INDIANA BREAST CANCER AWARENESS TRUST INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA BREAST CANCER AWARENESS TRUST INC (EIN 35-1935366)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-11
- IRS object ID
- 201731319349304993
- 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 | 2017-05-11T16:34:04-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351346211 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARDING SHYMANSKI & CO PSC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3677 | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47735 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351935366 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA BREAST CANCER AWARENESS TRUST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 8128688769 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8212 | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47716 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHEILA HAUCK | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8128688769 | PhoneNum |
| Signature | 2017-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J VOGEL | PreparerPersonNm |
| PTIN | P00075676 | PTIN |
| Phone | 8124649161 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.233.223.194 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-05-05 | IPDt |
| IP Tm | 13:25:20 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C60C8BEDC85ADB116446239CEB20D2F1E78BF166 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F32F95C14A732BE01737A913341222BE37DA4DE3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHEILA HAUCK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8212 | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47716 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $510,108 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BREASTCANCERPLATE.ORG | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | INCREASE AWARENESS AND IMPROVE ACCESS TO BREAST CANCER SCREENING AND DIAGNOSIS THROUGHOUT INDIANA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $523,704 | PYContributionsGrantsAmt |
| CY Contributions Grants | $508,988 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $954 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,120 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $524,658 | PYTotalRevenueAmt |
| CY Total Revenue | $510,108 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $324,365 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $374,583 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $46,836 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,384 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,419 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $38,656 | PYOtherExpensesAmt |
| CY Other Expenses | -$5,660 | CYOtherExpensesAmt |
| PY Total Expenses | $409,857 | PYTotalExpensesAmt |
| CY Total Expenses | $417,307 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $114,801 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $92,801 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $820,588 | TotalAssetsBOYAmt |
| Total Assets EOY | $913,389 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $820,588 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $913,389 | NetAssetsOrFundBalancesEOYAmt |
| Mission | INCREASE AWARENESS AND IMPROVE ACCESS TO BREAST CANCER SCREENING AND DIAGNOSIS THROUGHOUT INDIANA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $395,211 | ExpenseAmt |
| Grant | $364,583 | GrantAmt |
| Desc | THE PURPOSE OF THE ANNUAL GRANT AND SMALL GRANT PROGRAMS IS TO DETECT BREAST CANCER THROUGH SCREENING AND/OR DIAGNOSTIC SERVICES. THE PROGRAMS PROVIDE INFORMATION ON BREAST CANCER RISK, AVAILABLE TREATMENT, AND FUNDING FOR MAMMOGRAPHY SCREENING SERVICES. IN 2016, SCREENINGS WERE PROVIDED FOR 1,183 PATIENTS. ADDITIONALLY, THERE WERE 353 DIAGNOSITIC MAMMOGRAMS, 296 BREAST ULTRASOUNDS, 43 BIOPSIES AND 31 CASES OF CANCER DETECTED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,000 | ExpenseAmt |
| Grant | $10,000 | GrantAmt |
| Desc | NANCY JAYNES MEMORIAL SCHOLARSHIP AWARD UP TO $1,500 FOR COLLEGE OR POST-SECONDARY TECHNICAL SCHOOLING TO AN INDIANA HIGH SCHOOL SENIOR WHOSE PARENT IS BATTLING BREAST CANCER OR WHO HAS LOST A PARENT TO BREAST CANCER. CONTINUATION SCHOLARSHIPS ARE ALSO AVAILABLE TO PAST AWARDEES UP TO $1,000. TO BE ELIGIBLE FOR A CONTINUATION AWARD, THE STUDENT MUST BE ENROLLED FULL-TIME AND MAINTAIN A 3.0 GPA. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $405,211 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARMEN TEED | PersonNm |
| Phone | 3175027103 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4510 NORTH PARK DR | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46205 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| SHELIA HAUCK | ||||||
| PRESIDENT & GRANT COMMITTE | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BETH ANN BOYER | ||||||
| FINANCE & GRANT COMMITTEES | 0.50 | Yes (X) | $0 | $0 | $0 | |
| DUBBIE BUCKLER | ||||||
| FINANCE & GOVERNANCE COMMI | 0.50 | Yes (X) | $0 | $0 | $0 | |
| BETTY COCKRUM | ||||||
| MARKETING COMMITTEE | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JALANA EASH | ||||||
| GRANT & SCHOLARSHIP COMMIT | 1.00 | Yes (X) | $0 | $0 | $0 | |
| GRETCHEN GUTMAN | ||||||
| FINANCE & GOVERNANCE COMMI | 0.50 | Yes (X) | $0 | $0 | $0 | |
| CARMEN TEED | ||||||
| TREASURER, FINANCE & SCHOL | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DONNA NICHOLS THRELKELD | ||||||
| SECRETARY & GOVERNANCE COM | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANN WHITE | ||||||
| GRANT & SCHOLARSHIP COMMIT | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TOM WYSS | ||||||
| FINANCE COMMITTEE | 0.50 | Yes (X) | $0 | $0 | $0 | |
| CHERRISH PRYOR | ||||||
| AT LARGE MEMBER | 0.25 | Yes (X) | $0 | $0 | $0 | |
| BETH A KNAPP | ||||||
| EXECUTIVE DIRECTOR | 25.00 | Yes (X) | $44,945 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $44,945 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $508,988 | AllOtherContributionsAmt |
| Total Contributions | $508,988 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,120 | TotalRevenueColumnAmt |
| Exclusion | $1,120 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $510,108 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,120 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,583 | TotalAmt |
| Program Services | $364,583 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,000 | TotalAmt |
| Program Services | $10,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,945 | TotalAmt |
| Program Services | $33,709 | ProgramServicesAmt |
| Management And General | $8,989 | ManagementAndGeneralAmt |
| Fundraising | $2,247 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,439 | TotalAmt |
| Program Services | $2,579 | ProgramServicesAmt |
| Management And General | $688 | ManagementAndGeneralAmt |
| Fundraising | $172 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700 | TotalAmt |
| Program Services | $700 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716 | TotalAmt |
| Program Services | $716 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,023 | TotalAmt |
| Program Services | $41,023 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,747 | TotalAmt |
| Program Services | $2,747 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,929 | TotalAmt |
| Program Services | $1,929 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $488 | TotalAmt |
| Program Services | $488 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,333 | TotalAmt |
| Program Services | $1,333 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| TELEPHONE | $1,760 | $1,760 |
| LICENSES & FEES | $29 | $29 |
| UNEXPENDED GRANTS RETUR | -$56,385 | -$56,385 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,307 | TotalAmt |
| Program Services | $405,211 | ProgramServicesAmt |
| Management And General | $9,677 | ManagementAndGeneralAmt |
| Fundraising | $2,419 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $820,588 | BOYAmt |
| EOY | $913,389 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,590 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,590 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $820,588 | BOYAmt |
| EOY | $913,389 | 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 SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $820,588 | BOYAmt |
