2016-11-15T14:36:37-06:00 2015-12-31 391453055 VRAKAS SC 445 SOUTH MOORLAND RD SUITE 400 BROOKFIELD WI 53005 990 2015-01-01 465000938 GOLD IN SEPTEMBER CHARITABLE TRUST GOLD 4143784420 528D WELLS STREET DELAFIELD WI 53018 SARAH BARTOSZ TRUSTEE 4143784420 2016-11-10 1 KARELYN J BECK P00474979 2627970400 2015 2017-02-10 21:41:12Z X SARAH BARTOSZ 528D WELLS STREET DELAFIELD WI 53018 582335 0 X WWW.GOLDINSEPTEMBER.COM X 2014 WI TO INCREASE FUNDING FOR CHILDHOOD CANCER RESEARCH AND INITIATIVES BY GROWING AWARENESS. 8 8 0 50 0 0 0 550720 0 0 0 15 0 -8488 0 542247 0 320000 0 0 0 25000 0 0 0 0 29952 0 374952 0 167295 46429 289851 0 0 46429 289851 GOLD IN SEPTEMBER'S MISSION IS TO INCREASE FUNDING FOR CHILDHOOD CANCER RESEARCH AND INITIATIVES BY GROWING AWARENESS THAT INSPIRES ACTION TO HELP EVERY CHILD, EVERYWHERE 0 0 270000 270000 DISTRIBUTION TO THE G9 CENTERS OF EXCELLENCE HOSPITALS (27 IN TOTAL) - SUPPORTING ACTION THROUGH CHILDHOOD CANCER RESEARCH SUPPORT FOR PHASE I/EARLY PHASE CLINICAL TRIALS WHILE GENERATING AWARENESS INITIATIVES AROUND GOLD (OFFICIAL COLOR) AND SEPTEMBER (OFFICIAL MONTH) FOR CHILDHOOD CANCER. 50000 50000 CHILDREN'S ONCOLOGY GROUP'S PROJECT: EVERYCHILD - SUPPORTING THE PROJECT'S MISSION TO TEST AND TISSUE BANK SAMPLES FROM EVERY CHILD, EVERYWHERE WHO HAS BEEN DIAGNOSED WITH CANCER IN ORDER TO SUPPORT THE DISCOVERY AND DEVELOPMENT OF THERAPIES AND TREATMENTS. 320000 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 X 8 8 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 1 1 1 1 0 WI X BETH LUNOW 4147320499 528D WELLS STREET DELAFIELD WI 53018 SARAH BARTOSZ TRUSTEE 20.00 X 25000 0 0 JOHN SHINNERS TRUSTEE 5.00 X 0 0 0 BETH LUNOW TRUSTEE 10.00 X 0 0 0 SHANNON ALLEN TRUSTEE 5.00 X 0 0 0 RORY LEYDEN TRUSTEE 5.00 X 0 0 0 SANDY WYSOCKI TRUSTEE 5.00 X 0 0 0 SUSIE SCHNEIDER TRUSTEE 5.00 X 0 0 0 CHELLEE SIEWERT TRUSTEE 5.00 X 0 0 0 25000 0 0 0 0 0 0 0 346352 204368 22000 550720 15 15 31600 346352 40088 -8488 -8488 542247 0 0 -8473 310000 310000 10000 10000 25000 25000 16812 16812 10140 10140 3000 3000 374952 320000 54952 0 46429 214224 71914 0 3713 46429 289851 0 0 X 46429 213724 0 76127 46429 289851 46429 289851 X 167295 76127 X X 0 1 X 0 0 X 193991 550720 744711 193991 550720 744711 22000 253800 275800 0 22000 253800 275800 468911 15 15 15 15 31600 31600 193991 582335 776326 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 850335 268000 40088 308088 542247 0 542247 363040 268000 40088 308088 54952 320000 320000 374952 PART X, LINE 2: THE TRUST DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: EXP. NETTED W/ REV. FOR TAX REPORTING AND SEPARATED FOR FINANCIAL REPORTING 40,088. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXP. NETTED W/ REV. FOR TAX REPORTING AND SEPARATED FOR FINANCIAL REPORTING 40,088. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANTS LISTED AS EXP FOR TAX REPORTING AND SEPARATED FOR FINANCIAL REPORTING 320,000. 0 0 0 0 0 0 0 0 0 NORTH AMERICA EARLY PHASE TRIALS - CHILDHOOD CANCER 10000 CHECK 1 0 0 0 0 0 0 0 PART I, LINE 2: GRANTS WERE PROVIDED WITH LETTERS OF RESTRICTION FROM GOLD IN SEPTEMBER REGARDING USE. 0 GOLDEN CELEBRATION 377952 346352 31600 20000 20088 377952 346352 31600 20000 20088 40088 -8488 1 ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO 225 E CHICAGO AVE CHICAGO IL 60611 362170833 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER CHILDREN'S HEALTHCARE OF ATLANTA 2015 UPPERGATE DRIVE 4TH FLOOR ATLANTA GA 30322 582367819 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION PO BOX 781352 PHILADELPHIA PA 19178 232237932 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER CHILDREN'S HOSPITAL OF PITTSBURGH FOUNDATION 4401 PENN AVE CENTRAL PLANT FLOOR 3 3 PITTSBURGH PA 15224 251865744 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER CHILDREN'S NATIONAL MEDICAL CENTER - CHILDREN'S HOSPITAL FOUNDATION 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521640403 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER CHILDREN'S HOSPITAL COLORADO 13123 E 16TH AVE AURORA CO 80045 840813462 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER CHILDREN'S HOSPITAL OF LOS ANGELES 4650 SUNSET BLVD LOS ANGELES CA 90027 951690977 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER CHILDREN'S HOSPITAL OF ORANGE COUNTY 1201 WEST LA VETA ORANGE CA 92868 952321786 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER CHILDREN'S HOSPITAL OF WISCONSIN PO BOX 1997 - MS 610 MILWAUKEE WI 53201 390812532 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER CHILDREN'S OF ALABAMA UNIVERSITY OF ALABAMA 1600 7TH AVENUE SOUTH ACC 512 BIRMINGHAM AL 35233 630307306 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER PO BOX 5202 CINCINNATI OH 45201 310833936 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER DANA-FARBER BOSTON CHILDREN'S CANCER AND BLOOD DISORDERS CENTER PO BOX 849168 BOSTON MA 02284 042263040 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER DOERNBECHER CHILDREN'S HOSPITAL AT OREGON HEALTH AND SCIENCE UNIVERSITY MAIL STOP 45 PO BOX 4000 PORTLAND OR 97208 930579589 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER DUKE CHILDREN'S HOSPITAL & HEALTH CENTER 300 TRENT DRIVE DURHAM NC 27710 560532129 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER JOHNS HOPKINS CHILDREN'S CENTER- THE SIDNEY KIMMEL COMPREHENSIVE CANCER CEN 1800 ORLEANS ST BALTIMORE MD 21287 520591656 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER MEMORIAL SLOAN-KETTERING CANCER CENTER PEDIATRICS BOX 139 1275 YORK AVENUE AVENUE NEW YORK NY 10065 131924236 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER NATIONAL INSTITUTES OF HEALTH MARK O HATFIELD-WARREN GRANT MAGNUSON CLINIC 9650 ROCKVILLE PIKE BETHESDA MD 20814 521986675 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER NEWYORK-PRESBYTERIAN MORGAN STANLEY CHILDREN'S HOSPITAL COLUMBIA UNIVERSIT 161 FT WASHINGTON AVE HIP-7 NEW YORK NY 10032 135598093 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER RILEY HOSPITAL FOR CHILDREN AT IU HEALTH PO BOX 66057 INDIANAPOLIS IN 46266 350868147 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER SAINT JUDE CHILDREN'S RESEARCH HOSPITAL 262 DANNY THOMAS PLACE MS 509 MEMPHIS TN 38105 620646012 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER SEATTLE CHILDREN'S HOSPITAL PO BOX 5731 M/S S-200 SEATTLE WA 98145 911156519 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER ST LOUIS CHILDREN'S HOSPITAL WASHINGTON UNIVERSITY PO BOX 955423 ST LOUIS MO 63195 431626863 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER TEXAS CHILDREN'S HOSPITAL BAYLOR COLLEGE OF MEDICINE 1102 BATES HOUSTON TX 77030 741100555 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER UCSF BENIOFF CHILDREN'S HOSPITAL FOUNDATION 505 PARNASSUS AVENUE M647 SAN FRANCISCO CA 94143 941657474 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER UNIVERSITY OF MICHIGAN C S MOTT CHILDREN'S HOSPITAL 1540 E HOSPITAL DR ANN ARBOR MI 48109 383261376 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER UNIVERSITY OF MINNESOTA AMPLATZ CHILDREN'S HOSPITAL 2450 RIVERSIDE AVE MINNEAPOLIS MN 55455 416042488 501(C)(3) 10000 EARLY PHASE TRIALS - CHILDHOOD CANCER CHILDREN'S ONCOLOGY GROUP 3501 CIVIC CENTER BLVD CTRB 10060 PHILADELPHIA PA 19104 453083156 501(C)(3) 50000 CHILDHOOD CANCER RESEARCH (PROJECT: EVERYCHILD) 27 0 PART I, LINE 2: GRANTS WERE PROVIDED TO 27 U.S. ORGANIZATIONS AND 1 CANADIAN ORGANIZATION WITH LETTERS OF RESTRICTION FROM GOLD IN SEPTEMBER REGARDING USE. FORM 990, PART VI, SECTION A, LINE 2 JOHN BARTOSZ, GENERAL COUNSEL, HAS A FAMILY RELATIONSHIP WITH SARAH BARTOSZ, PRESIDENT. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE SEPARATE COMMITTEE MEETINGS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS MADE AVAILABLE TO THE TRUSTEE'S PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 15 COMPARABILITY DATA REGARDING JOB DESCRIPTION, SALARY, AND YEARS OF EXPERIENCE WERE SHARED WITH THE BOARD OF TRUSTEES IN ORDER TO MAKE INFORMED DECISIONS REGARDING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TEMPORARILY RESTRICTED CONTRIBUTIONS 76,127. FORM 990, PART XII, LINE 1 THE ORGANIZATION FILED FORM 3115 TO SWITCH FROM THE CASH METHOD TO THE ACCRUAL METHOD OF ACCOUNTING AS OF JANUARY 1, 2015 DUE TO THE ORGANIZATION BEING REQUIRED TO HAVE AUDITED FINANCIAL STATEMENTS IN THE CURRENT YEAR.