ronald mcdonald house charities awards $87,500 to save-a-life foundation, 2004-06

8/7/2019 Ronald McDonald House Charities awards $87,500 to Save-A-Life Foundation, 2004-06

1/7

Form'990

Department of the TreasuryInternal Revenue Service

Return of Organization Exempt From Income TaxUnder sect ion 501(c ) , 527, or 4947(a ) (1 ) of the Internal Revenue Code (except black lung

benefit trust or private foundation)

The organization may have to use a copy of this return to satisfy state reporting requirements.

OM B NO. 1545-0047

04Open to Public

Inspection

A For the 2004 calendar year, or tax year beginning

B Check II applicable

Address

change

Name change

Initial retvn

Final retirn

AmendedreturnApplicationponding

Pleaseuse IRSlabel orprint ortype-See

SpecificInstructions.

January 1 2004, and endlngDecember 3 1 , 2004

C Name of organization

Ronald McDonald House Charities, Inc.

Number and street (or P O . box if mail is not delivered to street address)

One Kroc Drive

Room/suite

City or town, state or country, and ZIP + 4

Oak Brook, IL 60523

0 Employer Identif ication number

36-2934689

E Telephone number

(630) 623-3700r Accounting

Cash Accrua

Section 501(c)(3) orga nizat ions an d 4947(a)(1) nonexempt charitable

trusts must attach a completed Schedule A (Form 990 or 990-EZ).

G Website: V7ww.rmhc.org

J Organization type (check only one) X 501(c)? ) ej (insert no) 4947(a)(1) orn 52 7K Check here ^ | | if the organization's gross receipts are normally not more than $25,000 The

organization need not file a return with the IRS, but if the organization received a Form 990 Package

in the mail, It should file a return without financial data Some states require a complete return.

L Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 ^ 30,143,741

Other (specify)

H andI are notapplicable to section 527organizations

H(a) Is this a group return for affiliates' | | Yes | X | N

H(b) If "Yes," enter number of affiliates N / A

H(c) Are all affiliates included? N / A | | Yes 1 TN

(If "No," attach a list See instructions)

H(d) Is this a separate return filed by an i 1 1organization covered by a group ruling? | X | Yes | |

I Group Exemption Number ^ 9 3 7 9

M Check if the organization is not required

to attach Sch B (Form 990, 990-EZ, or990-PF)

zma

vi%a

Revenue, Expenses, and Changes In Net Assets orFund Balances (See page 18 of the instructions.)

1a

b

c

d

2

3

4

5

6a

b

c

7

8a

b

c

d

9

a

b

c

10a

b

c11

12

Contributions, gifts, grants, and similar amounts received:Direct public support

Indirect public support

Government contributions (grants)

Total (addlines 1aIhrough 1c) (cash$ 22, 334,448

1a

1b

1c

2 0 , 3 9 7 , 8 0 7

2 , 9 8 5 , 1 4 2

noncash $ 1,048,501 )Program service revenue including government fees and contracts (from Part VII, line 93)

Member ship dues and assessments

Interest on savings and temporary cash investments

Dividends an d interest from securities

Gross rents

Less: rental expenses

Net rental income or (loss) (subtract line 6b from line 6a)

Other investment income (describe

Gross amount from sales of assets other

than inventory

Less: cost or other basis and sales expenses

Gain or (loss) (attach schedule)

6a

6b

(A) Securities

3,929,3433 , 857 , 844

71,499

8a

8 b

8c

(B) Other

674,499

196,500

477,999Net gain or (loss) (combine line 8c, columns (A) and (B)) S t a t e m e n t 1 . .

Special events and activities (attach schedule). If any amount is from gaming, check here | X |

Gross revenue (not including $ 2,497,112 of

contributions reported on line 1a) 9a_ 7 0 5 , 0 6 5

Less: direct expenses other than fundraising expenses [9

Net income or (loss) from special events (subtract line 9b from line 9a) S f c a t e p e n t ; . 1 ,

Gross sales of inventory, less returns and allowances H)a_

Less: cost of goods sold P * ^ . 6 ? " 1 6 " * : ?. . no b

1,352,316

37,992

33,717

Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a)Other revenue (from Part VII, line 103)

Tota l revenue (add lines 1d, 2, 3, 4, 5, 6 c, 7,8d, 9c, 10c, and 11)

23,382,949

281,934

1,106,066

8d

9c

549,498

(647,251)

4,27525,893

24,703,364

X

111

13 Prog ram services (from line 44, column (B))

14 Management and general (from line 44, column (C))

1 5 Fundr aising (from line 44, column (D))

16 Payments to affiliates (attach schedule)

17 Tota l expenses (add lines 16 and 44, column (A))

42,760,907

1,439,453

725,806

44,926,166

II

18

19

20

21

Excess or (deficit) for the year (subtract line 17 from line 12)

Net assets or fund balances at beginning of year (from line 73, column (A)) ,

Other changes in net assets or fund balances (attach explanation) . ^ ? a ' : e ^ n e ? ^ . .

Net assets or fund balances at end of year (combine lines 18.19, and 20)

(20,222,802)

92,105,212

7,061,496

78,943,906For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Form 9 9 0 (2004)

A1 0 1 0 2 C
http://v7ww.rmhc.org/http://v7ww.rmhc.org/


2/7

#36-293468


Form 990 - Return of Organization Exempt from Income Tax

Year Ended December 31, 2004

Part II - Statement of Functional Expen ses, Line 22 - Grants and Allocation s AND

Part III - Statemen t of Program Service Accompl ishme nts, Lines (a) - (f) Conti nued

Name and Address of Donee

Jesse White Tumbling Team, Inc.

(Chicago, IL) - Purchase uniforms, equipment and food certificates for over 4,000 children

Lawrence Hall Youth Services

(Chicago, IL) - Construct and equip a therapy room with a courtyard

Little League Baseball, Inc.

(Chicago, IL) - Purchase uniforms, equipment, baseballs, gloves and bats

Northern Illinois Council on Alcoholism & Substance Abuse

(Round Lake, IL) - Purchase food, books, tapes, crayons and tapes for the Women's and

Children's program

Save A Life Foundation Inc.

(Schiller Park, IL) - Purchase training supplies and equipment for 4th grade first aid training

Special Olympics Illinois

(Normal, IL) - Purchase medals, ribbons and lunches for the State and District Tournaments

Together We Cope

(Tmley Park, IL) - Purchase shoe certificates

Vital Bridges NFP, Inc.

(Chicago, IL) - Purchase food to serve 5,000 meals to children

WilPower Inc.

(Northfield, IL) - Fund brochures, books, toys, clothing, childcare, medicine and safety equipment

Young Chicago Authors

(Chicago, IL) - Produce "Say What", a free, student written literary magazine

Boy Scouts of America/Pioneer Valley Council

(Chicopee, MA) - Fund the youth participation in Boy Scouts

Boys Village Youth and Family Services, Inc.

(Milford, CT) - Purchase bedroom and playroom furniture for children

Camp Howe Inc.

(Goshen, MA) - Fund sporting equipment, building and pathway upgrade for ADA accessibility

Hartford Public Schools/Alfred E. Burr Elementary School

(Hartford, CT) - Purchase and install new computers

Inner City Outreach and/or Jesus Love Inc.

(Hartford, CT) - Fund food, recreation, transportation, first aid expenses for after-school

program

New Opportunities, Inc.

(Waterbury, CT) - Resurface a playground

Cash

Grants

Illinois Fire Safety Alliance

(Mount Prospect, IL) - Fund camp rental, transportation, horseback riding, t-shirts and hats 5,000

23,333

50,000

5,000

6,666

12,500

20,000

5,306

7,500

5,000

5,000

7,683

10,500

6,676

12,000

6,000

5,000

Total Gran

Program PrograServices Servic

2

5

1

2

1

1

STATEMENT 19


3/7

#36-293468




Part II - Statement of Functional Expenses, Line 22 - Grants and Allocations AND

Part III Statement of Program Service Accomplishments, Lines (a) (f) Continued


St. Cajetan

(Chicago, IL) - Fund youth arts education program

CIVITAS Initiative

(Chicago, IL) - Support early childhood public education program

Access Living of Metropolitan Chicago(Chicago, IL) - Support leadership training programs for youth with disabilities

Athletes Against Drugs(Chicago, IL) - Support scholarship programs for underprivileged youth

Center for Excellence in Education(Vienna, VA) - Funding for the USA Biology Olympiad for high school students

Save A Life Foundation, Inc.(Schiller Park, IL) - Support life-supporting first aid programs for youth

Variety Clubs International(New York, NY) - Fund educational magazine about work being done for children

Boys & Girls Clubs of Danville(Danville, VA) - Support programs and services for youth

Interlochen Center for the Arts

(Interlochen, Ml) - Fund scholarships for international students attending camp or academy

James Stephens III Scholarship Foundation

(Cary, NC) - Fund scholarships for at-nsk youth

National Association of Basketball

(Overland Park, KS) - Support youth Reading Rewards Program

North Penn School District(Lansdale, PA) - Support children's theatre programs and productions

Special Operations Warrior Foundation

(Fairfax, VA) - Support scholarship program for children of deceased Special Operationspersonnel

St. Joseph's Carondelet Child Center

(Chicago, IL) - Support programs and services for at-nsk children and youth

CashGrants

Transafrica Forum, Inc.(Washington, DC) - Fund the development of progressive black/African student

Vanguard Public Foundation(San Francisco, CA) - Fund programs to promote community empowerment and educationfor youth

Homan Square Community Center Foundation

(Chicago, IL) - Support community youth programs and services

33,300

33,300

5,000

5,000

25,000

24,182

15,000

5,000

25,000

25,000

10,000

25,000

10,000

25,000

15,000

25,000

5,000

Total Gran

Program PrograServices Servic

3

3

2

2

1

5

2

2

1

2

1

2

1

2

5

STATEMENT 44


4/7

Form 990Department of the TreasuryInternal Revenue Service

Return of Organization Exempt From Income TaxUnder section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung

benefit trust or private foundation)

The organization may have to use a copy of this return to satisfy state reporting requirements

OMB No 1545-0047

105Open to Public

Inspection

A For the 2005 calendar year, or tax year beginning Jan u ary 1

B Check it applicableAddresschange

Name change

Initial retirn

Final retun

AmendedreturnApplicationpending

Please

use IRS

label or

print or

type

See

Specific

Instruc

tions

, 2005 , and en di nq De ce mb er 3 1 , 2 0 0 5

C Name of organization

Ro na l d McDon ald Hou se C h a r i t i e s , I nc .

Num ber and street (or P O box if mail is not delivered to street address)

O n e K r o c D r i v e

Room/suite

City or town, state or country, and ZIP + 4

O a k B r o o k , I L 6 0 5 2 3

D Employer Identification number

3 6 - 2 9 3 4 . 6 8 9

E Telephone number

( 6 3 0 ) 6 2 3 - 3 7 0 0

F Accountingmethod Cash X

Other (spectly)

Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable

trusts must attach a completed Schedule A (Form 990 or990-EZ).

G Website: w w w . r m h c . o r g

J Organization type (check only one)

Check here

X 501(c) 3 ) -4(insert no) 4947(a)(1) or 527

If the organization's gross receipts are normally not more than $25 ,000 The

organization need not file a return with the IRS, but if the organization chooses to file a return, be

sure to file a complete return Some states require a complete re turn.

L Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 ^ 3 1 , 3 9 4 , 6 9 8

H andI are not applicable lo section 527organizations

H(a) Is this a group return for affiliates'' | | Yes |X |

H(b) If "Yes," enter number of affiliates N / A

H(c) Are all affiliates included? N/ A(If 'No ,' attach a list See instructions

H(d) Is this a separate return filed by an i 1

organ ization covered by a group ruling? | X |

fTves I |Nns)

Yes

I Group Exemption Number 9 3 7 9

M Check If the organization is not required

to attach Sch B (Form 990, 990-EZ, or 990-PF)

l ^ f f l T " Revenue, Expenses, and Changes in Net Assets or Fund Balances (Seethe instructions.)

I

nmo

IP=

1a

b

c

d

2

3

4

5

6 a

b

c

7

8 a

b

c

d

b

c

1 0 a

b

c

11

12

Contributions, gifts, grants, and similar amounts received

Direct public support

Indirect public support

Government contributions (grants)

Total (add lines 1athrough 1c) (cash$ 21 / 161, 545

1 a

1 b

1c

1 9 , 7 3 8 , 1 6 1

2 , 7 5 4 , 3 8 3

noncash $ 1 , 3 3 0 , 9 9 9 )

Program service revenue including government fees and contracts (from Part VII, line 93)

Membership dues and assessments

Interest on savings and temporary cash investments

Dividends and interest from securities

Gross rents

Less, rental expenses

Net rental income or (loss) (subtract line 6b from line 6a)

Other investment income (describe

Gross amount from sales of assets otherthan inventory

Les s cost or other basis and sales expenses .

Gain or (loss) (attach schedule)

6 a

6b

(A) Securities3 , 9 9 6 , 6 4 6

3 , 2 2 5 , 1 4 0

7 7 1 , 5 0 6

8a

8 b

8c

Net gain or (loss) (combine line 8c, columns (A) and (B))

(B) Other9 8 5 , 6 1 6

9 8 5 , 6 1 6

S t a t e m e n t

Special events and activities (attach schedule). If any amount is from gaming, check here

Gros s reve nue (not including $ 1 , 9 3 7 , 2 4 0 of

contributions reported on line 1a) 9a_ 6 2 1 , 1 8 7

Less direct expenses other than fundraising expenses | 9 b |

Net income or (loss) from special events (subtract line 9b from line 9a) S t a t e m e n t . 1

6 5 7 , 0 9 7

10a

10b

Gross sales of inventory, less returns and allowances

Less cost of goods sold S t : a . t . e m e l ^ t . ?.

Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a)

Other reven ue (from Part VII, line 103)

Total revenue (add lines 1d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11)

9 7 2 , 5 1 2

7 4 3 , 5 2 6

1*"6

7

8 d

9c

10c

2 2 , 4 9 2 , 5 4 4

4 1 4 , 3 1 8

5 3 3 , 6 4 2

1 , 3 7 5 , 1 1 0

1 , 7 5 7 , 1 2 2

3 5, 91

2 2 8 , 9 8 6

3 , 1 2 32 6 , 7 6 8 , 9 3 5

1 3

14

15

16

17

Program services (from line 44, column (B))

Manageme nt and general (from line 44, c o l u t ^ - p ^ t a t e m e n t -2 -

Fundraising (from line 44, column (D)) .

Payme nts to affiliate s (attach schedule) .

Tota l expenses (add lines 16 and 44, coli

mm m

i:M^m

2 0 , 6 2 2 , 9 8 1

1 , 3 6 0 , 9 2 0

2 , 2 5 5 , 4 1 6

2 4 , 2 3 9 , 3 1 7

18

19

2 0

2 1

17 rom line 12^

iBeZ3.colu

Excess or (deficit) for the year (subtract line

Net assets or fund balances at beginning ofjyearlJSJr

Other changes in net assets or fund balances (attacn

Net assets or fund balances at end ol year (combine lines 18, 19, and 20)

temdnt

2,529,61

78,943,90

4,670,58

86,144,11

For Privacy Act an d Paperwork Reduction Act Notice, see the separate instructions.

JSA5E10102 (

Form 9 9 0 (200
http://www.rmhc.org/http://www.rmhc.org/


5/7

#36-293468




Part II - Statement of Functional Expenses, Line 22 - Grants and Allo cations AND

Part III - Statement of Program Service Accompli shment s, Lines (a) -- (f) Continu ed


Cash

GrantsSave a Life Foundation Inc.

(Schiller Park, IL) - Fund childrens programs to teach first aid skills

St. Joseph School

(Wilmette, IL) - Fund school computer lab

Kick Drugs Out of America Foundation

(Winston-Salem, NC) - Support youth martial arts programs to resist drug-related pressures

Southeastern Natural Sciences Academy Inc.

(Augusta, GA) - Fund nature park for children including the physically challenged

Providence - St. Mel High School

(Chicago, IL) - Fund scholarships for inner city high school students

Project Hope The People to People Health Foundation, Inc.

(Washington, D C ) - Fund health care educational programs for children in Iraq

Open Doors Foundation

(Irving, TX) - Support educational and leadership empowerment programs for youth

Big Shoulders Fund

(Chicago, IL) - Fund operational support for elementary schools

Association of Hole in the Wall Gang Camps Inc.

(New Haven, CT) - Support camp for seriously ill children

Twin Lakes Y Inc.

(Albany, NY) - Funding to establish a YMCA for the children and families of several counties

Ravinia Festival Association

(Highland Park, IL) - Fund programs mentoring elementary and high school students in music

Hadley School for the Blind

(Wmnetka, IL) - Fund school curriculum expansion for the blind for school in China

Choir Academy

(Chicago, IL) - Support operations of children's choir

Midwest Palliative & Hospice Care Center

(Glenview, IL) - Support four children's programs

Otis Wilson Charitable Association

(Chicago, IL) - Support youth health and fitness programs

International White Lotus

(San Francisco, CA) - Purchase heath and education mobile for Cambodia reaching impoverished

children

Junior Achievement, Inc.

(Chicago, IL) - Support high school programs

25,000

5,000

20,000

25,000

25,000

25,000

25,000

25,000

10,000

25,000

25,000

25,000

25,000

12,500

25,000

20,000

25,000

Total Gran

Program Program

Services Service

2

5

2

2

2

2

2

2

1

2

2

2

2

1

2

2

2

STATEMENT 41


6/7

JL-SftoDepartment of the TreasuryInternal Revenue Service

Return of Organization Exempt From Income TaxUn de r sec t i on 501(c) , 527 , o r 4947(a) (1 ) o f the In te rna l Rev enue Code (e xc ep t b lac k lu ng

b e n e f i t t r u s t o r p r i va t e f o u n d a t i o n )

The organi zation ma y have to use a copy of this return to satisfy state reporting requirements

OMB No 1545- 0047

>06Open to Public

Inspection

A Fo r the 2006 ca le nd ar yea r , or tax yea r begin nin g J a n u a r y 1 , 200 6, and end in g D e c e m b e r 3 1 , 2 0 0 6

D Check II applicable

Addresschange

Name change

Initial relun

AmendedreturnApplicationpending

Pleaseuse IRS

label orpnnl ortypeSee

Specific

Instructions.

C Nam e of organization


Number and street (or P.O. box if mail is not delivered to street address)

O n e K r o c D r i v e

Room/suite

City or town, state or country, and ZIP + 4O a k B r o o k , I l l i n o i s 6 0 5 2 3

Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable

trusts must attach a completed Schedule A (Form 990 or 990-EZ).

G website www. rmhc . o r gJ Organizatio n type (check only one) X 501(c) ( 3 ) -^ (insert no )

K Check here

4947(a)(1) or 527

if the organization is not a 509(a)(3) supporting organization and its gross

receipts are normally no t more than $25,000 A return is not required, but if the organization chooses

to file a return, be sure to file a complete return

L Gross receip ts Add lines 6b, 8b, 9b, and 10b to line 12 3 9 , 7 7 4 , 8 3 3

D Employer Identification number

3 6 - 2 9 3 4 6 8 9

E Telephone number

630-623-3700r Accounting

method xOther (specily) H andI are not applicable to section 527organizations

H(a) Is this a group return for affiliates' | | Yes | | N

H(b) If "Yes," enter number of affiliates n / a

H(c) Are all affiliates inc lud ed' n / a | | Yes | | N(II "No ," attach a list See instructions )

H(d) Is this a separate return filed by an i 1 i 1organization covered by a group ruling? | X | Yes | [ N

I Group Exemption Number ^ 9 3 7 9

M Check if the organization is not required

to att ach Sell B (Form 990, 990-EZ, or 990-PF)

E J H T Rev enue , Exp ens es, and Chang es in Net As se t s o r Fund Ba lances (See the instructions )

0)

1

a

b

c

d

e

2

3

4

5

6 a

b

c

7

8 a

b

c

d

b

c

1 0 a

b

c

1 1

1 2

Contributions, gifts, grants, and similar amounts received

Contributions to donor advised funds

Direct public support (not included on line 1a)

Indirect public support (not included on line 1a)

Government contributions (grants) (not included on line 1a)

Total (add lines 1a through 1d) (cash $ 2 0 , 1 5 0 , 7 9 7

Gross rents \ cO i\ V > >

Less rental expenses \ * T

Program service revenue including government fees and ex tr ac ts (frdm^Part VII, line . . .

Membership dues and assessments y i ^ V ' / y / . . . r -oS y . \ ^ \ . . .

Interest on savings and temporary cash investmei ^

Divi dend s and intere st fro m securities \ .


7/7

#36-293Ronald.McDonald House Charities, Inc.

Form 990 - Return of Organization Exempt from Income TaxYear Ended December 31, 2006

Part II - Statement of Functional Expenses, Line 22b - Other Grants and Allocations ANDPart III - Statement of Program Service Accomplishments, Lines (a) - (f) Continued

Name and Address of Donee GrantsProgramServices

Total Gra& Progra

Servic

Moses E Cheeks Slam Dunk for Diabetes Inc.(Chicago, IL) - Fund camp for underserved youth struggling with juvenile diabetes

Chicago Symphony Orchestra

(Chicago, IL) - Fund programs to introduce classical music to children

Internet Keep Safe Coalition

(North Arlington, VA) - Fund programs and services to keep children safe on the internet

Children's Defense Fund

(Was hingt on, D C ) - Fund youth leadership programs benefiting children with disabilities and

those less fortunate

United States Fund for UNICEF

(New York, NY) - Support children and families affected by Indonesia Earthquake

Aleks Mihailovic SAFE Foundation

(Oak Brook, IL) - Support soccer programs for underprivileged children

American Hearing Impaired Hockey Association

(Chicago, IL) - Support hockey programs for hearing impaired children

Chicago Theatre Group, Inc.

(Chicago, IL) - Support education and community programs for youth

Kick Drugs Out of America Foundation

(Wmston-Salem, NC) - Support martial arts programs for youth

Kids In Need

(Addison, IL) - Fund scholarships and transitional shelter for kids in crisis

Songs of Love Foundation

(Forest Hills, NY) - Fund production of personalized songs for CD's given to sick children

Imagination Theatre, Inc.

(Chicago, IL) - Fund program for prevention of sexual child abuse

Physically Challanged Irish Youth Team Inc.

(New York, NY) - Support programs for physically challenged children

Comprehensive Learning Center, Inc.

(Sout hampto n, PA) - Fund elementary classroom equipment for children with autism

Jesse White Tumbling Team Inc.

(Chicago, IL) - Support programs for children to formulate, plan for, and achieve worthy and

realistic goals

Providence - St. Mel High School

(Chicago, IL) - Fund student scholarships

Otis Wilson Charitable Association

(Chicago, IL) - Fund health and fitness programs for youth

Special Olympics Southern California, Inc.

(Culver City, CA) - Award of Excellence grant

Metropolitan School District of Martinsville

(Martinsville, IN) - Award of Excellence grant

Cook County Public Guardian

(Chicago, IL) - Fund programs for neglected, abused, and orphaned children in foster care

Save a Life Foundation Inc.

(Schiller Park, IL) - Fund programs to teach life support and first aid programs to children

Thurgood Marshall Scholarship Fund

(New York, NY) - Fund scholarships for youth

Open Doors Foundation

(Irving, TX) - Support educational, motivational, financial, and leadership programs for youth

20,000

25,000 a

25,000

25,000

25,000

10,000

10,000

15,000

20,000

25,000

10,000

20,000

25,000

25,000

10,000

25,000

25,000

50,000

50,000

20,000

25,000

25,000

25,000

2

2

2

2

2

1

1

1

2

2

1

2

2

2

1

2

2

5

5

2

2

2

2

a- A Trustee/Oflicer o l RMHC is also an Trustee/Officer of the Chanty The olficer in question did not participate in the grantmaking decision

STATEMENT 34

ronald mcdonald house charities awards $87,500 to save-a-life foundation, 2004-06

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