LIONS CANCER CONTROL FUND OF INDIANA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: LIONS CANCER CONTROL FUND OF INDIANA INC (EIN 23-7129124)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2013-09-17
IRS object ID: 201332619349300318
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-09-17T14:27:54-04:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	351700936	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNIE STONE TAX & ACCTG SERVICES	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	908 WASHINGTON STREET	AddressLine1
City	Columbus	City
State	IN	State
ZIP Code	47201	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	237129124	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LIONS CANCER CONTROL FUND OF	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	LION	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1052	AddressLine1
City	COLUMBUS	City
State	IN	State
ZIP Code	47201	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PAUL SHANE	Name
Title	TREASURER	Title
Phone	8123502969	Phone
Date Signed	2013-09-17	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ERNEST E STONE CPA	Name
PTIN	P01057029	PTIN
Phone	8123766068	Phone
Date Prepared	2013-09-17	DatePrepared
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA INC PAUL SHANE TREASUR	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PAUL RUSSELL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 31	AddressLine1
City	LAKEVILLE	City
State	IN	State
ZIP Code	46536	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	89325	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1946	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	TREATMENT, EDUCATION AND RESEARCH OF CANCER.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	24	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	24	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	103616	ProgramServiceRevenuePriorYear
Program Service Revenue CY	89325	ProgramServiceRevenueCY
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	103616	TotalRevenuePriorYear
Total Revenue Current Year	89325	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	70000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	35000	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	48994	OtherExpensePriorYear
Other Expenses Current Year	51795	OtherExpensesCurrentYear
Total Expenses Prior Year	118994	TotalExpensesPriorYear
Total Expenses Current Year	86795	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-15378	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2530	RevenuesLessExpensesCY
Total Assets BOY	34048	TotalAssetsBOY
Total Assets EOY	36575	TotalAssetsEOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	34048	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	36575	NetAssetsOrFundBalancesEOY
Mission Description	TREATMENT, EDUCATION AND RESEARCH OF CANCER.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	86795	Expense
Description	TO PURSUE TREATMENT AND RESEARCH OF CANCER AT INDIANA UNIVERSITY RADIATION ONCOLOGY DEPARTMENT RESIDENT SALARY	Description
Total Program Service Expense	86795	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	24	NbrVotingGoverningBodyMembers
Number Independent Voting Members	24	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	PAUL SHANE	NamePerson
Telephone Number	8123502969	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1052	AddressLine1
City	COLUMBUS	City
State	IN	State
ZIP Code	47202	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
BETTY WEIST
DIRECTOR	5.00	X	0	0	0
CHERYL BARNING
DIRECTOR	5.00	X	0	0	0
CINDY HAVIZA
DIRECTOR	5.00	X	0	0	0
DAVID CLASHMAN
DIRECTOR	5.00	X	0	0	0
DON STOWERS
DIRECTOR	5.00	X	0	0	0
DWIGHT GOSSETT
DIRECTOR	5.00	X	0	0	0
ETHEL EIB
DIRECTOR	5.00	X	0	0	0
GLENN SWANSON
DIRECTOR	5.00	X	0	0	0
HAROLD HAHN
DIRECTOR	5.00	X	0	0	0
JEAN GROTE
DIRECTOR	5.00	X	0	0	0
JOHM DAVIS
DIRECTOR	5.00	X	0	0	0
KAREN MCKELLAR
DIRECTOR	5.00	X	0	0	0
LEROY POSTEL
DIRECTOR	5.00	X	0	0	0
LINDA BELL
DIRECTOR	5.00	X	0	0	0
NEWELL CLIFTON
DIRECTOR	5.00	X	0	0	0
NOLAN KUKER SR
DIRECTOR	5.00	X	0	0	0
PAUL MORRISON
DIRECTOR	5.00	X	0	0	0
PDG BILL WILLIS
DIRECTOR	5.00	X	0	0	0
PEGGY BAKEL
DIRECTOR	5.00	X	0	0	0
ROBERT GOLDBERG
DIRECTOR	5.00	X	0	0	0
MARGARET VERKUILEN
SECRETARY	5.00		0	0	0	X
PAUL RUSSELL
VICE PRES	5.00		0	0	0	X
PAUL SHANE
TREASURER	5.00		0	0	0	X
RICHARD HILL
PRESIDENT	25.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	CONTRIBUTIONS	Description
Business Code	541700	BusinessCode
Total Revenue Column	89325	TotalRevenueColumn
Related Or Exempt Function Income	89325	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	89325	TotalProgramServiceRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	89325	TotalRevenueColumn
Related Or Exempt Function Income	89325	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	35000	Total
Program Services	35000	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	325	Total
Program Services	325	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	250	Total
Program Services	250	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	294	Total
Program Services	294	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
BOND INSURANCE	105	105
PATIENT FUND	43300	43300
SUPPLIES	2130	2130
FUND RAISING EXPENSES	2852	2852

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2539	Total
Program Services	2539	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	86795	Total
Program Services	86795	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	34048	BOY
EOY	36575	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	34048	BOY
EOY	36575	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	34048	BOY
EOY	36575	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	34048	BOY
EOY	36575	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	34048	BOY
EOY	36575	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	2530	ReconcilationRevenueExpenses
Reconcilation Prior Adjustment	-3	ReconcilationPriorAdjustment
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Medical Research Org170b1 Aiii	X	MedicalResearchOrg170b1Aiii

Hospital Name And Address HospitalNameAndAddress

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA UNIVERSITY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
City	INDIANAPOLIS	City
State	IN	State

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Not Described In501c3	false	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA UNIVERSITY	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 500	AddressLine1
City	BLOOMINGTON	City
State	IN	State
ZIP Code	47402	ZIPCode

Field	Value	IRS element (for citing)
Amount Of Cash Grant	35000	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	I1	Identifier
Return Reference	Monitoring procedures Part I line 2	ReturnReference
Explanation	ALL ACTIONS ARE MONITORED BY THE OFFICERS AND THE BOARD OF DIRECTORS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
O01	Form 990 governing body review Part VI line 11	FORM 990 IS REVIEWED BY THE OFICERS PRIOR TO FILING.
O02	Conflict of interest policy compliance Part VI line 12c	THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY.
O03	Governing documents etc available to public Part VI line 19	THE GOVERNING DOCUMENTS AND THE FORM 990 TAX RETURN ARE AVAILABLE, WHEN REQUESTED, FOR A NOMINAL FEE.