| EOY | $913,389 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $820,588 | BOYAmt |
| EOY | $913,389 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $820,588 | BOYAmt |
| EOY | $913,389 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $92,801 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $478,480 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $502,596 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $513,278 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $523,704 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $508,988 | CurrentTaxYearAmt |
| Total | $2,527,046 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $478,480 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $502,596 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $513,278 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $523,704 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $508,988 | CurrentTaxYearAmt |
| Total | $2,527,046 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $2,527,046 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,129 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,078 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $826 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $954 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,120 | CurrentTaxYearAmt |
| Total | $5,107 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,532,153 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,532,153 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99800 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99730 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,590 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,590 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| CANCER SERVICES OF EAST CENTRAL INDIANA - LITTLE RED DOOR | ||||||||
| 2311 WEST JACKSON | MUNCIE | IN | 47303 | 350988703 | 501(C)3 | $11,500 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| CANCER SERVICES OF GRANT COUNTY | ||||||||
| 305 SOUTH NORTON AVENUE | MARION | IN | 46952 | 351058216 | 501(C)3 | $19,941 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| COLUMBUS REGIONAL HOSPITAL - BREAST HEALTH CENTER | ||||||||
| 2326 18TH STREET SUITE 110 | COLUMBUS | IN | 47201 | 351129669 | 501(C)3 | $5,200 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| COMMUNITY HOSPITAL ANDERSON | ||||||||
| 1515 N MADISON AVENUE | ANDERSON | IN | 46011 | 351069822 | 501(C)3 | $18,662 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| DEARBORN COUNTY HOSPITAL BREAST CARE CENTER | ||||||||
| 600 WILSON CREEK ROAD | LAWRENCEBURG | IN | 47025 | 356006595 | 501(C)3 | $9,941 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| GENNESARET FREE CLINIC | ||||||||
| 615 N ALABAMA STREE GROUND FL STE B | INDIANAPOLIS | IN | 46204 | 351776518 | 501(C)3 | $12,889 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | B |
| INTERLOCAL COMMUNITY ACTION PROGRAM | ||||||||
| 525 E 7TH STREET | RUSHVILLE | IN | 46173 | 351116629 | 501(C)3 | $6,070 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| LA PORTE HOSPITAL FOUNDATION | ||||||||
| PO BOX 250 | LA PORTE | IN | 46352 | 310952775 | 501(C)3 | $18,000 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER | ||||||||
| 707 E CEDAR STREET SUITE 175 | SOUTH BEND | IN | 46617 | 350868157 | 501(C)3 | $19,760 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| ST CATHERINE HOSPITAL | ||||||||
| 4321 FIR STREET | EAST CHICAGO | IN | 46312 | 351738708 | 501(C)3 | $20,000 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| ST ELIZABETH MEDICAL CENTER INC | ||||||||
| 1 MEDICAL VILLAGE DRIVE | EDGEWOOD | KY | 41017 | 610445850 | 501(C)3 | $22,060 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| ST MARY'S MEDICAL CENTER | ||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 237045370 | 501(C)3 | $19,890 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| YWCA GREATER LAFAYETTE | ||||||||
| 605 NORTH SIXTH STREET | LAFAYETTE | IN | 47901 | 350868224 | 501(C)3 | $19,267 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| ADAMS COUNTY MEMORIAL HOSPITAL | ||||||||
