STRATEGY STUDIO / PUBLIC DATA EXPLORER

XERODERMA PIGMENTOSUM FAMILY SUPPORT GROUP: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
XERODERMA PIGMENTOSUM FAMILY SUPPORT GROUP (EIN 59-3824809)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-12
IRS object ID
201112289349301351
Schema version
2010v3.2
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)
Timestamp2011-08-12T17:33:27-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HINTON BURDICK HALL & SPILKER PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line163 SOUTH 300 EAST STE 100AddressLine1
CityST GEORGECity
StateUTState
ZIP Code847702948ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593824809EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1XERODERMA PIGMENTOSUM FAMILYBusinessNameLine1
Business Name Line2SUPPORT GROUPBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlXERONameControl
Phone9163869597Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13006 NOTRE DAME DRIVEAddressLine1
CitySACRAMENTOCity
StateCAState
ZIP Code95826ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTODD FELTNERName
TitleCHAIRTitle
Phone9163869597Phone
Date Signed2011-08-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameTODD FELTNER CPAName
Phone4356283663Phone
Date Prepared2011-08-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTODD FELTNERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1646 EAST SPRINGHILL DRIVEAddressLine1
CityWASHINGTONCity
StateUTState
ZIP Code84780ZIPCode
FieldValueIRS element (for citing)
Gross Receipts201994GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteXPFAMILYSUPPORT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE QUALITY OF LIFE OF THOSE PERSONS WITH XERODERMA PIGMENTOSUM AND OTHER DIAGNOSED ULTRAVIOLET LIGHT SENSITIVE CONDITIONS BY PROVIDING SUPPORT, ULTRAVIOLET PROTECTIVE EQUIPMENT AND OTHER ASSISTANCE.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees2TotalNbrEmployees
Total Nbr Volunteers175TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year158112ContributionsGrantsPriorYear
Contributions Grants Current Year94833ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year36InvestmentIncomePriorYear
Investment Income Current Year283InvestmentIncomeCurrentYear
Other Revenue Prior Year23772OtherRevenuePriorYear
Other Revenue Current Year51560OtherRevenueCurrentYear
Total Revenue Prior Year181920TotalRevenuePriorYear
Total Revenue Current Year146676TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY11560GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14549SalariesEtcPriorYear
Salaries Etc Current Year20102SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year114107OtherExpensePriorYear
Other Expenses Current Year158751OtherExpensesCurrentYear
Total Expenses Prior Year134656TotalExpensesPriorYear
Total Expenses Current Year190413TotalExpensesCurrentYear
Revenues Less Expenses Prior Year47264RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-43737RevenuesLessExpensesCY
Total Assets BOY163506TotalAssetsBOY
Total Assets EOY119769TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY163506NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY119769NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE QUALITY OF LIFE OF THOSE PERSONS WITH XERODERMA PIGMENTOSUM AND OTHER DIAGNOSED ULTRAVIOLET LIGHT SENSITIVE CONDITIONS BY PROVIDING SUPPORT, ULTRAVIOLET PROTECTIVE EQUIPMENT AND OTHER ASSISTANCE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense155517Expense
Grants11560Grants
Revenue143390Revenue
DescriptionTO IMPROVE THE QUALITY OF LIFE OF THOSE PERSONS WITH XERODERMA PIGMENTOSUM AND OTHER DIAGNOSED ULTRAVIOLET LIGHT SENSITIVE CONDITIONS.Description
Total Program Service Expense155517TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
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 EntityfalseRelatedEntity
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
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees2NumberOfEmployees
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
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCANDUS TIBBITSNamePerson
Telephone Number4356283663TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line163 SOUTH 300 EASTAddressLine1
CityST GEORGECity
StateUTState
ZIP Code84770ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
TODD FELTNER
CHAIR2.00X000
GAIL BEHRNDT
TRUSTEE2.00X000
JENNIFER FELTNER
SECRETARY2.00X000
CANDUS TIBBITTS
TREASURER2.00X000
MICHELLE WILLIAMS
TRUSTEE2.00X000
BARY CUNNINGHAM
TRUSTEE2.00X000
CONNIE DYER
TRUSTEE2.00X000
KIM BEARDSLEE
TRUSTEE2.00X000
RICHARD BRICKER
TRUSTEE2.00X000
MICHELE MILOTA
EXECUTIVE DI20.001500000X
KELLEY PICCIONE
DIRECTOR20.00320000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org18200TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events13906FundraisingEvents
All Other Contributions80927AllOtherContributions
Total Contributions94833TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column283TotalRevenueColumn
Exclusion$283ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events71771GrossIncomeFundraisingEvents
Fundraising Direct Expenses34556FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column37215TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming35107GrossIncomeGaming
Gaming Direct Expenses20762GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column14345TotalRevenueColumn
Exclusion$14,345ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column146676TotalRevenueColumn
Exclusion$14,628ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total11560Total
Program Services11560ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total18200Total
Program Services13650ProgramServices
Management And General4550ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1902Total
Program Services1427ProgramServices
Management And General475ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3471Total
Management And General3471ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2150Total
Management And General2150ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total8249Total
Program Services8249ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10564Total
Program Services10564ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11000Total
Program Services11000ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10008Total
Program Services10008ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1042Total
Program Services1042ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FAMILY SUPPORT ACTIVITIES8035680356
REFUND GRANT MONEY2240022400
TELEPHONE35583558
WEB SITE22462246
BANK CHARGES13641364

