JACK PRIBAZ FOUNDATION: Form 990EZ, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- JACK PRIBAZ FOUNDATION (EIN 45-4104433)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-05-13
- IRS object ID
- 201521339349203467
- Schema version
- 2014v5.0
- 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 | 2015-05-13T17:07:50-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 364240478 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Quality Back Office | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 S Washington St Ste 301 | AddressLine1Txt |
| City | Naperville | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60540 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454104433 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE JACK PRIBAZ FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JACK | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 813 | AddressLine1Txt |
| City | Wheaton | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60187 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC PIERCE | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 6304280640 | PhoneNum |
| Signature | 2015-04-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Gary Grottke | PreparerPersonNm |
| PTIN | P01578334 | PTIN |
| Phone | 6304280640 | PhoneNum |
| Preparation | 2015-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $138,860 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $80,377 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $191 | InvestmentIncomeAmt |
| Gaming Gross Income | $11,200 | GamingGrossIncomeAmt |
| Fundraising Gross Income | $47,092 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $30,097 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $28,195 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $108,763 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $40,125 | GrantsAndSimilarAmountsPaidAmt |
| Fees And Other Pymt To Ind Cntrct | $30,715 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $6,784 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $20,527 | OtherExpensesTotalAmt |
| Total Expenses | $98,151 | TotalExpensesAmt |
| Excess Or Deficit For Year | $10,612 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $162,555 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $173,167 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,555 | BOYAmt |
| EOY | $173,167 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,555 | BOYAmt |
| EOY | $173,167 | 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 | $162,555 | BOYAmt |
| EOY | $173,167 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | FUND RESEARCH & TREATMENT OF EPILEPSY | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | PROVIDE GRANTS TO BAYLOR COLLEGE OF MEDICINE FOR MEDICAL RESEARCH AND EDUCATION | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $40,000 | GrantsAndAllocationsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| ERIC PIERCE | ||||
| TREASURER | 10.00 | $0 | $0 | $0 |
| MICHAEL PRIBAZ | ||||
| PRESIDENT | 10.00 | $0 | $0 | $0 |
| BRIAN BAIRD | ||||
| VICE PRESIDENT | 10.00 | $0 | $0 | $0 |
| LIZ PRIBAZ | ||||
| DIRECTOR | 5.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Quality Back Office LLC | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 S Washington Ste 105 | AddressLine1Txt |
| City | Naperville | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60540 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6304280640 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Filed Schedule A | Yes (true) | 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 | $125,071 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $120,985 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $138,669 | CurrentTaxYearAmt |
| Total | $384,725 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $125,071 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $120,985 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $138,669 | CurrentTaxYearAmt |
| Total | $384,725 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $384,725 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $116 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $73 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $191 | CurrentTaxYearAmt |
| Total | $380 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $116 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $73 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $191 | CurrentTaxYearAmt |
| Total | $380 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $26,875 | CurrentTaxYearMinus2YearsAmt |
| Total | $26,875 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $152,062 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $121,058 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $138,860 | CurrentTaxYearAmt |
| Total | $411,980 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
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 G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
| Licensed States | IL | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $41,509 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $41,509 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $2,448 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $17,142 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,642 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $416 | OtherDirectExpensesEvent1Amt |
| Event2 | SPECIAL EVNT | Event2Nm |
| Gross Receipts Event2 | $5,583 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $5,583 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $2,449 | NonCashPrizesEvent2Amt |
| Gross Receipts Total | $47,092 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $47,092 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $4,897 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $17,142 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,642 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $416 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $25,097 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $21,995 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| List of grants and similar amounts paid Part I line 10 | Activity RESEARCH Grantee BAYLOR COLLEGE OF MEDICINE Street ONE BAYLOR PLAZA City, State, Zip Houston, TX 77030Relationship NONE Amount 40,000Activity Epilepsy Foundation Relationship none Amount 125 |
| Description of other expenses Part I line 16 | Description AmountInsurance 860Travel 11,198Conference 3,038other costs 5,431 |