| 1100 MERCER AVE | DECATUR | IN | 46733 | 351470257 | 501(C)3 | $6,525 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| UNITED HEALTH SERVICESBREAST HEALTH PROGRAMS | ||||||||
| 6910 N MAIN STREET BLDG 9 MAIL UNIT | GRANGER | IN | 46530 | 351118647 | 501(C)3 | $18,704 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | 10 |
| DEACONESS HEALTH SYSTEM | ||||||||
| 600 MARY STREET | EVANSVILLE | IN | 47747 | 350593390 | 501(C)3 | $12,976 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| FRANCINE'S FRIENDS INC | ||||||||
| 709 CLAY STREET SUITE 300 | FORT WAYNE | IN | 468022019 | 383730516 | 501(C)3 | $16,900 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| JOHNSON COUNTY HEALTH DEPARTMENT | ||||||||
| 86 WEST COURT ST | FRANKLIN | IN | 46131 | 356000164 | 501(C)3 | $7,286 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| MAPLE CITY HEALTH CARE CENTER INC | ||||||||
| 213 MIDDLEBURY STREET | GOSHEN | IN | 46528 | 351749398 | 501(C)3 | $10,000 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| RUSH MEMORIAL HOSPITAL | ||||||||
| 1300 N MAIN ST | RUSHVILLE | IN | 46173 | 203199892 | 501(C)3 | $20,000 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| SHALOM HEALTH CARE CENTER INC | ||||||||
| 3400 LAFAYETTE RD 200 | INDIANAPOLIS | IN | 46222 | 061645027 | 501(C)3 | $9,750 | FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 21 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP | GrantTypeTxt |
| Recipient | 11 | RecipientCnt |
| Cash Grant | $10,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE PURPOSE OF THE GRANT FUNDING IS TO PROVIDE SCREENING MAMMOGRAMS FOR MEDICALLY UNDERSERVED WOMEN. THERE IS A MAXIMUM OF $20,000 PER GRANT REQUEST AND IS LIMITED TO $85 PER SCREENING MAMMOGRAM AND $130 PER DIGITAL SCREENING MAMMOGRAM. GENERAL RESTRICTIONS INCLUDE THE FOLLOWING: PROJECT MUST BE SPECIFIC TO PROVIDING SCREENING MAMMOGRAMS TO UNDERSERVED WOMEN. AMERICAN CANCER SOCIETY (ACS) GUIDELINES FOR SCREENING MAMMOGRAPHY SHOULD BE FOLLOWED. MAMMOGRAPHY SERVICE PROVIDERS MUST BE AMERICAN COLLEGE OF RADIOLOGY (ACR) CERTIFIED. APPLICANTS MUST BE A U.S. NONPROFIT (FEDERALLY TAX-EXEMPT) ORGANIZATION. SERVICES ARE PROVIDED WITHIN THE STATE OF INDIANA. A GRANT CONTRACT WILL BE THE LEGAL MECHANISM FOR FUNDING OF GRANT. ONCE GRANT APPLICATIONS ARE RECEIVED, A GRANT REVIEW PANEL OF 4-6 MEMBERS RATE EACH APPLICATION, AND SCORES ARE TALLIED. THE REVIEW PANEL MEETS TO DETERMINE THE PROPOSED SLATE OF GRANTS. THE PROPOSAL IS PRESENTED TO THE BOARD OF DIRECTORS, WHO REVIEW AND VOTE ON THE SLATE. GRANTEES WILL SUBMIT MID-TERM AND FINAL GRANT REPORTS. REPORTS SHALL INCLUDE PROGRESS MADE TOWARD MEETING OBJECTIVES OUTLINED IN GRANT APPLICATIONS, NUMBER OF PEOPLE SERVED, OTHER SOURCES OF SUPPORT,DOCUMENTATION AND ARTICLES SUBMITTED FOR PUBLICATION, AND PRESENTATIONS MADE AT SCIENTIFIC CONFERENCES. FINAL REPORTS MUST INCLUDE AN ACCOUNTING OF THE GRANT FUNDS EXPENDED DURING THE TERM OF THE GRANT CONTRACT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE COMMITTEES MAKE RECOMENDATIONS TO THE BOARD AS A RESULT OF THEIR MEETINGS. THE BOARD IS THE ONLY BODY AUTHORIZED TO MAKE APPROVALS. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF FORM 990 IS DISTRIBUTED TO DIRECTORS AND MADE AVAILABE TO ENTIRE BOARD OF DIRECTORS FOR ANY QUESTIONS/COMMENTS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12 | UPDATED FORMS ARE SIGNED & MONITORED BY THE GOVERNANCE COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC | SHELIA HAUCK - 3400 WESTHAMPTON DR., NEWBURGH, IN 47630. BETH ANN BOYER - 11432 BROUGHAM RUN, FORT WAYNE, IN 46845. DUBBIE BUCKLER - 9917 CEDAR RIDGE DR., CARMEL, IN 46032. BETTY COCKRUM - 1221 GOLDEN HILL DR., INDIANAPOLIS, IN 46208. JALANA EASH - 1615 BEECH DR. NORTH, PLAINFIELD, IN 46168. GRETCHEN GUTMAN - 1474 N NEW JERSEY STREET, INDIANAPOLIS, IN 46202. CARMEN TEED - 4510 NORTH PARK AVE., INDIANAPOLIS, IN 46205. DONNA NICHOLS THRELKELD - 6440 SHAMEL DR., INDIANAPOLIS, IN 46205. ANN WHITE - 5711 CALLE LAS BRISAS, EVANSVILLE, IN 47712. TOM WYSS - 12133 HARVEST BAY DR., FORT WAYNE, IN 46845. CHERRISH PRYOR - 5276 DEER CREEK DR, INDIANAPOLIS, IN 46254. |