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THE CARING COMMUNITY FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE CARING COMMUNITY FOUNDATION INC (EIN 20-0036976)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-06
IRS object ID
201312189349300611
Schema version
2012v2.0
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

FieldValueIRS element (for citing)
Timestamp2013-08-06T09:44:32-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200036976EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE CARING COMMUNITY FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARINameControl
Phone9194812892Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1364AddressLine1
CityCaryCity
StateNCState
ZIP Code27512ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAdel FahmyName
TitleTreasurerTitle
Phone9194812892Phone
Date Signed2013-08-06DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonFara PalumboNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 1364AddressLine1
CityCaryCity
StateNCState
ZIP Code27512ZIPCode
FieldValueIRS element (for citing)
Gross Receipts391624GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.caringcommunityfoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTo provide assistance to cancer patientsActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1TotalNbrEmployees
Total Nbr Volunteers250TotalNbrVolunteers
Total Gross UBI-18169TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year199044ContributionsGrantsPriorYear
Contributions Grants Current Year301519ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year105InvestmentIncomePriorYear
Investment Income Current Year59InvestmentIncomeCurrentYear
Other Revenue Prior Year20930OtherRevenuePriorYear
Other Revenue Current Year-16559OtherRevenueCurrentYear
Total Revenue Prior Year220079TotalRevenuePriorYear
Total Revenue Current Year285019TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year156386GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY176281GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21530SalariesEtcPriorYear
Salaries Etc Current Year43061SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year5172TotalFundrsngExpCurrentYear
Other Expense Prior Year22188OtherExpensePriorYear
Other Expenses Current Year21980OtherExpensesCurrentYear
Total Expenses Prior Year200104TotalExpensesPriorYear
Total Expenses Current Year241322TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19975RevenuesLessExpensesPriorYear
Revenues Less Expenses CY43697RevenuesLessExpensesCY
Total Assets BOY127257TotalAssetsBOY
Total Assets EOY171925TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY971TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY127257NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY170954NetAssetsOrFundBalancesEOY
Mission DescriptionProvide assistance to cancer patientsMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense176532Expense
Grants176281Grants
Revenue0Revenue
DescriptionProvided financial assistance to cancer patients to cover needed expenses including medication, food, rent, lodging, car expenses and utilities (291 patients)Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense176532TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming1Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed1Form8899Filed
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonAdel FahmyNamePerson
Telephone Number9194812892TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 Beeston CtAddressLine1
CityCaryCity
StateNCState
ZIP Code27519ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
Lisa Grimes
Board Chair, President40XX000
Fara Palumbo
Board Member20X000
Debra Morgan
Board Member20X000
Eric Wolford
Board Member, Secretary30XX000
Punkaj Amin
Board Member10X000
Alan Metz
Board Member10X000
Kathelena Burns
Board Member10X000
Guarav Patel
Board Member10X000
Gayle Acuff
Board Member, Asst Treasurer20XX000
Kelly Johnson Lee
Board Member20X000
Mary Lisabeth Strowd-Rich
Board Member10X000
Adel Fahmy
Treasurer50X000
Donna Anderson
Executive Director300X4000000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org40000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events122162FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions179357AllOtherContributions
Noncash Contributions56228NoncashContributions
Total Contributions301519TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column59TotalRevenueColumn
Related Or Exempt Function Income59RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Gross Income Fundraising Events73426GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events122162CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses77772FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-4346TotalRevenueColumn
Unrelated Business Revenue-4346UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming15010GrossIncomeGaming
Gaming Direct Expenses28833GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column-13823TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue-13823UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
Descriptionrefund of state sales taxDescription
Business Code900099BusinessCode
Total Revenue Column1610TotalRevenueColumn
Related Or Exempt Function Income1610RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1610TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column285019TotalRevenueColumn
Related Or Exempt Function Income1669RelatedOrExemptFunctionIncome
Unrelated Business Revenue-18169UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total176281Total
Program Services176281ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total40000Total
Management And General40000ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3061Total
Management And General3061ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total14300Total
Management And General14300ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3535Total
Program Services251ProgramServices
Management And General2114ManagementAndGeneral
Fundraising1170Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total143Total
Management And General143ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
Descriptioncredit card feesDescription
Total4002Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising4002Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total241322Total
Program Services176532ProgramServices
Management And General59618ManagementAndGeneral
Fundraising5172Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY86796BOY
EOY104609EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY26422BOY
EOY26481EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY36400EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14039BOY
EOY4435EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY127257BOY
EOY171925EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY971EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY971EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY127257BOY
EOY170954EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY127257BOY
EOY170954EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY127257BOY
EOY171925EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses43697ReconcilationRevenueExpenses
Reconciliation Unrealized Invest0ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years142209CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years115103CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years160382CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year199044CurrentTaxYearMinus1Year
Current Tax Year301519CurrentTaxYear
Total918257Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years142209CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years115103CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years160382CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year199044CurrentTaxYearMinus1Year
Current Tax Year301519CurrentTaxYear
Total918257Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total160075AmountsSubstContributorsTotal
Public Support Total170758182PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years806CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years354CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years157CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year105CurrentTaxYearMinus1Year
Current Tax Year59CurrentTaxYear
Total1481Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Total Support919738TotalSupport
Gross Receipts From Admissions Etc0GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.82435PublicSupportPertcentage170
Public Support Pertcent Prior Year0.83783PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Pay It Forward eventNameOfEvent1
Gross Receipts Event1170783GrossReceiptsEvent1
Charitable Contributions Event1116727CharitableContributionsEvent1
Gross Revenue Event154056GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event133793NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event122937FoodAndBeverageEvent1
Entertainment Event13861EntertainmentEvent1
Other Direct Expenses Event14138OtherDirectExpensesEvent1
Name Of Event2New Years eventNameOfEvent2
Gross Receipts Event211710GrossReceiptsEvent2
Charitable Contributions Event23210CharitableContributionsEvent2
Gross Revenue Event28500GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event23925NonCashPrizesEvent2
Rent Facility Costs Event20RentFacilityCostsEvent2
Food And Beverage Event26373FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event2745OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events13095GrossReceiptsOtherEvents
Charitable Contrib Other Events2225CharitableContribOtherEvents
Gross Revenue Other Events10870GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events2000NonCashPrizesOtherEvents
Rent Facility Costs Other Events0RentFacilityCostsOtherEvents
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events0OtherDirectExpensesOtherEvents
Gross Receipts Total195588GrossReceiptsTotal
Charitable Contributions Total122162CharitableContributionsTotal
Gross Revenue Total Events73426GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events39718NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events29310FoodAndBeverageTotalEvents
Entertainment Total Events3861EntertainmentTotalEvents
Other Direct Expenses Total Events4883OtherDirectExpensesTotalEvents
Direct Expense Summary Events77772DirectExpenseSummaryEvents
Net Income Summary-4346NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming15010GrossRevenueOtherGaming
Non Cash Prizes Other Gaming26114NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming2719OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming1VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming15010GrossRevenueTotalGaming
Cash Prizes Total Gaming0CashPrizesTotalGaming
Non Cash Prizes Total Gaming26114NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming0RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming2719OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming28833DirectExpenseSummaryGaming
Net Gaming Income Summary-13823NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedNCStatesWhereGamingConducted
Licensed0Licensed
Explanation If NoNo license required for up to 2 gaming activities per yearExplanationIfNo
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers1GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Own Facility0PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility1PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonAdel FahmyNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1200 Beeston CtAddressLine1
CityCaryCity
StateNCState
ZIP Code27519ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Gaming Manager Name PersonAdel FahmyGamingManagerNamePerson
Gaming Manager Compensation0GamingManagerCompensation
Gaming Manager Services Providedsupervises raffle and collects revenuesGamingManagerServicesProvided
Gaming Manager Is Director OfficerXGamingManagerIsDirectorOfficer
Charitable Distrib Required0CharitableDistribRequired
Amount Distributed0AmountDistributed

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of Grantcancer patient expensesTypeOfGrant
Number Of Recipients291NumberOfRecipients
Amount Of Cash Grant176281AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of Valuationn/aMethodOfValuation
Description Of Non Cash AssistancenoneDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchI_P01_S00_L02Identifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationRecipients of assistance are cancer patients nominated and screened for need by social workers in area hospitals and clinics. Funds are approved by a foundation board member to pay for cancer patients' expenses including rent, utilities, etc. Checks are made directly to providers of these services in the United StatesExplanation

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99056228NoncashContribsRptdF990
Method Of Determining RevenuesestimatesMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bTreasurer emails copy of 990 to board members and indicates a review period
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cBoard members and key officers sign an annual conflict of interest form
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Executive Director - independent legal advisor reviewed salary in 2012
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Provided upon request

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationTime needed to gather all records by volunteer staffExplanation