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
Padres Contra El Cancer
Employer identification number
95-4150330
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.") ....
985,236
530,908
1,121,106
768,782
234,613
3,640,645
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
985,236
530,908
1,121,106
768,782
234,613
3,640,645
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)..
0
6
Public support. Subtract line 5 from line 4.
3,640,645
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..
985,236
530,908
1,121,106
768,782
234,613
3,640,645
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
1,211
1,100
443
338
118
3,210
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
6,413
4,297
10,710
11
Total support (Add lines 7 through 10).
3,654,565
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
99.620 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
99.610 %
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
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
13000170
Software Version:
2013v3.1
-
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
Padres Contra El Cancer
Employer identification number
95-4150330
Return Reference
Explanation
Form 990, Part III, Line 4d: Other Program Services Description
OTHER PROGRAM SERVICES 4: Community In-Service Learning WorkshopsAccessing childhood cancer and other important health and well-being, and community-based resources is critical in affording a family an opportunity to manage and cope with the many stressors encountered throughout all stages of treatment. PADRES hosts, at no cost to participants, bilingual monthly learning workshops on a wide range of topics, including, but not limited to, access to healthcare assistance, community-based economic assistance, immigration counsel and emotional support services. OTHER PROGRAM SERVICES 5: Lives in TransitionA childhood cancer diagnosis has a profound impact on the emotional well-being of patients and family members alike. Initially funded via a multi-year grant from the Lance Armstrong Foundation, these two weekend workshops are designed to educate families about childhood cancer and the ancillary emotional health concerns that are a natural consequence of the diagnosis. The program curriculum aims to coach families through the childhood cancer treatment process from diagnosis to survivorship. OTHER PROGRAM SERVICES 6: Feria De ESPERANZASM (Hope Fair)This annual fair is designed to provide a unique educational forum for the entire family. Workshops include: age and family member-appropriate cancer education, age-appropriate general health & well-being education, stress management techniques, nutritional counseling, higher education counseling, community resource navigation, and health screenings. OTHER PROGRAM SERVICES 7: Blood & Marrow Donor DrivesTo donate blood is to grant a child the gift of life. PADRES works in close cooperation with Childrens Hospital Los Angeles Blood Donor Center, and the National Marrow Donor Program to educate the community on the importance of donating blood and registering with the National Marrow Donor Registry. Working in collaboration with prominent celebrities, community leaders, and media supporters, PADRES sponsors and coordinates quarterly blood and marrow donor drives.This program saves Childrens Hospital Los Angeles approximately $170,000 per year in blood product purchases. PADRES also registers approximately 500 new individuals a year, to the, Be the Match National Bone Marrow Registry.
Form 990, Part VI, Line 11b: Form 990 Review Process
Form 990 is prepared by and independent CPA. A draft of the completed form is provided via electronic transmission to each Board member for review prior to being filed with the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
Conflict of Interest Policy: At each Board meeting, prior to each vote all directors are asked to identify any conflict of interest regarding the issue in question and abstain from voting if such a conflict exists.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management
CEO Compensation: The organization's board of directors sets compensation for the Chief Executive Officer (CEO). The board performs an annual review of the CEO's performance, reviews local non-profit compensation surveys, and decides in executive session on any increase in the CEO's annual salary. The deliberation and decision-making process is documented in the minutes of the board meeting. The CEO is responsible for setting the compensation of other employees using similar procedures. Changes to employee compensation are documented in the individual employees' files.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
Public Documents: The organization's governing documents, conflict of interest policy, audited financial statements and annual Form 990 are available on written request to the organization. The Form 990 is also available at www.guidestar.org
Form 990, Part IX, Line 24e: Other Expenses
Administration: Column (A) - Total = $18834; Column (B) - Program Services = $8986; Column (C) - Management & General = $5636; Column (D) - Fundraising = $4212
Form 990, Part IX, Line 24e: Other Expenses
Bank Charges: Column (A) - Total = $3580; Column (B) - Program Services = $0; Column (C) - Management & General = $3545; Column (D) - Fundraising = $35
Form 990, Part IX, Line 24e: Other Expenses
Information Technology: Column (A) - Total = $1194; Column (B) - Program Services = $0; Column (C) - Management & General = $1050; Column (D) - Fundraising = $144
Form 990, Part IX, Line 24e: Other Expenses
Marketing & Public Relations: Column (A) - Total = $17478; Column (B) - Program Services = $2390; Column (C) - Management & General = $927; Column (D) - Fundraising = $14161
Form 990, Part IX, Line 24e: Other Expenses
Meetings & Seminars: Column (A) - Total = $29321; Column (B) - Program Services = $20300; Column (C) - Management & General = $4469; Column (D) - Fundraising = $4552
Form 990, Part IX, Line 24e: Other Expenses
Postage & Delivery: Column (A) - Total = $2447; Column (B) - Program Services = $1166; Column (C) - Management & General = $159; Column (D) - Fundraising = $1122
Form 990, Part IX, Line 24e: Other Expenses
Staff Development: Column (A) - Total = $187; Column (B) - Program Services = $0; Column (C) - Management & General = $187; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
Tax/License/Permit: Column (A) - Total = $4829; Column (B) - Program Services = $249; Column (C) - Management & General = $4524; Column (D) - Fundraising = $56
Form 990, Part IX, Line 24e: Other Expenses
Utilities/Telephone/Internet: Column (A) - Total = $11871; Column (B) - Program Services = $8903; Column (C) - Management & General = $949; Column (D) - Fundraising = $2019
Form 990, Part IX, Line 24e: Other Expenses
Volunteer Program: Column (A) - Total = $13855; Column (B) - Program Services = $10119; Column (C) - Management & General = $1758; Column (D) - Fundraising = $1978
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.