STRATEGY STUDIO / PUBLIC DATA EXPLORER

INDIANA MENTAL HEALTH MEMORIAL FOUN DATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
INDIANA MENTAL HEALTH MEMORIAL FOUN DATION (EIN 35-6019875)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201221369349300112
Schema version
2010v3.7
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)
Timestamp2012-05-15T05:52:21-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DUNTON & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17002 GRAHAM RD STE 128AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code462204048ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN356019875EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INDIANA MENTAL HEALTH MEMORIALBusinessNameLine1
Business Name Line2FOUNDATION INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlINDINameControl
Phone3176383501Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11431 N DELAWARE STREETAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46202ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN MCCAFFREYName
TitleMHAI PRESIDENTTitle
Phone3176383501Phone
Date Signed2012-05-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAKE DUNTON CPAName
Phone3178426325Phone
Date Prepared2012-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBETH KARNES PRESIDENTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11431 N DELAWARE STREETAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46202ZIPCode
FieldValueIRS element (for citing)
Gross Receipts423110GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteMHAI.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1962YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MENTAL HEALTH RESEARCH, FUND-RAISING AND ADMINISTRATIVE ACTIVITIES FOR AFFILIATED CHARITABLE ORGANIZATIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees4TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year222737ContributionsGrantsPriorYear
Contributions Grants Current Year194908ContributionsGrantsCurrentYear
Program Service Revenue Prior Year145067ProgramServiceRevenuePriorYear
Program Service Revenue CY179200ProgramServiceRevenueCY
Investment Income Prior Year101434InvestmentIncomePriorYear
Investment Income Current Year24528InvestmentIncomeCurrentYear
Other Revenue Prior Year-95OtherRevenuePriorYear
Other Revenue Current Year24474OtherRevenueCurrentYear
Total Revenue Prior Year469143TotalRevenuePriorYear
Total Revenue Current Year423110TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year175818SalariesEtcPriorYear
Salaries Etc Current Year201964SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year81953TotalFundrsngExpCurrentYear
Other Expense Prior Year143584OtherExpensePriorYear
Other Expenses Current Year274552OtherExpensesCurrentYear
Total Expenses Prior Year319402TotalExpensesPriorYear
Total Expenses Current Year476516TotalExpensesCurrentYear
Revenues Less Expenses Prior Year149741RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-53406RevenuesLessExpensesCY
Total Assets BOY2560937TotalAssetsBOY
Total Assets EOY2799991TotalAssetsEOY
Total Liabilities BOY173363TotalLiabilitiesBOY
Total Liabilities EOY374439TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2387574NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2425552NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MENTAL HEALTH RESEARCH, FUND-RAISING AND ADMINISTRATIVE ACTIVITIES FOR AFFILIATED CHARITABLE ORGANIZATIONS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense358276Expense
DescriptionADMINISTRATIVE, FINANCIAL, AND SUPPORTIVE SERVICES TO AFFILIATED CHARITABLE ORGANIZATIONS.Description
Total Program Service Expense358276TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees4NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBETH KARNESNamePerson
Telephone Number3176383501TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11431 N DELAWAREAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46202ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RALPH BALBER
CHAIR4.00XX000
GEORGE BRENNER
BOARD MEMBER1.00X000
MATT BROOKS
BOARD MEMBER1.00X000
RAY COX
TREASURER2.00XX000
TERESA DUELL
VICE CHAIR3.00XX000
MELINDA FUNK
SECRETARY2.00XX000
KAREN GLASSER-SHARP
PAST CHAIR2.00X000
JODIE HUFFMAN-THONN
BOARD MEMBER1.00X000
BETH A KARNES
PRESIDENT40.00XX7366200
DR JEFFREY KELLAMS
BOARD MEMBER1.00X000
SHANNON KIELY
BOARD MEMBER1.00X000
MICHELLE KIMBROUGH
BOARD MEMBER1.00X000
DR PAUL LEFKOVITZ
BOARD MEMBER1.00X000
CATHY MICHAEL
BOARD MEMBER1.00X000
DR JOHN NURNBERGER
BOARD MEMBER1.00X000
DAVID ROGERS
BOARD MEMBER1.00X000
PHILLIP TERRY
BOARD MEMBER1.00X000
MARJORIE L MANSFIELD
SR. VICE PRE20.00X3146000
FieldValueIRS element (for citing)
Total Reportable Comp From Org105122TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events163448FundraisingEvents
All Other Contributions31460AllOtherContributions
Total Contributions194908TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT SERVICES122275122275
PROGRAM SERVICES5692556925
FieldValueIRS element (for citing)
Total Program Service Revenue179200TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column24528TotalRevenueColumn
Related Or Exempt Function Income14397RelatedOrExemptFunctionIncome
Exclusion$10,131ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real24474Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real24474Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column24474TotalRevenueColumn
Exclusion$24,474ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events113448CntrbtnsRprtdFundraisingEvents

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column423110TotalRevenueColumn
Related Or Exempt Function Income193597RelatedOrExemptFunctionIncome
Exclusion$34,605ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total136098Total
Program Services108878ProgramServices
Management And General13610ManagementAndGeneral
Fundraising13610Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10300Total
Program Services8240ProgramServices
Management And General1030ManagementAndGeneral
Fundraising1030Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7768Total
Program Services6214ProgramServices
Management And General777ManagementAndGeneral
Fundraising777Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19321Total
Program Services15457ProgramServices
Management And General1932ManagementAndGeneral
Fundraising1932Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total28477Total
Program Services22781ProgramServices
Management And General2848ManagementAndGeneral
Fundraising2848Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28167Total
Program Services22533ProgramServices
Management And General2817ManagementAndGeneral
Fundraising2817Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2843Total
Management And General2843ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1412Total
Program Services1128ProgramServices
Management And General142ManagementAndGeneral
Fundraising142Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total68134Total
Program Services64033ProgramServices
Management And General3407ManagementAndGeneral
Fundraising694Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1604Total
Program Services1284ProgramServices
Management And General160ManagementAndGeneral
Fundraising160Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15742Total
Program Services14798ProgramServices
Management And General787ManagementAndGeneral
Fundraising157Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total20109Total
Program Services18903ProgramServices
Management And General1005ManagementAndGeneral
Fundraising201Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total52671Total
Program Services49510ProgramServices
Management And General2634ManagementAndGeneral
Fundraising527Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total9395Total
Program Services7515ProgramServices
Management And General940ManagementAndGeneral
Fundraising940Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
COGS5515255152
EQUIPMENT REPAIR AND MAIN9717979134486
TELEPHONE33773382701338
PAYROLL EXPENSE32413242593324
OFFICE SUPPLIES9139173191

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2075Total
Program Services1843ProgramServices
Management And General116ManagementAndGeneral
Fundraising116Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total476516Total
Program Services358276ProgramServices
Management And General36287ManagementAndGeneral
Fundraising81953Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY156148EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY28441EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12950BOY
EOY10640EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY857859BOY
EOY718944EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5852BOY
EOY2365EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1839271LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec266932LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1315793BOY
EOY1572339EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY368483BOY
EOY311114EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2560937BOY
EOY2799991EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY36763BOY
EOY40991EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY6600BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY130000BOY
EOY325680EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY7768EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY173363BOY
EOY374439EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2217902BOY
EOY2319180EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY169672BOY
EOY106372EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2387574BOY
EOY2425552EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2560937BOY
EOY2799991EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-53406ReconcilationRevenueExpenses
Reconcilation Other Changes91384ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years130704CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34917CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years98417CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year222737CurrentTaxYearMinus1Year
Current Tax Year194908CurrentTaxYear
Total681683Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years130704CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34917CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years98417CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year222737CurrentTaxYearMinus1Year
Current Tax Year194908CurrentTaxYear
Total681683Total
FieldValueIRS element (for citing)
Public Support Total170681683PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22486CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25009CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17422CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17458CurrentTaxYearMinus1Year
Current Tax Year34605CurrentTaxYear
Total116980Total
FieldValueIRS element (for citing)
Total Support798663TotalSupport
Gross Receipts From Admissions Etc193597GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.85350PublicSupportPertcentage170
Public Support Pertcent Prior Year0.82490PublicSupportPertcentPriorYear
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$412DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB412TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationTO MONITOR PROPOSED LEGISLATION AND TO EDUCATE THE INDIANA LEGISLATORS AND THE PUBLIC ON THE AFFECT OF ANY PROPOSED LEGISLATION WITH A GOAL TO PROTECT THE PUBLIC.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis187970OtherCostOrOtherBasis
Book Value187970BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1603473OtherCostOrOtherBasis
Depreciation244052Depreciation
Book Value1359421BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11101OtherCostOrOtherBasis
Depreciation11101Depreciation

