2016-07-26T09:27:10-05:00 2015-12-31 351346211 HARDING SHYMANSKI & CO PSC PO BOX 3677 EVANSVILLE IN 47735 990 2015-01-01 351935366 INDIANA BREAST CANCER AWARENESS TRUST INDI 8128688769 PO BOX 8212 EVANSVILLE IN 47716 SHEILA HAUCK PRESIDENT 8128688769 2016-06-23 1 MICHAEL J VOGEL P00075676 8124649161 2016-06-23 2015 2016-09-27 15:27:22Z SHEILA HAUCK PO BOX 8212 EVANSVILLE IN 47716 524658 0 X WWW.BREASTCANCERPLATE.ORG X 1996 IN INCREASE AWARENESS AND IMPROVE ACCESS TO BREAST CANCER SCREENING AND DIAGNOSIS THROUGHOUT INDIANA. 11 11 1 11 0 0 513278 523704 0 0 826 954 0 0 514104 524658 367823 324365 0 0 43663 46836 0 0 2178 48713 38656 460199 409857 53905 114801 705787 820588 0 0 705787 820588 INCREASE AWARENESS AND IMPROVE ACCESS TO BREAST CANCER SCREENING AND DIAGNOSIS THROUGHOUT INDIANA. 0 0 391965 317365 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 2015, SCREENINGS WERE PROVIDED FOR 1,587 PATIENTS. ADDITIONALLY, THERE WERE 354 DIAGNOSITIC MAMMOGRAMS, 233 BREAST ULTRASOUNDS, 24 BIOPSIES AND 32 CASES OF CANCER DETECTED. 7000 7000 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. 398965 1 0 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 IN X X CARMEN TEED 3175027103 4510 NORTH PARK DR INDIANAPOLIS IN 46205 SHELIA HAUCK PRESIDENT & GRANT COMMITTE 2.00 X X 0 0 0 BETH ANN BOYER FINANCE & GRANT COMMITTEES 0.50 X 0 0 0 DUBBIE BUCKLER FINANCE & GOVERNANCE COMMI 0.50 X 0 0 0 BETTY COCKRUM MARKETING COMMITTEE 0.50 X 0 0 0 JALANA EASH GRANT & SCHOLARSHIP COMMIT 1.00 X 0 0 0 GRETCHEN GUTMAN FINANCE & GOVERNANCE COMMI 0.50 X 0 0 0 CARMEN TEED TREASURER, FINANCE & SCHOL 2.00 X X 0 0 0 DONNA NICHOLS THRELKELD SECRETARY & GOVERNANCE COM 1.00 X X 0 0 0 ANN WHITE GRANT & SCHOLARSHIP COMMIT 1.00 X 0 0 0 TOM WYSS FINANCE COMMITTEE 0.50 X 0 0 0 CHERRISH PRYOR AT LARGE MEMBER 0.25 X 0 0 0 BETH A KNAPP EXECUTIVE DIRECTOR 25.00 X 43568 0 0 43568 0 0 0 0 0 0 0 523704 523704 954 954 524658 954 0 0 317365 317365 7000 7000 43568 32676 8714 2178 3268 3268 675 675 700 700 32202 32202 434 434 271 271 702 702 TELEPHONE 1641 1641 POSTAGE & PRINTING 1421 1421 INTERNET & WEB DOMAIN 360 360 MISCELLANEOUS 250 250 409857 398965 8714 2178 705787 820588 1590 1590 0 0 705787 820588 0 0 X 0 0 0 0 705787 820588 705787 820588 705787 820588 114801 0 X 0 0 0 X 411347 478480 502596 513278 523704 2429405 411347 478480 502596 513278 523704 2429405 2429405 2497 1129 1078 826 954 6484 2435889 2435889 0.99730 0.99600 X 1590 1590 0 0 1 BREAST HEALTH PROGRAMS AT UNITED HEALTH SERVICES 6910 N MAIN ST BLDG 9 MAIL UNIT 10 GRANGER IN 46530 351118647 501(C)3 13475 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT CANCER SERVICES OF EAST CENTRAL INDIANA - LITTLE RED DOOR 2311 WEST JACKSON MUNCIE IN 47303 350988703 501(C)3 13000 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT CANCER SERVICES OF GRANT COUNTY 305 SOUTH NORTON AVENUE MARION IN 46952 351058216 501(C)3 17440 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT CLARK MEMORIAL HOSPITAL 1206 SPRING STREET JEFFERSONVILLE IN 47130 311202140 501(C)3 13000 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 5200 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT COMMUNITY HOSPITAL ANDERSON 1515 N MADISON AVENUE ANDERSON IN 46011 351069822 501(C)3 17425 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 11920 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT FRANCISCAN ALLIANCE FOUNDATION - CATHERINE MCAULEY CLINIC 5454 HOHMAN AVENUE HAMMOND IN 46320 351835133 501(C)3 5560 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT FRANCISCAN ALLIANCE FOUNDATION - ST CLARE CLINIC 1121 SOUTH INDIANA AVENUE CROWN POINT IN 46307 351330472 501(C)3 6375 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT GENNESARET FREE CLINIC 615 N ALABAMA STREE GROUND FL STE B B INDIANAPOLIS IN 46204 351776518 501(C)3 11788 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT GOOD SAMARITAN HOSPITAL 520 SOUTH SEVENTH STREET VINCENNES IN 47591 356001532 501(C)3 7800 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT INTERLOCAL COMMUNITY ACTION PROGRAM 525 E 7TH STREET RUSHVILLE IN 46173 351116629 501(C)3 5000 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT LA PORTE HOSPITAL FOUNDATION PO BOX 250 LA PORTE IN 46352 310952775 501(C)3 14300 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT LITTLE RED DOOR CANCER AGENCY 1801 NORTH MERIDIAN STREET INDIANAPOLIS IN 46202 350914096 501(C)3 17450 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT NORTON HEALTHCARE FOUNDATION - SCOTT MEMORIAL HOSPITAL 1451 NORTH GARDNER STREET SCOTTSBURG IN 47170 310914919 501(C)3 5450 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT PARKVIEW REGIONAL CANCER CENTER 11143 PARKVIEW PLAZA DRIVE FORT WAYNE IN 46805 237220589 501(C)3 17500 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 17420 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT SCHNECK MEDICAL CENTER 411 W TIPTON STREET SEYMOUR IN 47274 351163135 501(C)3 5850 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT ST CATHERINE HOSPITAL 4321 FIR STREET EAST CHICAGO IN 46312 351738708 501(C)3 10000 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT ST ELIZABETH MEDICAL CENTER INC 1 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 610445850 501(C)3 13065 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT ST MARY'S MEDICAL CENTER 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 237045370 501(C)3 17420 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT UNION HOSPITAL CLARA FAIRBANKS CENTER FOR WOMEN 1711 N 6 1/2 STREET SUITE 300 TERRE HAUTE IN 47804 350876396 501(C)3 5600 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT VOLUNTEERS IN MEDICINE PO BOX 2568 BLOOMINGTON IN 47402 204383915 501(C)3 8747 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT YWCA GREATER LAFAYETTE 605 NORTH SIXTH STREET LAFAYETTE IN 47901 350868224 501(C)3 17500 FUNDING RELATED TO BREAST CANCER DIAGNOSIS AND TREATMENT 24 SCHOLARSHIP 7 7000 PART I, LINE 2: THE PURPOSE OF THE GRANT FUNDING IS TO PROVIDE SCREENING MAMMOGRAMS FOR MEDICALLY UNDERSERVED WOMEN. THERE IS A MAXIMUM OF $17,500 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. 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 11 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 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.