | PYTotalExpensesAmt |
| CY Total Expenses | $400,391 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Maximize fundraising to support healthy children through innovative programs and events that support both individual and organizational fundraising opportunities. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $386,810 | ExpenseAmt |
| Desc | The Torch Relay for Childrens Miracle Network is a series of walks, runs and cycling events throughout the U.S. to raise money for their local Childrens Hospital and to support child life programs at Childrens Miracle Network hospitals.The Organization also facilitates fundraising support. | Desc |
| Total Program Service Expenses | $386,810 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| 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 | Yes (true) | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| 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 | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Employment Tax Returns Filed | false | EmploymentTaxReturnsFiledInd |
| 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 |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| 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 | Yes (true) | ExcsTaxSect4951Or4952Or4953Ind |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Keith Kocarek | PersonNm |
| Phone | 4072066239 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7380 W Sand Lake Road Ste 500 | AddressLine1Txt |
| City | Orlando | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32819 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| Steve Short | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Joanna Todd | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Cheryl Rutenburg | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Keith Kocarek | |||||||
| President | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Dan Bretl | |||||||
| VP | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| 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 |
| All Other Contributions | $400,391 | AllOtherContributionsAmt |
| Noncash Contributions | $15,000 | NoncashContributionsAmt |
| Total Contributions | $400,391 | TotalContributionsAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $400,391 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,391 | TotalAmt |
| Program Services | $285,391 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,200 | TotalAmt |
| Program Services | $5,200 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $760 | TotalAmt |
| Management And General | $760 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436 | TotalAmt |
| Program Services | $436 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,071 | TotalAmt |
| Program Services | $61,071 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,331 | TotalAmt |
| Program Services | $13,331 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,540 | TotalAmt |
| Program Services | $10,000 | ProgramServicesAmt |
| Management And General | $9,540 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $766 | TotalAmt |
| Program Services | $766 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,073 | TotalAmt |
| Program Services | $3,073 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Event supplies | $75 | $75 | |
| T-shirts medals and IDs | $7,467 | $7,467 | |
| Board and Corporate expenses | $3,281 | $3,281 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,391 | TotalAmt |
| Program Services | $386,810 | ProgramServicesAmt |
| Management And General | $13,581 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $805,586 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,024,067 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,102,461 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $271,317 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $400,391 | CurrentTaxYearAmt |
| Total | $3,603,822 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $805,586 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,024,067 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,102,461 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $271,317 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $400,391 | CurrentTaxYearAmt |
| Total | $3,603,822 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $3,603,822 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $805,586 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,024,067 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,102,461 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $271,317 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $400,391 | CurrentTaxYearAmt |
| Total | $3,603,822 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 G IRS990ScheduleG
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Childrens National Medical Center | ||||||||||||
| 111 Michigan Ave NW | Washington | DC | 20010 | 521640403 | 501c3 | $8,600 | gen support | |||||
| Lurie Childrens Hospital | ||||||||||||
| 225 E Chicago Ave Pr Dpt Box 269 | Chicago | IL | 60611 | 364187449 | 501c3 | $10,370 | gen support | |||||
| John Hopkins All Childrens Hospital | ||||||||||||
| 501 Sixth Street South | Saint Petersburg | FL | 33701 | 592481738 | 501c3 | $675 | gen support | |||||