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis33527OtherCostOrOtherBasis
Depreciation11779Depreciation
Book Value21748BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1569139TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED PENSIONDescription
Amount$7,768Amount
FieldValueIRS element (for citing)
Total Of Amounts7768TotalOfAmounts
Total Revenue423110TotalRevenue
Total Expenses476516TotalExpenses
Excess Or Deficit For Year-53406ExcessOrDeficitForYear
Excess Or Deficit Per FS-53406ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt423110TotRevenueEtcAuditedFinclStmt
Revenue Subtotal423110RevenueSubtotal
Total Revenue Per Form990423110TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt476516TotExpensesEtcAuditedFinclStmt
Expenses Subtotal476516ExpensesSubtotal
Total Expenses Per Form990476516TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8EVENT EXPENSES NOT NETTED ON FINANCIAL STATEMENTS 0 EVENT EXPENSES NOT NETTED ON THE FINANCIAL STATEMENTS 0
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DEVENT EXPENSES NOT NETTED ON FINANCIAL STATEMENTS 0
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DEVENT EXPENSES NOT NETTED ON THE FINANCIAL STATEMENTS 0

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MHAI GALANameOfEvent1
Gross Receipts Event160720GrossReceiptsEvent1
Charitable Contributions Event160720CharitableContributionsEvent1
Name Of Event2HOOSIER IDOLNameOfEvent2
Gross Receipts Event238570GrossReceiptsEvent2
Charitable Contributions Event238570CharitableContributionsEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events60270GrossReceiptsOtherEvents
Charitable Contrib Other Events60270CharitableContribOtherEvents
Gross Receipts Total159560GrossReceiptsTotal
Charitable Contributions Total159560CharitableContributionsTotal

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE FOUNDATION IS ORGANIZED WITH MEMBERS THAT ELECT MEMBERS TO THE BOARD OF DIRECTORS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BAT THE ANNUAL MEETING OF THE MEMBERS, THE MEMBERS ELECT THE BOARD OF TRUSTEES.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE THIS RETURN WAS REVIEWED BY THE PRESIDENT OF THE CORPORATION AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE RETURN.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CCONFLICTS OF INTEREST ARE DISCLOSED ANNUALLY. WHERE CONFLICTS EXIST, THE INDIVIDUAL IS EXCUSED FROM THE MEETINGS, DISCUSSIONS, AND VOTING ON MATTERS WHERE A CONFLICT EXISTS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION OF THE PRESIDENT IS APPROVED BY THE BOARD OF DIRECTORS.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BOTHER COMPENSATION OF KEY EMPLOYEES ARE APPROVED BY THE PRESIDENT AND REVIEWED BY THE BOARD OF DIRECTORS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINLegal Domicile StateLegalDomicileStatePublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
ASSOCIATED PATIENT SERVICES INC
1431 N DELAWARE STREETINDIANAPOLISIN46202237122400IN7N/Afalse
MENTAL HEALTH AMERICAN OF INDIANA
1431 N DELAWARE STREETINDIANAPOLISIN46202350896905IN7N/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg