Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HEALTHY KIDS CHALLENGE FOUNDATION
Employer identification number
48-1252457
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
111,514
96,808
145,377
62,450
187,160
603,309
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
111,514
96,808
145,377
62,450
187,160
603,309
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
197,322
6
Public support. Subtract line 5 from line 4.
405,987
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
111,514
96,808
145,377
62,450
187,160
603,309
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
6,244
2,942
1,412
846
633
12,077
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
231,367
115,788
140,626
288,848
321,972
1,098,601
11
Total support (Add lines 7 through 10).
1,713,987
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
23.690 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
30.480 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
WHILE FALLING SHORT OF THE 33 1/3% PUBLIC SUPPORT TEST, THE ORGANIZATION MEETS THE FACTS AND CIRCUMSTANCES TEST, EASILY SURPASSING THE 10% OF SUPPORT LIMITATION. IN ADDITION, FUNDING ALONE DOES NOT EXEMPLIFY THE PUBLIC SUPPORT, SCOPE AND REACH OF HEALTHY KIDS CHALLENGE SERVICES FOR PROGRAMS AND GOVERNMENTAL UNITS THAT ARE CONTINUOUSLY LIMITED WITH FINANCIAL SUPPORT FOR NUTRITION EDUCATION, PHYSICAL ACTIVITY AND POLICY AND ENVIRONMENTS THAT BENEFIT HEALTHY BEHAVIORS. HEALTHY KIDS CHALLENGE (HKC) SERVICES HAVE A VERY BROAD APPEAL AS CHILDHOOD AND ADULT OBESITY, THE SURGE IN DIABETES, AND THE EMPHASIS ON CHRONIC DISEASE REDUCTION AND PREVENTION IS IN THE FOREFRONT OF PUBLIC HEALTH. HEALTHY KIDS CHALLENGE PROVIDES SERVICES RATHER THAN FACILITIES. THE WORK OF HKC IS FOCUSED ON EDUCATION, POLICY AND ENVIRONMENTAL SUPPORT OF HEALTHY EATING AND PHYSICAL ACTIVITY. THE FOUNDATION FOR THE WORK IS BASED ON EVIDENCED BASED BEST PRACTICES INCLUDING THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), THE INSTITUTE OF MEDICINE, MYPLATE, LET'S MOVE, AND DIETARY GUIDELINES FOR AMERICANS. HEALTHY KIDS CHALLENGE ACTIVITIES ARE RECOGNIZED BY THE ACADEMY OF NUTRITION AND DIETETICS AS INNOVATIVE NUTRITION EDUCATION FOR THE PUBLIC. HEALTHY KIDS CHALLENGE IS ALSO ON THE ADVISORY COMMITTEE FOR THE CDC HEALTH EDUCATION ANALYSIS TOOL - HEALTHY EATING, A TOOL FOR EVALUATING NUTRITION EDUCATION RESOURCES FOR SCHOOLS AND HAS ADVISED OTHER RECOGNIZED NATIONAL PROGRAMS FOR HEALTHY EATING AND PHYSICAL ACTIVITY.HEALTHY KIDS CHALLENGE ACTIVELY SOLICITS GRANTS AND FUNDING FROM THE GENERAL PUBLIC. HKC STRATEGIES INCLUDE YEARLY GRANT APPLICATIONS, AS OPPORTUNITIES ARE OFFERED. WE CURRENTLY HAVE SEVERAL GRANT AWARDS WE ARE ACTIVELY WORKING ON AND CONTINUOUSLY HAVE GRANT APPLICATIONS IN PROGRESS. CURRENT WORKING GRANTS ARE SERVING >MORE THAN 20 COUNTIES IN URBAN, RURAL AND FRONTIER COUNTIES IN KANSAS; SIX COUNTIES OF WHICH HAVE BEEN DESIGNATED AS MEDICALLY UNDERSERVED. IN A MAJORITY OF THE COUNTIES, ONGOING WORK IS ALSO IN COLLABORATION WITH EFFORTS UNDERWAY THROUGH KANSAS CHRONIC DISEASE RISK REDUCTION GRANTS. MANY OF THE RURAL COUNTIES HAVE DESIGNATED FOOD DESERTS AND FEW RESOURCES TO BRING OPPORTUNITIES FOR INCREASED PHYSICAL ACTIVITY. THE WORK PROVIDES DIRECT ASSISTANCE TO HELP COUNTIES SEEK POLICIES AND ENVIRONMENTAL SUPPORT FOR ACCESS FOR HEALTHY FOODS AND ACTIVE LIVING ALONG WITH EDUCATION. THE WORK HAS THE POTENTIAL FOR IMPACTING OVER 1.8 MILLION OF A DIVERSE KANSAS POPULATION IN A WIDE NUMBER OF COUNTY-WIDE ENVIRONMENTS (MUNICIPAL, WORK, SCHOOL, RETAIL AND MORE). >AT LEAST 4 DIFFERENT STATEWIDE GOVERNMENTAL UNITS (LAND GRANT EXTENSION COOPERATIVE SERVICE, TEAM NUTRITION, NUTRITION EDUCATION NETWORK, STATE BOARD OF EDUCATION). THE TRAINING AND DIRECT ASSISTANCE WITH THE LAND GRANT EXTENSION COOPERATIVE WILL REACH SCHOOLS, SUMMER SCHOOL PROGRAMS, AND AFTER SCHOOL PROGRAMS STATEWIDE.>ONE TRIBAL NATION WITH 54 SCHOOL DISTRICTS THROUGH TRAINING AND ASSISTANCE TO MEET STANDARDS AND ACHIEVE CERTIFICATION AS OKLAHOMA HEALTHY SCHOOLS.NATIONWIDE, MORE THAN 350 SCHOOLS AND YOUTH PROGRAMS ARE RECEIVING DIRECT ONSITE TRAINING AND ASSISTANCE. ONLY WHEN IT IS RECOGNIZED HKC WORKS WITH LEADERSHIP THAT IMPACTS 100'S OF THOUSAND OF KIDS, IS THE FULL SCOPE AND IMPACT OF HKC SERVICES REALIZED. HEALTHY KIDS CHALLENGE (HKC) HAS A BROAD PUBLIC REACH.>HKC HAS OVER 3,300 MEMBERS, MANY OF WHICH ARE SCHOOLS AND COMMUNITY YOUTH PROGRAMS (RATHER THAN INDIVIDUALS) WHO SHARE RESOURCES WITH THEIR "MEMBERS" AND AUDIENCES. THERE IS NO FEE FOR HKC MEMBERSHIP. INSTEAD, MEMBERS SUPPORT THE HKC MISSION TO "DEVELOP LEADERS WHO HELP KIDS AND FAMILIES EAT HEALTHY AND MOVE MORE". MEMBERS RECEIVE AND HAVE ACCESS TO FREE RESOURCES.>THE ORGANIZATION ALSO MAINTAINS A MONTHLY UPDATED PUBLIC WEBSITE (WITH FREE DOWNLOADABLE RESOURCES), WEEKLY NEWSLETTER, SOCIAL MEDIA (FACEBOOK, TWITTER, AND BLOGS), TOLL FREE TELEPHONE, AND E-MAIL RESPONSES TO PROVIDE INFORMATION, RESOURCES AND ASSISTANCE. HKC HAS OVER 1500 FACEBOOK FOLLOWERS.THE HKC GOVERNING BODY IS REPRESENTED BY FIVE INDEPENDENT MEMBERS WHO ALL REPRESENT THE BROAD INTEREST OF THE PUBLIC. THE ORGANIZATION HAS CONTINUALLY PROVIDED SERVICES DIRECTLY FOR THE BENEFIT OF THE GENERAL PUBLIC. HEALTHY KIDS CHALLENGE ALSO HAS AN ADVISORY COMMITTEE COMPOSED OF INDIVIDUALS REPRESENTING UNIVERSITY PROGRAMS, ELEMENTARY SCHOOL TEACHERS, PHYSICAL EDUCATORS, PEDIATRICIANS, UNDERSERVED NUTRITION PROGRAMS, MEDIA, AND CULTURALLY DIVERSE PROGRAMS.HKC ACTIVITIES IMPACT ALL ENVIRONMENTS WHERE KIDS AND FAMILIES LIVE, LEARN, WORK AND PLAY. HEALTHY KIDS CHALLENGE SERVICES AND ACTIVITIES ARE NOT LIMITED BY REGION AS THEY HAVE A NATIONAL REACH WITHIN A SPECIALIZED FIELD OF HEALTH PROMOTION AND DISEASE PREVENTION RELATED TO HEALTHY EATING AND PHYSICAL ACTIVITY. EVEN SO, MANY OF THE FUNDS FROM GOVERNMENTAL GRANTS ARE ONLY AVAILABLE FOR INSTITUTIONAL OR RESEARCH ORGANIZATIONS. HEALTHY KIDS CHALLENGE IS NOT AFFILIATED WITH AN INSTITUTION OR ANY OTHER ORGANIZATION, INSTEAD WE PARTNER WITH GOVERNMENTAL UNITS, ORGANIZATIONS AND OTHER FUNDERS. PARTNERSHIPS ARE FORMED WITH ORGANIZATIONS AND GOVERNMENTAL UNITS NOT ONLY FOR FUNDING, BUT TO DEVELOP NETWORKS THAT HAVE A VERY BROAD SCOPE FOR GREATEST POPULATION REACH POSSIBLE.
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HEALTHY KIDS CHALLENGE FOUNDATION
Employer identification number
48-1252457
Return Reference
Explanation
FORM 990, PART VI, SECTION B, LINE 11
REVIEWED BY TREASURER AND BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12C
DIRECTORS MUST ANNOUNCE ANY POTENTIAL CONFLICT AND ARE DISQUALIFED FROM VOTING IN BOARD MEETINGS UNTIL CONFLICT IS RESOLVED.
FORM 990, PART VI, SECTION B, LINE 15
BOARD MEMBERS APPROVE COMPENSATION LEVELS AFTER REVIEW OF COMPENSATION AND BENEFITS REPORTS PUBLISHED BY THE ACADEMY OF NUTRITION AND DIETETICS AND SIMILAR NONPROFITS ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19
UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.