WICHITA CANCER FOUNDATION: Form 990EZ, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- WICHITA CANCER FOUNDATION (EIN 20-3523398)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-04-29
- IRS object ID
- 201721199349200102
- Schema version
- 2016v3.0
- 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 | 2017-04-29T14:15:51-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271578290 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZIAD JABARA CPA PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5920 E CENTRAL STE 204 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67208 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203523398 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WICHITA CANCER FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WICH | BusinessNameControlTxt |
| Phone | 3166134242 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5920 E CENTRAL No 204 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67208 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ZIAD JABARA | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 3166896933 | PhoneNum |
| Signature | 2017-04-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ZIAD P JABARA | PreparerPersonNm |
| PTIN | P00452499 | PTIN |
| Phone | 3166896933 | PhoneNum |
| Preparation | 2017-04-24 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 70.182.244.89 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-04-24 | IPDt |
| IP Tm | 14:09:39 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 1AD47153F404C44AFCC2BAA3AC4D311D01326709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 1AD47153F404C44AFCC2BAA3AC4D311D01326709 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | WICHITACANCERFOUNDATION.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Type Of Organization Other | FOUNDATION | TypeOfOrganizationOtherDesc |
| Gross Receipts | $83,676 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $82,235 | ContributionsGiftsGrantsEtcAmt |
| Other Revenue Total | $1,441 | OtherRevenueTotalAmt |
| Total Revenue | $83,676 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $5,080 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $508 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $138,074 | OtherExpensesTotalAmt |
| Total Expenses | $143,662 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$59,986 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $209,879 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $149,893 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,879 | BOYAmt |
| EOY | $149,893 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,879 | BOYAmt |
| EOY | $149,893 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,879 | BOYAmt |
| EOY | $149,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | PROVIDE DIRECT OR INDIRECT FINANCIAL ASSISTANCE FOR CANCER OUTPATIENTS WHOSE CARE IS INITIATED OR RECEIVED IN SEDGWICK COUNTY IN THE FORM OF INSURANCE PREMIUM PAYMENT OR CO-PAY ASSISTANCE FACILITATION. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | PROVIDED DIRECT FINANCIAL ASSISTANCE FOR MORE THAN 19 CANCER OUTPATIENTS WHOSE CARE IS INITIATED OR RECEIVED IN SEDGWICK COUNTY IN THE FORM OF INSURANCE PREMIUM PAYMENT OR CO-PAY ASSISTANCE FACILITATION | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $0 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (11 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| David L Murfin | ||||
| President | 1.00 | $0 | $0 | $0 |
| Ziad Jabara | ||||
| Treasurer | 2.00 | $0 | $0 | $0 |
| Laura Dakhil Monahan | ||||
| Secretary | 3.00 | $0 | $0 | $0 |
| Sam Kouri | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Christopher L Arellano | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Stephanie Bergmann | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Don Henry | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Patricia Hourani | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Aziz Maksoud | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Steve Peterson | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| Hana Razek | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZIAD JABARA CPA PA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5920 E CENTRAL STE 204 | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 672084241 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3166896933 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
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 Minus2 Years | $31,102 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $197,309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,235 | CurrentTaxYearAmt |
| Total | $307,646 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $31,102 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $197,309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,235 | CurrentTaxYearAmt |
| Total | $307,646 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $307,646 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $527 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,692 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,441 | CurrentTaxYearAmt |
| Total | $3,660 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $527 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,692 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,441 | CurrentTaxYearAmt |
| Total | $3,660 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $31,629 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $199,001 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $80,676 | CurrentTaxYearAmt |
| Total | $311,306 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98820 | PublicSupportCY509Pct |
| Investment Income CY | 0.01180 | InvestmentIncomeCYPct |
| 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990-EZ, Part I, Line 8 - Other Revenue | Description: CROSSFIRST BANK. Amount: 1,441. |
| Form 990-EZ, Part I, Line 16 - Other Expenses | Description: REGISTRATION. Amount: 40. Description: WEB SITE DESIGN. Amount: 185. Description: TELEPHONE. Amount: 706. Description: HEALTH INSURANCE PREMIUMS FOR CANCER PATIENTS. Amount: 137,143. Total to Form 990-EZ, line 16: 138,074. |