2014-05-15T06:15:02-05:00 2013-12-31 201695613 BOLLENBACHER & ASSOCIATES LLC 915 N MERIDIAN STREET PO BOX 702 PORTLAND IN 47371 990 2013-01-01 352139245 JAY COUNTY HOSPITAL AUXILIARY INC JAYC 2607261878 500 W VOTAW PORTLAND IN 47371 CONNIE FEAR DIRECTOR OF VOLUNTEER SERVICES 2607261878 2014-05-14 1 SCOTT A BOLLENBACHER CPA P00401897 2607264207 2014-05-14 2013 2015-11-30 17:44:51Z CONNIE FEAR 500 W VOTAW PORTLAND IN 47371 91417 0 X N/A X 2001 IN THE JAY COUNTY HOSPITAL AUXILIARY IS A NOT-FOR-PROFIT ORGANIZATION WHOSE PRIMARY PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF THE JAY COUNTY HOSPITAL. FUNCTIONS OF THE ORGANIZATION INCLUDE SPONSORSHIP OF HOSPITAL BUILDINGS, EQUIPMENT, PROJECTS AND PROGRAMS TO IMPROVE PATIENT CARE, AND PROMOTION OF THE HOSPITAL'S PROGRAMS. 18 18 0 168 0 0 9272 4228 30 514 1485 1402 23005 20249 33792 26393 1290 1000 0 0 0 0 0 0 0 23267 26271 24557 27271 9235 -878 222814 230104 0 0 222814 230104 X THE JAY COUNTY HOSPITAL AUXILIARY IS A NOT-FOR-PROFIT ORGANIZATION WHOSE PRIMARY PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF THE JAY COUNTY HOSPITAL. FUNCTIONS OF THE ORGANIZATION INCLUDE SPONSORSHIP OF HOSPITAL BUILDINGS, EQUIPMENT, PROJECTS AND PROGRAMS TO IMPROVE PATIENT CARE, AND PROMOTION OF THE HOSPITAL'S PROGRAMS. 0 0 27271 1000 16760 THE JAY COUNTY HOSPITAL AUXILIARY IS A NOT-FOR-PROFIT ORGANIZATION WHOSE PRIMARY PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF THE JAY COUNTY HOSPITAL. FUNCTIONS OF THE ORGANIZATION INCLUDE SPONSORSHIP OF HOSPITAL BUILDINGS, EQUIPMENT, PROJECTS AND PROGRAMS TO IMPROVE PATIENT CARE, AND PROMOTION OF THE HOSPITAL'S PROGRAMS. 27271 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 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 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IN X JAY COUNTY HOSPITAL AUXILARY 2607261878 500 W VOTAW ST PORTLAND IN 47371 X CINDA MIXON MEMBER 0.00 X 0 0 0 ROSE FENNING MEMBER 0.00 X 0 0 0 GAIL FRANKS MEMBER 0.00 X 0 0 0 KAREN GORE MEMBER 0.00 X 0 0 0 VERA HEFFNER MEMBER 0.00 X 0 0 0 RACHEL STULTZ MEMBER 0.00 X 0 0 0 JACKIE GRADY MEMBER 0.00 X 0 0 0 GEORGE HORN MEMBER 0.00 X 0 0 0 TAMMY HORN MEMBER 0.00 X 0 0 0 JOAN KELLY MEMBER 0.00 X 0 0 0 BETTY KRIEG MEMBER 0.00 X 0 0 0 MARIA HIATT MEMBER 0.00 X 0 0 0 DOLLY SNODGRASS PRESIDENT ELECT 0.00 X 0 0 0 CAROLE LEONHARD PRESIDENT 0.00 X 0 0 0 EMILY STEVESON RECORDING SECRETARY 0.00 X 0 0 0 EVA WYRICK CORRESPONDING SECRETARY 0.00 X 0 0 0 ZOLA HIDAY TREASURER 0.00 X 0 0 0 JACKIE GRADY CORRESPONDING SECRETARY 0.00 X 0 0 0 0 0 0 0 0 0 0 0 228 4000 4000 4228 MISCELLANEOUS INCOME 900000 514 514 514 1402 1402 15080 11077 4003 4003 70193 53947 16246 16246 26393 16760 0 5405 1000 1000 4440 4440 944 944 893 893 957 957 4000 4000 3659 3659 MISCELLANEOUS EXPENSES 4865 4865 CHARITABLE CONTRIBUTION 4481 4481 ANNUAL DINNER 1429 1429 MILEAGE 390 390 213 213 27271 27271 0 0 106645 105842 19883 12745 60167 14540 37980 45627 58306 65890 222814 230104 0 0 X 164507 164213 13788 21372 44519 44519 222814 230104 222814 230104 -878 8168 0 X 0 1 X 1 0 X 60167 14540 45627 45627 PORTLAND FOUNDATION SCHOLARSHIP FUND 65890 65890 CELEBRATION OF LIGHTS 8647 8647 6668 BOOK SALE 4852 4852 4116 1 1580 1580 294 15079 15079 11078 11078 4001 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS REVIEWS THE TAX RETURN BEFORE IT IS FILED FORM 990, PART VI, SECTION B, LINE 12C ANNUAL CONFLICT OF INTEREST POLICY STATEMENTS ARE SIGNED BY EACH BOARD MEMBER. THESE ARE THEN REVIEWED BY THE BOARD OF DIRECTORS TO ENSURE COMPLIANCE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.