2011-11-02T08:39:38-05:00 2011-03-31 ROSEN SEYMOUR SHAPSS MARTIN & CO LLP 757 THIRD AVENUE NEW YORK NY 10017 990 2010-04-01 133442216 STARLIGHT CHILDREN'S FOUNDATION NYNJCT STAR 2123542878 1560 BROADWAY NO 600 NEW YORK NY 10036 JEFFREY GURAL 2123572878 2011-10-27 1 NEIL SONENBERG 2123031800 2010 2016-03-07 17:11:31Z JEFFREY GURAL 1560 BROADWAY SUITE 600 NEW YORK NY 10036 5724805 0 X WWW.STARLIGHT-NEWYORK.ORG X 1987 NY HELP SERIOUSLY ILL CHILDREN AND THEIR FAMILIES COPE WITH THEIR PAIN, FEAR AND ISOLATION 30 30 16 650 0 0 3978600 4763103 592321 467371 87128 2444 44815 67796 4702864 5300714 2531453 2664356 0 0 1228868 1203283 263809 148841 718715 989344 721332 5013474 4737812 -310610 562902 6108564 5709846 770337 871260 5338227 4838586 X HELP SERIOUSLY ILL CHILDREN AND THEIR FAMILIES COPE WITH THEIR PAIN, FEAR AND ISOLATION THROUGH ENTERTAINMENT, EDUCATION AND FAMILY ACTIVITIES 0 0 993857 6480 PEDIATRIC HOSPITAL SUPPORT PROGRAMSTARLIGHTS PEDIATRIC HOSPITAL SUPPORT PROGRAM RESPONDS TO THE NEED THAT EXISTS IN HOSPITALS FOR CREATIVE AND FUN OUTLETS FOR SERIOUSLY ILL CHILDREN. THE PROGRAM, NOW IN ITS 13TH YEAR, SERVES 61 TRI-STATE AREA HOSPITALS WITH SPECIAL PROJECTS TO BENEFIT SICK AND HOSPITALIZED CHILDREN.THIS UNIQUE HOSPITAL PROGRAM SUPPORTS MUSIC AND DANCE THERAPY, KARATE CLASSES FOR KIDS FIGHTING CANCER, ADAPTED YOGA SESSIONS FOR PROFOUNDLY DISABLED CHILDREN, SENSORY THERAPY, A WHEELCHAIR ACCESSIBLE VAN, RECREATIONAL ROOMS, HORTICULTURE THERAPY, A VIDEO ARTIST-IN-RESIDENCE PROJECT, AND MANY OTHER CREATIVE PROJECTS THAT ENHANCE THE LIVES OF HOSPITALIZED CHILDREN. 707051 77816 HOSPITAL HAPPENINGS ARE FUN-FILLED PARTIES, THERAPEUTIC WORKSHOPS, ENTERTAINING VISITS FROM MUSICIANS, CLOWNS AND ENTERTAINERS, AND OTHER SPECIAL EVENTS SUCH AS MOVIE NIGHTS, GAME TOURNAMENTS AND CRAFTING EXTRAVAGANZAS. HOSPITAL HAPPENINGS SPECIALIZED HOSPITAL HAPPENINGS INCLUDE:CLOWN PROGRAM: CHILDREN SUFFERING FROM A WIDE RANGE OF ILLNESSES HAVE COME TO RELY ON WEEKLY VISITS FROM OUR CLOWNS FOR LARGE DOSES OF HAPPINESS. MUSIC PROGRAM: CHILDREN BENEFIT FROM THE POWER OF MUSIC AS A RESULT OF SESSIONS WITH MUSIC THERAPISTS WHO NOT ONLY ENCOURAGE THEIR CREATIVITY AND PERSONAL EXPRESSION BUT ALSO HELP THEM DEVELOP COPING SKILLS AND TECHNIQUES FOR PAIN MANAGEMENT.STARWORKS: GRADUATE WRITING STUDENTS TEACH CREATIVE EXPRESSION TO PEDIATRIC PATIENTS IN SEVERAL AREA HOSPITALS. AS A RESULT, THESE CHILDREN HAVE COMPOSED PICTURES OF THEIR HOPES, DREAMS AND LIVES IN POEMS, STORIES, AND ESSAYS. CREATIVITY HAS A POWERFUL IMPACT IT HEIGHTENS SPIRITS, GENERATES PRIDE, AND BUILDS SELF-ESTEEM. SEND A SMILE, SEND A BEAR: TEDDY BEARS ARE GIVEN TO HOSPITALIZED CHILDREN THROUGHOUT THE YEAR. A TEDDY BEAR CAN PROVIDE THE SUPPORT AND COMFORT A CHILD NEEDS DURING A SCARY MEDICAL PROCEDURE, EASE HIS NERVOUSNESS BEFORE A SURGERY AND CUDDLE WITH HIM IN RECOVERY. HOSPITAL STAFF RECOGNIZES HOSPITAL HAPPENINGS AS HIGHLY EFFECTIVE MORALE BOOSTERS THAT CREATE MUCH-NEEDED SOCIAL INTERACTION. FOR CHILDREN, THE ABILITY TO SHARE A LAUGH WITH FAMILY, ROOMMATES AND CAREGIVERS CAN BE THE BEST MEDICINE POSSIBLE. 864741 0 VISIBILITY CAMPAIGNS PURPOSE OF THE VISIBILITY CAMPAIGN IS TO RAISE PUBLIC AWARENESS OF THE PROGRAM SERVICES PROVIDED BY STARLIGHT AND TO GARNER THE PUBLICS SUPPORT IN THE DELIVERY OF THOSE SERVICES THEREBY EXPANDING ACTIVITIES AND COVERAGE. STARLIGHT EXPECTS TO CONTINUE ITS EFFORT TO INCREASE OPPORTUNITIES FOR THE SERIOUSLY ILL CHILDREN AND THEIR FAMILIES SERVED. THIS YEAR, THE CHAPTER WAS FEATURED IN AN EXCITING VISIBILITY CAMPAIGN AND RECEIVED INVALUABLE EXPOSURE THROUGH THE DONATED ADVERTISING SPACE. THE CAMPAIGN REACHED MILLIONS OF PEOPLE IN THE NY*NJ*CT AREA THROUGH OUTDOOR COVERAGE ON BILLBOARDS IN NYC, BUSES, SUBWAYS, TRANSIT SHELTERS, PHONE KIOSKS, MALL KIOSKS, AND BILLBOARDS ALONG THE INTERSTATE IN NEW JERSEY. BECAUSE OF THIS EXPOSURE THE CHAPTER HAS BEEN ABLE TO GENERATE SUBSTANTIAL BRAND AWARENESS SURROUNDING THE CHAPTER BOTH TO THE GENERAL PUBLIC AS WELL AS SERIOUSLY ILL CHILDREN AND THEIR FAMILIES IN NEED OF THE CHAPTERS PROGRAMS AND SERVICES. 1115401 383075 OTHER PROGRAMS INCLUDE:STARLIGHT CARE ROOMS:WHILE IN THE HOSPITAL, MANY SERIOUSLY ILL CHILDREN SPEND THE BULK OF THEIR TIME IN TREATMENT ROOMS. THESE ROOMS ARE OFTEN DREARY, INTIMIDATING AREAS IN THE HOSPITAL. ALTHOUGH THIS IS WHERE SOME OF THE CHILDS MOST DIFFICULT, MOST INVASIVE, MOST PAINFUL EXPERIENCES OCCUR THE TREATMENT ROOMS ARE OFTEN OVERLOOKED WHEN PATIENT ROOMS AND OTHER AREAS OF THE HOSPITAL ARE RENOVATED TO BE MORE CHILD-FRIENDLY. WISH PROGRAM:MAKES WISHES COME TRUE FOR SICK CHILDREN. 1115401 383075 3681050 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 19 0 16 1 0 0 0 0 0 0 0 0 0 0 0 X 30 30 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NJ NY X X ELAINE SIVER 2123542878 1560 BROADWAY SUITE 600 NEW YORK NY 10036 ELAINE SIVER 35.00 X 173254 0 0 MICHELE HALL-DUCAN 35.00 X 88337 0 0 GISELLE MILLER 35.00 X 89167 0 0 EVIS BACCHUS 35.00 X 106744 0 0 MAUREEN FOX 35.00 X 113000 0 0 LAUREN ZACCARDI 35.00 X 89500 0 0 JEFFREY GURAL 1.00 X X 0 0 0 JOSEPH WESSELY 1.00 X X 0 0 0 JAY ANDERSON 1.00 X 0 0 0 LUCY MULLEN BALL 1.00 X 0 0 0 FRANK BRANCHINI 1.00 X 0 0 0 MICHAEL BROWN 1.00 X 0 0 0 STEVE CARBONE 1.00 X 0 0 0 KIP CRENNAN 1.00 X 0 0 0 TONY FINEMAN 1.00 X 0 0 0 LAWRENCE B FREIRICH 1.00 X 0 0 0 ANDREW FRIEDWALD 1.00 X 0 0 0 EE BUZZY GEDULD 1.00 X 0 0 0 BRIAN GELLER 1.00 X 0 0 0 CLAUDIA HILBERT 1.00 X 0 0 0 LEWIS KATZ 1.00 X 0 0 0 RICK LYON 1.00 X 0 0 0 NANCY MENDELOW 1.00 X 0 0 0 JAMES O'DONNELL 1.00 X 0 0 0 ROBERT ROSENBERG 1.00 X 0 0 0 ALAN ROTH 1.00 X 0 0 0 HARVEY SANDERS 1.00 X 0 0 0 LARRY B SCHEINFELD 1.00 X 0 0 0 MICHAEL WEINSTEIN 1.00 X 0 0 0 JOSHUA ZAMIR 1.00 X 0 0 0 MICHAEL CLINTON 1.00 X 0 0 0 LAURENCE GOTTLIED 1.00 X 0 0 0 MARCIE GOTTLIED 1.00 X 0 0 0 JUSTIN GREEN 1.00 X 0 0 0 MARY L KRAYESKE 1.00 X X 0 0 0 DAVID MATERA 1.00 X 0 0 0 JOAN PALERMO 1.00 X 0 0 0 660002 0 0 3 0 1 0 MARRIOT HOTELS & RESORTS 1535 BROADWAY NEW YORK NY 100364077 CATERING / VENUE GALA 187241 1 1538514 3224589 1891620 4763103 OTHER 900099 383075 383075 HOSPITAL HAPPENINGS 900099 77816 77816 PEDIATRIC HOSPITAL SUP 900099 6480 6480 467371 2444 2444 424091 1538514 424091 0 REVENUE FROM HEADQUART 900099 63000 63000 REVENUE FROM RELATED P 900099 4796 4796 67796 5300714 467371 0 70240 2664356 2664356 660001 398509 108768 152724 543282 328034 89533 125715 148841 148841 4753 374 4236 143 19036 11251 3473 4312 188318 113706 31035 43577 6169 2604 2567 998 2149 1298 354 497 7395 1919 4740 736 VISIBILITY CAMPAIGN 208124 125665 34299 48160 EVENT EXPENSES 146056 146056 MISCELLANEOUS 51282 25685 15752 9845 PRINTING AND PUBLICATIO 36751 1302 770 34679 PROFESSIONAL EXPENSES 31566 31566 19733 6347 10954 2432 4737812 3681050 338047 718715 450366 2301651 4057875 400000 553122 90450 40787 45813 116994 69459 9000 122258 66123 62582 4642 3541 875778 2676674 6108564 5709846 770337 811822 0 59438 770337 871260 X 4639807 4655375 698420 183211 5338227 4838586 6108564 5709846 X 562902 -1062543 X X 0 1 1 X 0 X 5353644 6512352 8276246 4570921 5230474 29943637 5353644 6512352 8276246 4570921 5230474 29943637 29943637 162932 63881 27236 87128 2444 343621 30287258 0.98870 0.98640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 46150 42688 3462 19973 19894 79 3541 RELATED PARTY PAYABLES 59438 59438 5300714 4737812 562902 105521 -652855 -515209 -1062543 -499641 4891026 105521 105521 4785505 515209 515209 5300714 5390667 652855 652855 4737812 0 4737812 PART XI, LINE 8 - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTION 497,641. RELEASED RESTRICTIONS -1,066,550. GROSS EVENTS REVENUE TEMPORARILY RESTRICTED 53,700. PART XII, LINE 4B - OTHER GROSS EVENTS TEMPORARILY RESTRICTIONS - (53,700) TEMPORARILY RESTRICTED CONTRIBUTIONS - (497,641) NET ASSETS RELEASED FROM: PROGRAM RESTRICTIONS - 514,150 TIME RESTRICTIONS - 552,400 X X X X X X 0 NY NJ CT ANNUAL GALA 1136575 487285 649290 15692 161488 6500 122779 SPORTS AUCTION 241885 236810 5075 15436 22730 36746 6 584145 305921 278224 48281 53155 52518 23821 1962605 1030016 932589 63973 68591 236736 6500 183346 559146 373443 1 ALBANY MEDICAL CENTER (NY) 43 NEW SCOTLAND AVENUE ALBANY NY 12208 141338310 33280 MUSIC THERAPY FUNDING BLYTHEDALE CHILDREN'S HOSPITAL 95 BRADHURST AVENUE VALHALLA NY 10595 131739922 40000 CHILD LIFE SPECIALIST BROOKDALE UNIVERSITY HOSPITAL AND MEDICAL CENTER ONE BROOKDALE PLAZA - SUITE 346 CHC BROOKLYN NY 11212 111631746 40000 CHILD LIFE SPECIALIST BROOKLYN HOSPITAL CENTER 121 DEKALB AVENUE BROOKLYN NY 11201 112936410 16380 ELECTRONICS FOR CHILD LIFE PROGRAM CHILDREN OF BELLEVUE INC 462 FIRST AVENUE ME-15 NEW YORK NY 10016 131679615 12510 CONTINUATION OF HORTICULTURE THERAPY PROGRAM CHILDREN'S SPECIALIZED HOSPITAL FOUNDATION 150 NEW PROVIDENCE ROAD MOUNTAINSIDE NJ 07092 136844298 19500 LIGHTSPACE SENORY WALL CHILDREN'S OF MONTEFIORE 111 EAST 210TH STREET BRONX NY 10467 131740114 20000 ARTIST IN RESIDENCE CHILTON MEMORIAL HOSPITAL FOUNDATION 97 WEST PARKWAY POMPTON PLAINS NJ 07444 223084817 4978 IPAD PROGRAM COHEN CHILDRENS MEDICAL CENTER OF NY 125 COMMUNITY DRIVE GREAT NECK NY 11021 112965575 23620 STARLIGHT HOUR: PROGRAMMING FOR KIDS ELIZABETH SETON PEDIATRIC CENTER 590 AVENUE OF THE AMERICAS NEW YORK NY 10011 133308657 20000 ACTIVE EXPLORER PLAYROOM ELMHURST HOSPITAL (NY) 79-01 BROADWAY ANNEX O 4TH FLOOR ELMHURST NY 11373 132655001 14820 PART TIME CHILD LIFE ASSISANT ENGLEWOOD HOSPITAL AND MEDICAL CENTER 350 ENGLE ST ENGLEWOOD NJ 07631 223367281 10000 PEDIATRIC PALYROOM FLUSHING HOSPITAL MEDICAL CENTER 4500 PARSONS BLVD FLUSHING NY 11355 111631781 40000 CHILD LIFE PROGRAM GOOD SAMARITAN HOSPITAL MEDICAL CENTER 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 111888924 12183 PAIN RELIEF ROOM AND WAITING ROOM UPGRADE GORYEB CHILDREN'S HOSPITAL AT MORRISTOWN MEMORIAL 100 MADISON AVE MORRISTOWN NJ 07692 223392808 32760 MUSIC THERAPIST AND QUIPMENT HOSPITAL FOR SPECIAL CARE 2150 CORBIN AVENUE NEW BRITAIN CT 06053 114049029 6146 MUSIC THERAPY PROGRAM INCARNATION CHILDREN'S CENTER 142 AUDOBON AVENUE NEW YORK NY 10032 134071063 5000 TELEVISION AND ELECTRONICS FOR GAME ROOM JAMAICA HOSPITAL MEDICAL CENTER 8900 VAN WYCK EXPRESSWAY SUITE 7T JAMAICA NY 11418 111631788 45000 CHILD LIFE SPECIALIST JERSEY SHORE UNIVERSITY MEDICAL CENTER FOUNDATION 4500 ROUTE 33 SUITE 200 NEPTUNE NJ 07753 222342452 15600 MUSIC THERAPY PROGRAM JOHN F KENNEDY MEDICAL CENTER 80 JAMES STREET - SECOND FLOOR EDISON NJ 08820 226019101 20152 PEDIATRIC EMERGENCY DEPARTMENT UPGRADE KOMANSKY CENTER (WEILL-CORNELL) (NYC) 525 EAST 68TH STREET NEW YORK NY 10021 133957095 35000 MUSIC THERAPIST AND RELATED EQUIPMENT KRAVIS CHILDREN'S HOSPITAL ONE GUSTAVE LEVY PLACE--BOX 1153 NEW YORK NY 10029 131624096 57500 KIDZONE TV KIDZONE TV LINCOLN MEDICAL AND MENTAL HEALTH CENTER 234 EAST 149TH STREET - ROOM 420 BRONX NY 10451 132655001 29120 MUSIC THERAPY MAIMONIDIES MEDICAL CENTER 4802 TENTH AVE BROOKLYN NY 11219 111635081 9680 PLAYROOM ASSISTANTS MARIA FARERI CHILDRENS HOSPITAL AT WCMC 100 WOODS ROAD VALHALLA NY 10595 133940462 5000 SPECIAL NEEDS TOY LIBRARY NY HOSPITAL QUEENS 56-45 MAIN STREET FLUSHING NY 11355 111839362 23538 MURALS FOR PEDIATRIC AMBULATORY CENTER NYU LANGONE MEDICAL CENTER 550 FIRST AVENUE NEW YORK NY 10016 135562308 31741 MEDICAL PLAY SUPPORT FOR PEDIATRICS NORTH SHORE UNIVERSITY HOSPITAL 300 COMMUNITY DRIVE MANHASSET NY 11030 112965575 18000 STARLIGHT TECH CONNECT PROGRAM ROCHESTER GENERAL HOSPITAL 1299 PORTLAND AVENUE ROCHESTER NY 14621 160743134 15684 TOUCH2PLAY VIDEO UNITS ST BARNABUS HOSPITAL 4422 THIRD AVENUE BRONX NY 10457 131740122 1555 ELECTRONICS FOR CHILD LIFE PROGRAM ST CHARLES HOSPITAL 200 BELLE TERRE ROAD PORT JEFFERSON NY 11777 412076312 8000 GET UP AND GO FUN, FITNESS AND MOBILITY PROGRAM ST JOSEPH'S HOSPITAL FOR CHILDREN 703 MAIN STREET PATERSON NJ 07503 222448138 14256 ON-DEMAND DIGITAL CINEMA ST LUKE'S HOSPITAL 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132997301 9832 ELECTRONICS FOR CHILD LIFE PROGRAM ST MARY'S FOUNDATION FOR CHILDREN 29-01 216TH STREET BAYSIDE NY 11360 111679599 20000 INDIVIDUALIZED MUSIC THERAPY ST PETER'S UNIVERSITY HOSPITAL 254 EASTON AVENUE NEW BRUNSWICK NJ 08901 221487330 16884 ELECTRONICS FOR CHILD LIFE PROGRAM VASSAR BROTHERS MEDICAL CENTER 45 READE PLACE POUGHKEEPSIE NY 12601 141338467 10000 SUPPORT GROUP PROGRAM YALE-NEW HAVEN CHILDREN'S HOSPITAL 20 YORK STREET GB-537 NEW HAVEN CT 06504 060646652 15000 HEALING ARTS PROGRAM PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE PEDIATRIC HOSPITAL SUPPORT PROGRAM MONITORS THE PROJECTS THAT IT SUPPORTS BY REQUESTING ANNUAL REPORTS FROM EACH HOSPITAL. THESE REPORTS MUST OUTLINE THE NUMBER OF CHILDREN AFFECTED BY THE PROJECT, EVALUATE ITS SUCCESS, COMMUNICATE THE EFFECTS ON THE CHILDREN, HIGHLIGHT ANY "MEMORABLE" MOMENTS, AND OUTLINE ANY PROBLEMS OR DIFFICULTIES. THERE MUST ALSO BE A REPORT OF EXPENDITURES ATTACHED TO THE REPORT AS WELL AS PHOTOS OF THE PROJECT IN ACTION, IF APPLICABLE. 0 0 0 0 0 0 0 0 0 ELAINE SIVER 163254 0 10000 0 0 0 0 0 0 0 173254 0 0 0 X 1505139 FAIR VALUE X 148680 FAIR VALUE X TOYS 23391 FAIR VALUE X ENTERTAINMENT EVENTS 181653 FAIR VALUE X OTHER 32756 FAIR VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 BEFORE FORM 990 IS FILED IT IS COMPARED TO THE FINANCIAL DOCUMENTS BY DIRECTOR OF FINANCE AND EXECUTIVE DIRECTOR. IT IS ALSO REVIEWED AND APPROVED BY A CPA AND AUDIT COMMITTEE FOR GOVERNANCE FORM 990, PART VI, SECTION B, LINE 12C BI-ANNUAL REVIEWS ARE PERFORMED TO MONITOR AND ENFORCE COMPLIANCE WITH POLICIES FORM 990, PART VI, SECTION B, LINE 15 BOARD DESIGNEE REVIEWS EXECUTIVE DIRECTOR PERFORMANCE AND MAKES RECOMENDATIONS TO THE PRESIDENT REGARDING BENCHMARKS AND SALARIES ANNUAL EVALUATIONS FOR OFFICERS ARE PERFORMED BY THE EXECUTIVE DIRECTOR AND REVIEWED WITH THE BOARD DESIGNEE FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ALONG WITH OTHER GOVERNMENT DOCUMENTS ARE AVAILABLE TO THE PUBLIC VIA THE WEBSITE AND UPON REQUEST CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 105,521. DONATED SERVICES AND USE OF FACILITIES: -652,855. RESTRICTED CONTRIBUTION 497,641. RELEASED RESRTICTIONS -1,066,550. GROSS EVENTS REVENUE TEMPORARILY RESTRICTED 53,700. TOTAL TO FORM 990, PART XI, LINE 5: -1,062,543. COMMITTEE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT THE PROCESS OF RESPONSIBILITY OF THE AUDIT COMMITTEE FOR THE OVERSIGHT OF THE AUDIT DID NOT CHANGE FROM PRIOR YEAR.