2018-11-14T14:19:06-06:00 2017-12-31 231311005 BOYER & RITTER LLC 1 EAST HIGH STREET CARLISLE PA 17013 990 2017-01-01 200908480 THE CHIP MILLER CHARITABLE FOUNDATION CHIP 7172433201 1000 BRYN MAWR ROAD CARLISLE PA 17013 HAROLD BRANDT TREASURER 7172433201 2018-11-14 1 CHARLES R NEBEL JR CPA P00143823 7172493414 50.201.234.14 2018-11-14 11:02:07 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 E1990B3156A5039C081E9093D780EC6D77887262 2017 2019-02-21 02:37:17Z HAROLD BRANDT 1000 BRYN MAWR ROAD CARLISLE PA 17013 231354 0 X WWW.CHIPMILLER.ORG X 2004 PA TO PROVIDE FINANCIAL SUPPORT FOR MEDICAL RESEARCH AND TREATMENT OF AMYLOID DISEASE AND RELATED DISORDERS, AND TO EDUCATE THE MEDICAL COMMUNITY AND THE PUBLIC ABOUT THE SYMPTOMS OF AMYLOIDOSIS. 10 10 0 20 0 0 46373 49585 0 0 1920 2524 25295 85030 73588 137139 27700 83921 0 0 0 0 45183 18450 25031 4226 20720 77109 123091 -3521 14048 377848 391896 0 0 377848 391896 THE MISSION OF THE CMCF IS TO EMPOWER PEOPLE WITH THE KNOWLEDGE AND UNDERSTANDING OF AMYLOIDOSIS FOR EARLIER DETECTION, ENSURING A BETTER QUALITY OF LIFE FOR THOSE AFFLICTED WITH THE DISEASE AND TO HELP SCIENCE FIND THE CURES. 0 0 83921 83921 TO PROVIDE FINANCIAL SUPPORT FOR MEDICAL RESEARCH AND TREATMENT OF AMYLOID DISEASE AND RELATED DISORDERS, AND TO EDUCATE THE MEDICAL CUMMUNITY AND THE PUBLIC ABOUT THE SYMPTOMS OF AMYLOIDOSIS. ADDITIONALLY SUPPORTS OTHER CHARITABLE ORGANIZATIONS THAT THE BOARD DEEMS APPROPRIATE. 83921 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 10 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA NJ X HAROLD BRANDT 7172433201 1000 BRYN MAWR ROAD CARLISLE PA 17013 X LANCE MILLER PRESIDENT 2.00 X X 0 0 0 HAROLD BRANDT TREASURER 2.00 X X 0 0 0 JUDY MILLER ASST TREASURER 2.00 X X 0 0 0 NICK BRICKER BOARD MEMBER 1.00 X 0 0 0 JOSEPH CLEMENTE BOARD MEMBER 1.00 X 0 0 0 BILL MILLER BOARD MEMBER 1.00 X 0 0 0 ANDREW SAFT BOARD MEMBER 1.00 X 0 0 0 GINGER KOCHMER BOARD MEMBER 1.00 X 0 0 0 ROBERT TOMCZAK BOARD MEMBER 1.00 X 0 0 0 PATRICIA CLAUS BOARD MEMBER 1.00 X 0 0 0 0 0 0 0 0 0 0 0 14971 34614 49585 2524 2524 78470 14971 44661 33809 33809 100775 49554 51221 51221 137139 0 0 87554 83921 83921 6888 6888 4150 4150 18450 18450 2049 2049 750 750 382 382 670 670 SUPPLIES 5831 5831 123091 83921 14139 25031 29409 51315 347865 340389 6634 6442 574 192 377848 391896 0 0 X 377848 391896 377848 391896 377848 391896 14048 0 X 1 X 0 0 0 X 102286 73864 81436 46373 49585 353544 102286 73864 81436 46373 49585 353544 30884 322660 2704 3391 3523 1920 2524 14062 367606 314826 0.87770 0.93800 X 6634 6442 192 192 169848 890 31819 32709 137139 0 137139 155800 890 31819 32709 123091 0 123091 PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING AND GAMING EXPENSES NETTED AGAINST INCOME 31,819. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING AND GAMING EXPENSES NETTED AGAINST INCOME 31,819. X 1 DUNLEAVY & ASSOCIATES PO BOX 613 BLUE BELL PA 19422 FUNDRAISING COUNSEL 0 68501 18450 50051 68501 18450 50051 PA NJ SURF FEST 20224 5246 14978 14978 4938 DINNER 29120 9725 19395 8264 9513 4 44097 44097 3000 2000 1968 93441 14971 78470 3000 25242 16419 44661 33809 100775 47418 2136 1 1.00000 100775 47418 2136 49554 51221 PA 1 0 1 0 1.00000 HAROLD BRANDT 1000 BRYN MAWR RD CARLISLE PA 17013 0 HAROLD BRANDT 0 X 0 1 THE AMYLOIDOSIS FOUNDATION 7151 N MAIN ST SUITE 2 CLARKSTON MI 48346 200291856 501C3 20000 PROGRAM SPECIFIC SUPPORT AMYLOIDOSIS SUPPORT GROUPS 232 ORCHARD DRIVE WOOD DALE IL 60191 202909816 501C3 18000 PROGRAM SPECIFIC SUPPORT MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH 200 FIRST ST SW ROCHESTER MN 55902 416011702 501C3 20000 PROGRAM SPECIFIC SUPPORT CLARE HOUSE 342-344 EAST CHESTNUT ST LANCASTER PA 17602 222723190 501C3 25921 PROGRAM SPECIFIC SUPPORT - SHELTER PROGRAM 4 0 PART I, LINE 2: ORGANIZATION ONLY MAKES GRANTS TO ORGANIZATIONS ENGAGING IN SPECIFIC PROGRAMS SUPPORTED WHO ARE ALSO US ORGANIZED PUBLICALLY SUPPORTED 501(C)(3) ORGANIZATIONS WHICH REQUIRE NO FURTHER MONITORING OF USE OF GRANT FUNDS. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBER JUDY MILLER IS MOTHER OF BOARD MEMBER LANCE MILLER FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PRESENTED IN DRAFT FORM TO THE BOARD FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION OBTAINS WRITTEN CONFLICT OF INTEREST STATEMENTS FROM BOARD MEMBERS ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 ANY COMPENSATED PERSONS WOULD REQUIRE APPROVAL BY THE BOARD, CURRENTLY NO INDIVIDUAL IS COMPENSATED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST