2022-11-14T08:44:58-06:00 2021-12-31 420714325 RSM US LLP 6 S PATTERSON BLVD DAYTON OH 45402 990PF 2021-01-01 464277044 THE GALA OF HOPE FOUNDATION INC GALA 9374293143 3500 PENTAGON BLVD STE 500 BEAVERCREEK OH 45431 PHIL BLACK TREASURER 9374293143 2022-11-11 1 PHIL BLACK XXX-XX-XXXX JACQUELYN C OTTO P00366544 9372980201 2022-11-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X X 951142 X 808005 52 52 129 129 0 47876 0 856062 181 174999 0 139999 42858 0 0 7360 181 0 12000 0 12000 15142 0 7671 926 0 0 104349 0 49910 357634 181 209580 377662 377662 735296 181 587242 120766 0 293410 411624 411624 262175 262227 262227 236710 260000 236710 236710 10225 36015 40581 825810 946576 951142 0 0 X 825810 946576 825810 946576 825810 946576 825810 120766 0 946576 0 946576 0 0 0 0 0 277 0 0 0 277 0 277 277 0 0 0 0 0 0 0 0 0 0 0 1 1 OH 0 0 0 0 0 1 GALAOFHOPE.NET JEFF BROCK 9372395482 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BARBARA MILLS 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 PRESIDENT 2.00 0 0 0 PHIL BLACK 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 TREASURER 2.00 0 0 0 DAVID BRIXEY 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 TRUSTEE 1.00 0 0 0 JOHN KEIGHLEY TERM ENDED JUNE 2021 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 TRUSTEE 1.00 0 0 0 TIFFANY KELLNER 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 TRUSTEE 1.00 0 0 0 SAM WARWAR 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 SECRETARY 1.00 0 0 0 JEFF BROCK 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 EXECUTIVE DIRECTOR 58.00 174999 0 0 CAMERON MCGREGOR 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 TRUSTEE 1.00 0 0 0 CARLY COX 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 TRUSTEE 1.00 0 0 0 KIM BELCASTRO 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 TRUSTEE 1.00 0 0 0 ROY CHEW 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 TRUSTEE 1.00 0 0 0 NONE 0 NONE 0 THE GALA OF HOPE PROVIDES PAYMENTS TO VARIOUS ORGANIZATIONS ON BEHALF OF INDIGENT INDIVIDUALS UNDERGOING CANCER TREATMENT TO ASSIST WITH CHEMOTHERAPY TREATMENTS, PURCHASE DURABLE MEDICAL EQUIPMENT AND EXPENSES OF DAILY LIVING SUCH AS RENT PAYMENTS, MORTGAGE PAYMENTS, UTILITY PAYMENTS, ETC. DURING 2021, NINETY-SIX (96) INDIVIDUALS WERE RECIPIENTS OF THESE GRANT PAYMENTS. 49910 0 15521 569025 0 584546 0 0 584546 8768 575778 28789 28789 0 28789 0 28789 0 28789 587242 0 587242 28789 0 0 799893 87030 20485 748675 857873 2513956 587242 0 0 40000 28789 518453 0 0 3072409 0 0 0 0 0 40000 759893 2272516 87030 20485 748675 857873 558453 BARBARA MILLS PHIL BLACK MS ROBIN ROBBINS 3500 PENTAGON BLVD SUITE 500 BEAVERCREEK OH 45431 9374293143 ROBIN@GALAOFHOPE.NET APPLICATIONS SHOULD BE SUBMITTED IN WRITING AND INCLUDE THE ORGANIZATION (OR PERSON) AND REASON FOR GRANT REQUEST, AMOUNT REQUESTED, PROCESS TO PROVIDE DOCUMENTATION OF USE OF GRANT AND AMOUNTS EXPENDED, VERIFICATION OF TAX-EXEMPT STATUS, EIN NUMBER (OR PERSONAL INFORMATION AND SS NUMBER, IF APPLICABLE), AND DESCRIPTION OF THE ORGANIZATION, TRUSTEES AND MISSION, AND FORMS 990 FOR THE LAST TWO YEARS. NO SUBMISSION DEADLINES IDENTIFIED. NO RESTRICTIONS ARE CURRENTLY ESTABLISHED. ALL GRANT EXPENDITURES ARE SUBJECT TO BOARD APPROVAL. DAYTON CHILDRENS FOUNDATION 1 CHILDRENS PLAZA DAYTON OH 45404 NONE PC GENERAL 82401 KETTERING MEDICAL CENTER FOUNDATION 3535 SOUTHERN BLVD DAYTON OH 45427 NONE PC ASSISTANCE, CYCLOTRON REPLACEMENT 125000 PINK RIBBON GIRLS 32 E MAIN STREET TIPP CITY OH 45371 NONE PC MOBILE RV FOR INSTRUCTIONAL PURPOSES 45000 MERCY HEALTH FOUNDATION CLARK & CHAMPAIGN COUNTIES MITCHEL THOMAS CIRCLE 100 W MCCREIGHT AVE STE 200 SPRINGFIELD OH 45504 NONE PC LUNG CANCER RESEARCH AND TREATMENT PROGRAM 125261 377662 0 14 52 14 129 01 38516 0 38697 0 38697 0 0 0 0 0 0 0 0 0 0 X X 1 JJR SOLUTIONS 607 E 3RD STREET DAYTON OH 45402 35000 X 2 PREMIER HEALTH 110 N MAIN STREET DAYTON OH 45402 50000 X 3 TIFFANY KELLNER 3601 RIGBY ROAD STE 500 MIAMISBURG OH 45342 15000 X 4 PHIL AND PAM BLACK 1347 PARK TERRACE DAYTON OH 45440 5000 X 5 KETTERING HEALTH NETWORK 1 PRESTIGE PLACE MIAMISBURG OH 45342 50000 X 6 SYNERGY BLDG SYSTEMS 3500 PENTAGON BLVD STE 500 BEAVERCREEK OH 45431 30000 X 7 100 PLUS MEN WHO CARE 4523 MORNINGSIDE DRIVE LEBANON OH 45036 10000 X 8 CHARLES D BERRY 3055 KETTERING BLVD STE 416 MORAINE OH 45439 5000 X 9 BONE AND JOINT SURGEONS 2587 COMMONS BLVD BEAVERCREEK OH 45431 10000 X 10 MARCIA AND MICHAEL BRIDGES 1914 AMYS RIDGE CT BEAVERCREEK OH 45434 5000 X 11 ROBERT BULOW 8185 CEDAR RIDGE COURT SPRINGBORO OH 45066 15000 X 12 TERRY BURNS 1458 CHAMPIONS WAY XENIA OH 45385 10000 X 13 ROY CHEW 7949 FROSTWOOD CT SPRINGBORO OH 45066 5000 X 14 CINCINNATI BELL PO BOX 2301 CINCINNATI OH 45201 5000 X 15 DAYTON CENTER FOR NEUROLOGICAL DISORDERS 1975 MIAMISBURG CENTERVILLE ROAD DAYTON OH 45459 5000 X 16 DAYTON CHILDREN'S HOSPITAL ONE CHILDRENS PLAZA DAYTON OH 45404 50000 X 17 DETMER AND SONS INC 1170 CHANNINGWAY DRIVE FAIRBORN OH 45324 5000 X 18 DEWINE FAMILY FOUNDATION 2587 CONLEY RD CEDARVILLE OH 45314 10000 X 19 ALAN EAKLE 1832 STEWART RD XENIA OH 45385 12000 X 20 FIFTH THIRD BANK 1 SOUTH MAIN STREET DAYTON OH 45402 9750 X 21 GREATER DAYTON CONSTRUCTION 4197 RESEARCH BLVD BEAVERCREEK OH 45430 5000 X 22 KATESWELL PO BOX 43 AMLIN OH 43002 5000 X 23 JOHN KEIGHLEY 4962 WALNUT WALK DAYTON OH 45429 5000 X 24 AMY LADERER 5190 LAKE IN THE WOODS BLVD LAKELAND FL 33813 11000 X 25 DAYTON FOUNDATION (LIVING WITH LYMPHEDEMA FUND) 1401 SOUTH MAIN STREET 100 DAYTON OH 45409 90000 X 26 MAPLE TREE CANCER ALLIANCE 3312 US ROUTE 42 E CEDARVILLE OH 45314 5000 X 27 MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER 100 MEDICAL CENTER DRIVE SPRINGFIELD OH 45504 20000 X 28 MERCY HEALTH FOUNDATION CLARK AND CHAMPAIGN COUNTIES MITCHEL THOMAS CIRCLE 100 W MCCREIG SPRINGFIELD OH 45504 5000 X 29 BARBARA MILLS 2037 BEAVER VALLEY RD DAYTON OH 45434 25770 X 30 MJSJ LLC VAN ATTA ENGINEERING 570 CONGRESS P CENTERVILLE OH 45459 5000 X 31 MONTGOMERY COUNTY ADAMHS BOARD 409 E MONUMENT AVE 102 DAYTON OH 45402 5000 X 32 MORGAN STANLEY - CENTERVILLE 7777 WASHINGOTN VILLAGE DR 100 CENTERVILLE OH 45459 10000 X 33 MAJIDA MOURAD 4114 SHAMLEY GREEN DR TOLEDO OH 43623 5000 X 34 OHIO HARNESS HORSEMAN'S ASSOCIATION - SPECIAL PROJECT 2237 SONORA DRIVE GROVE CITY OH 43123 10000 X 35 OHIO HOSPICE - HOSPICE OF DAYTON INC 324 WILMINGTON AVE DAYTON OH 45420 100000 X 36 FRANK PEREZ 350 STONEHAVEN RD DAYTON OH 45429 5000 X 37 TOM SUTTMILLER 2317 SPRING ROSE DR DAYTON OH 45459 5000 X 38 THE DAYTON FOUNDATION 1401 SOUTH MAIN STREET 100 DAYTON OH 45409 11450 X 39 UBS MATCHING GIFTS PROGRAM 1285 AVENUE OF THE AMERICAS NEW YORK NY 10019 5083 X 40 JEFF VAN ATTA 3013 LYTLE RD WAYNESVILLE OH 45068 6000 X 41 WOOLPERT INC 4454 IDEA CENTER BLVD DAYTON OH 45430 5000 X 42 GOODYEAR 841 WINGFOOT LAKE ROAD MOGADORE OH 44260 5000 X 43 TERESA HUBER 1241 FOREST RUN DAYTON OH 45429 10000 X 44 SHAD MOTE 1803 DALTON DR NEW CARLISLE OH 45344 5000 X 45 EDWARD LADERER 5190 LAKE IN THE WOODS BLVD LAKELAND FL 33813 25790 X 42 BLIMP RIDE FOR 2 5000 2021-12-31 43 6 BOTTLES OF PAPPY VAN WINKLE BOURBON (SIGNED) 10000 2021-12-31 44 LIVE EDGE COFFEE TABLE 5000 2021-12-31 45 312 SHARES OF YETI COMMON STOCK 25790 2021-12-21 ACCOUNTING FEES 7360 181 0 ELECTION TO TREAT UNUSED PRIOR YEAR CORPUS DISTRIBUTIONS AS CURRENT YEAR CORPUS DISTRIBUTIONS THE GALA OF HOPE FOUNDATION EIN: 46-4277044 TAX YEAR ENDING: DECEMBER 31, 2021PURSUANT TO REG. 53.4942(A)-3(C)(2)(IV), THE ABOVE REFERENCED FOUNDATION HEREBY ELECTS TO TREAT, AS A CURRENT CORPUS DISTRIBUTION, THE FOLLOWING UNUSED PRIOR TAX YEAR'S DISTRIBUTIONS THAT WERE TREATED AS CORPUS DISTRIBUTIONS UNDER REG. 53.4942(A)-3(D)(1)(III) IN SUCH PRIOR TAX YEAR:TAX YEAR AMOUNT2016 40,000.00 TOTAL $40,000.00 SIGNED:____________________________________ ____________________ DATE ____________________________________ NAME AND TITLE THE OHIO ATTORNEY GENERAL DOES NOT REQUIRE AND WILL NOT ACCEPT A COPY OF FORM 990-PF. AN ANNUAL REPORT IS FILED ONLINE WITH THE OHIO ATTORNEY GENERAL TO FULFILL THE STATE FILING REQUIREMENTS. CINTAS COMMON STOCK 10225 14878 YETI COMMON STOCK 25790 25703 ADVERTISING AND MARKETING 16259 0 0 AUCTION ITEM 9360 0 0 BANK SERVICE CHARGES 2195 0 0 DUES 125 0 0 GIFT 159 0 0 INSURANCE 1918 0 0 MEALS & ENTERTAINMENT EXPENSE 3350 0 0 OFFICE SUPPLIES 199 0 0 OTHER EXPENSES 7477 0 0 PAYMENTS ON BEHALF OF INDIGENT CANCER PATIENTS 49910 0 49910 INTEREST PAID 1 0 0 JOB SUPPLIED 16 0 0 REIMBURSEABLE EXPENSES 3380 0 0 LIVING WITH LYMPHODEMA 10000 0 0 GROSS INCOME FROM SPECIAL FUNDRAISING EVENTS 47876 47876 CONTRACTORS FEES 12000 0 12000 ANNUAL REPORT FILING FEE 200 0 200 TAX WITHHOLDING 14942 0 7471