| Childrens Healthcare Atlanta | ||||||||||||
| 1991 Johnson Ferry Road NE | Atlanta | GA | 30342 | 581710601 | 501 c3 | $125 | gen support | |||||
| Childrens Hospital Los Angeles | ||||||||||||
| 4650 West Sunset Blvd | Los Angeles | CA | 90027 | 951690977 | 501 c3 | $40,004 | gen support | |||||
| St Rose Dominican Hospital | ||||||||||||
| 3001 Saint Rose Parkway | Henderson | NV | 89052 | 880349432 | 501c 3 | $16,286 | gen support | |||||
| Childrens Hospital of San Antonio | ||||||||||||
| 1 Intl Ctr 100 NE Loop 410 Ste 706 | San Antonio | TX | 78216 | 741224362 | 501 c 3 | $17,461 | gen support | |||||
| Riley Hospital for Children | ||||||||||||
| 702 Barnhill Drive | Indianapolis | IN | 46202 | 350868147 | 501 c3 | $200 | gen support | |||||
| Phoenix Childrens Hospital | ||||||||||||
| 2929 East Camelback Rd 122 | Phoenix | AZ | 85016 | 742421549 | 501 c3 | $26,707 | gen support | |||||
| Primary Childrens Med Ctr | ||||||||||||
| 100 N Medical Drive | Salt Lake City | UT | 84113 | 870453633 | 501 c 3 | $400 | gen support | |||||
| Childrens Specialized Hospital | ||||||||||||
| 150 New Providence Road | Mountainside | NJ | 07092 | 136844298 | 501 c 3 | $345 | gen support | |||||
| Texas Childrens Hospital | ||||||||||||
| Box 300630 MC 4 4483 | Houston | TX | 77230 | 202380599 | 501 c3 | $7,962 | gen support | |||||
| Miami Childrens Hospital | ||||||||||||
| 3196 SW 62nd Ave Ste 300 | Miami | FL | 33155 | 591720704 | 501 c3 | $3,686 | gen support | |||||
| Penn State Hershey Childrens Hosp | ||||||||||||
| 500 University Drive | Hershey | PA | 17033 | 251854772 | 501c3 | $17,685 | gen support | |||||
| UF Health Jacksonville | ||||||||||||
| 655 West 8th Street | Jacksonville | FL | 32209 | 592274759 | 501c3 | $100 | gen support | |||||
| McLeod Childrens Hospital | ||||||||||||
| 555 East Cheves Street | Florence | SC | 29506 | 570818672 | 501c3 | $4,410 | gen support | |||||
| Kapiolani Medical from Women Childr | ||||||||||||
| 1319 Punahou Street | Honolulu | HI | 96826 | 990177350 | 501c3 | $1,845 | gen support | |||||
| Arnold Palmer Hospital for Children | ||||||||||||
| 3160 Southgate Commerce Blvd Ste 50 | Orlando | FL | 32806 | 592244943 | 501c3 | $34,495 | ||||||
| Medical Univ of South Carolina | ||||||||||||
| 18 Bee St | Charleston | SC | 29425 | 576028985 | 501c3 | $63,795 | ||||||
| Renown Childrens Hospital | ||||||||||||
| 1155 Mill St | Reno | NV | 89502 | 942972749 | 501c3 | $495 | ||||||
| CHOC Childrens Hospital of Orange | ||||||||||||
| 1201 W La Veta Avenua | Orange | CA | 92868 | 952321786 | 501c3 | $1,190 | ||||||
| UCSF Benioff Childrens Hospital | ||||||||||||
| 1975 4th Street | San Francisco | CA | 94118 | 941657474 | 501 c 3 | $13,690 | ||||||
| Rady Childrens Hospital San Diego | ||||||||||||
| 3020 Childrens Way | San Diego | CA | 92123 | 951691313 | 50133 | $7,500 | gen support | |||||
| Denvers Children Hospital | ||||||||||||
| 3615 Martin Luther King Blvd | Denver | CO | 802054976 | 840813462 | 501 c 3 | $610 | gen support | |||||
| British Columbia Childrens Hospital | ||||||||||||
| 501c3 | $1,070 | gen support | 4500 Oak St | Vancouver | British Columbia | CA | V6H3N1 | |||||
| Childrens Medical Center Dallas | ||||||||||||
| 1935 Medical District Drive | Dallas | TX | 75235 | 752062015 | 501c3 | $1,115 | gen support | |||||
| Dell Childrens Medical Center | ||||||||||||
| 4800 Mueller Blvd | Austin | TX | 78723 | 200468031 | 501c3 | $75 | gen support | |||||
| The University of Vermont Childrens | ||||||||||||
| 111 Colchester Avenue | Burlington | VT | 05401 | 030219309 | 501c3 | $345 | gen support | |||||
| Childrens Hospital of New Orleans | ||||||||||||
| 200 Henry Clay Avenue | New Orleans | LA | 70118 | 720467503 | 501c3 | $150 | gen support | |||||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | Return preparer provides an electronic copy of Form 990 to the organizations president who shares the return with the rest of the governing board. The return is filed after receiving concurrence from the board. |
| Conflict of interest policy compliance Part VI line 12c | To ensure the corporation operates in a manner consistent with its charitable purposes and does not engage in activities jeopardizing its exempt status, periodic reviews are conducted. The reviews include compensation arrangements and benefits (if applicable), services acquired, relationships with other organizations and agreements with third party payors. |
| CEO executive director top management comp Part VI line 15a | Annually each director, principal officer and committee member with board designated powers shall sign a statement affirming his receipt of conflicts of interest policy, he has read and understands the policy, he agrees to the policy and he understands the corporation is a charitable organization which must engage in activities commersurate with its exempt function. |
| Other officer or key employee compensation Part VI line 15b | Annual statements are provided by all other officers and key employees. |
| Governing documents etc available to public Part VI line 19 | Governing documents are available upon request by telephone, email or in person |