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HAVEN EILEEN KILEY FOUNDATION INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
HAVEN EILEEN KILEY FOUNDATION INC (EIN 81-0698389)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201913199349313021
Schema version
2018v3.1
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

FieldValueIRS element (for citing)
Return2019-11-15T14:26:00-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN453643178PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1iQ Tax Services LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12155 JERICHO TURNPIKEAddressLine1Txt
CityCOMMACKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11725ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810698389EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HAVEN EILEEN KILEY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JANICE KILEYInCareOfNm
Business Name ControlHAVEBusinessNameControlTxt
Phone7042192449PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117915 GOLDEN MEADOW CTAddressLine1Txt
CityDAVIDSONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28036ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANICE KILEYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7042192449PhoneNum
Signature2019-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL HALLPreparerPersonNm
PTINP00941894PTIN
Phone6314621040PhoneNum
Preparation2019-11-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.113.79.83IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id12312220193191202508FederalOriginalSubmissionId
Federal Original Submission Id2019-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6FD7851203A77C77C6B24DD6F59BCFBC6929F147AtSubmissionCreationDeviceId
At Submission Filing Device Id6DCBF7BEC2E1F1FC86BA7BA31BC7E59938BA5098AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANICE KILEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line117915 GOLDEN MEADOW CTAddressLine1Txt
CityDAVIDSONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28036ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$60,341GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://havensfoundation.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2016FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionHelp families cope with trauma of childhood illnessinjury Lend financial support to institutions that care for these childrenActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$49,519PYContributionsGrantsAmt
CY Contributions Grants$39,241CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$13,556PYOtherRevenueAmt
CY Other Revenue$6,618CYOtherRevenueAmt
PY Total Revenue$63,075PYTotalRevenueAmt
CY Total Revenue$45,859CYTotalRevenueAmt
PY Grants And Similar Paid$32,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$20,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,118PYOtherExpensesAmt
CY Other Expenses$5,651CYOtherExpensesAmt
PY Total Expenses$35,118PYTotalExpensesAmt
CY Total Expenses$25,651CYTotalExpensesAmt
PY Revenues Less Expenses$27,957PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,208CYRevenuesLessExpensesAmt
Total Assets BOY$74,776TotalAssetsBOYAmt
Total Assets EOY$94,984TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$74,776NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$94,984NetAssetsOrFundBalancesEOYAmt
MissionHelp families cope with trauma associated with childhood illness or injury. Lend financial support to individuals/institutions dedicated to caring for these children in their time of need.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$10,000ExpenseAmt
Grant$10,000GrantAmt
Desc$10,000 Cash Donation to EHMC FoundationDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,000ExpenseAmt
Grant$10,000GrantAmt
Desc$10,000 Cash Donation to Chilren's Hope AllianceDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$20,000TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members2GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyfalseMinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJANICE KILEYPersonNm
Phone7042192449PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117915 GOLDEN MEADOW CTAddressLine1Txt
CityDAVIDSONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28036ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (2 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BRIAN KILEY
DIRECTOR10.00Yes (X)$0$0$0
JANICE KILEY
PRESIDENT10.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$7,250FundraisingAmt
All Other Contributions$31,991AllOtherContributionsAmt
Noncash Contributions$1,000NoncashContributionsAmt
Total Contributions$39,241TotalContributionsAmt
Fundraising Gross Income$21,100FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$7,250ContriRptFundraisingEventAmt
Fundraising Direct Expenses$14,482FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,618TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,859TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$20,000TotalAmt
Program Services$20,000ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,000TotalAmt
Management And General$1,000ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,284TotalAmt
Management And General$3,284ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescBANK FEESDesc
Total$1,367TotalAmt
Management And General$1,367ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$25,651TotalAmt
Program Services$20,000ProgramServicesAmt
Management And General$5,651ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$74,776BOYAmt
EOY$94,984EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$74,776BOYAmt
EOY$94,984EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$74,776BOYAmt
EOY$94,984EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,776BOYAmt
EOY$94,984EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,776BOYAmt
EOY$94,984EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$20,208ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$39,719CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,519CurrentTaxYearMinus1YearAmt
Current Tax Year$39,241CurrentTaxYearAmt
Total$128,479TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$39,719CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,519CurrentTaxYearMinus1YearAmt
Current Tax Year$39,241CurrentTaxYearAmt
Total$128,479TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$13,625SubstantialContributorsTotAmt
Public Support Total170$114,854PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$22,637CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,556CurrentTaxYearMinus1YearAmt
Current Tax Year$6,618CurrentTaxYearAmt
Total$42,811TotalAmt
FieldValueIRS element (for citing)
Total Support$171,290TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Investment Income CY0.00000InvestmentIncomeCYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart II Line 10/Part III Line 12FormAndLineReferenceDesc
ExplanationIncome from Golf Event Form 990, Part 1, Line 11ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNEvent1Nm
Gross Receipts Event1$21,100GrossReceiptsEvent1Amt
Gross Revenue Event1$21,100GrossRevenueEvent1Amt
Other Direct Expenses Event1$14,482OtherDirectExpensesEvent1Amt
Event2EHMCEvent2Nm
Gross Receipts Event2$7,250GrossReceiptsEvent2Amt
Charitable Contri Event2$7,250CharitableContriEvent2Amt
Gross Receipts Total$28,350GrossReceiptsTotalAmt
Charitable Contributions Tot$7,250CharitableContributionsTotAmt
Gross Revenue Total Events$21,100GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$14,482OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$14,482DirectExpenseSummaryEventsAmt
Net Income Summary$6,618NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
EHMC FOUNDATION
111 WASHINGTON AVE SOMINNEAPOLISMN55401411990628$10,000$0CASH DONATION
CHILDRENS HOPE ALLIANCE
PO BOX 1BARIUM SPRINGSNC28010560529993$10,000$0CASH DONATION
FieldValueIRS element (for citing)
Total501c3 Org0Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI Line 11bNO REVIEW WAS OR WILL BE CONDUCTED
Part VI Line 19NO DOCUMENTS AVAILABLE TO PUBLIC