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2343Total
Program Services493ProgramServices
Management And General1850ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total190413Total
Program Services155517ProgramServices
Management And General34896ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY79109BOY
EOY9065EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY83147BOY
EOY109452EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4284LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3032LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1250BOY
EOY1252EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY163506BOY
EOY119769EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY163506BOY
EOY119769EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY163506BOY
EOY119769EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY163506BOY
EOY119769EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-43737ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years237006CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years169889CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years82188CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year158112CurrentTaxYearMinus1Year
Current Tax Year94833CurrentTaxYear
Total742028Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year31967CurrentTaxYearMinus1Year
Current Tax Year71771CurrentTaxYear
Total103738Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year24659CurrentTaxYearMinus1Year
Current Tax Year35107CurrentTaxYear
Total59766Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years237006CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years169889CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years82188CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year214738CurrentTaxYearMinus1Year
Current Tax Year201711CurrentTaxYear
Total905532Total
FieldValueIRS element (for citing)
Public Support Total509905532PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years726CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2700CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years941CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36CurrentTaxYearMinus1Year
Current Tax Year283CurrentTaxYear
Total4686Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years726CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2700CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years941CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36CurrentTaxYearMinus1Year
Current Tax Year283CurrentTaxYear
Total4686Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years237732CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years172589CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years83129CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year214774CurrentTaxYearMinus1Year
Current Tax Year201994CurrentTaxYear
Total910218Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

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 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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4284OtherCostOrOtherBasis
Depreciation3032Depreciation
Book Value1252BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1252TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event132815GrossReceiptsEvent1
Gross Revenue Event132815GrossRevenueEvent1
Other Direct Expenses Event117703OtherDirectExpensesEvent1
Name Of Event2TOAST FOR HOPENameOfEvent2
Gross Receipts Event227429GrossReceiptsEvent2
Gross Revenue Event227429GrossRevenueEvent2
Other Direct Expenses Event212300OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events25433GrossReceiptsOtherEvents
Charitable Contrib Other Events13906CharitableContribOtherEvents
Gross Revenue Other Events11527GrossRevenueOtherEvents
Other Direct Expenses Other Events4553OtherDirectExpensesOtherEvents
Gross Receipts Total85677GrossReceiptsTotal
Charitable Contributions Total13906CharitableContributionsTotal
Gross Revenue Total Events71771GrossRevenueTotalEvents
Other Direct Expenses Total Events34556OtherDirectExpensesTotalEvents
Direct Expense Summary Events34556DirectExpenseSummaryEvents
Net Income Summary37215NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs
Gross Revenue Other Gaming35107GrossRevenueOtherGaming
Non Cash Prizes Other Gaming16867NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming3895OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming35107GrossRevenueTotalGaming
Non Cash Prizes Total Gaming16867NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming3895OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming20762DirectExpenseSummaryGaming
Net Gaming Income Summary14345NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedOHStatesWhereGamingConducted
LicensedfalseLicensed
Explanation If NoTHEY ARE NOT REQUIRED TO BE LICENCED IN THE STATE OF OHIO.ExplanationIfNo
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmemberstrueGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonCANDUS TIBBITSNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line163 SOUTH 300 EASTAddressLine1
CityST GEORGECity
StateUTState
ZIP Code84770ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonRICHARD BRICKERGamingManagerNamePerson
Gaming Manager Services ProvidedRAFFLE MANAGEMENTGamingManagerServicesProvided
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1UNIV OF MEDICINE AND DENTISTRY NJBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 BERGEN STREETAddressLine1
CityNEWARKCity
StateNJState
ZIP Code07103ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient237313160EINOfRecipient
Amount Of Cash Grant10000AmountOfCashGrant
Purpose Of GrantXP RESEARCHPurposeOfGrant

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2TODD FELTNER JENNIFER FELTNER CHAIR SECRETARY SPOUSE
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 IS TO BE REVIEWED ANNUALLY AT THE BOARD MEETING AFTER THE RETURN HAS BEEN FILED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CAT THE ANNUAL BOARD MEETING, THE CONFLICT OF INTEREST POLICY IS REVIEWED AND ACTIONS ARE TAKEN IF NECESSARY.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ASALARIES ARE REVIEWED BY BOARD MEMBERS.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSALARIES ARE REVIEWED BY BOARD MEMBERS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.