Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 63,896 | 150,083 | 225,859 | 48,936 | 73,640 | 562,414 |
| 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 | 63,896 | 150,083 | 225,859 | 48,936 | 73,640 | 562,414 |
| 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).. | 148,954 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 413,460 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 63,896 | 150,083 | 225,859 | 48,936 | 73,640 | 562,414 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 224,905 | 265,258 | 241,388 | 232,967 | 275,038 | 1,239,556 |
| 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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 1,825,462 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| 1) PUBLIC SUPPORT WAS 22.65% IN 2018, ABOVE THE 10% BENCHMARK. THIS HAD INCREASED 2.25% FROM THE PRIOR FISCAL YEAR. 2) BOARD MEMBERS REPRESENT BROAD PUBLIC SUPPORT. THEY HAVE FIFTY-SEVEN BOARD MEMBERS AS OF JUNE 30, 2019. 3) GRANTS AND FELLOWSHIPS TO MEDICAL RESEARCH ARE AWARDED. THE RESEARCH OUTCOMES, WOULD BENEFIT THE GENERAL PUBLIC. ADDITIONALLY, THE H. L. SNYDER MEDICAL FOUNDATION AWARDS SCHOLARSHIPS TO STUDENTS PURSUING AN EDUCATION IN THE MEDICAL FIELD. APPLICATIONS FOR SCHOLARSHIPS ARE ACCEPTED FROM THE PUBLIC AND THE GENERAL PUBLIC HAS THE OPPORTUNITY TO APPLY FOR THE SCHOLARSHIPS. 4) H.L. SNYDER MEDICAL FOUNDATION GAVE 52,895 TO A LOCAL HOSPITAL HEALTHCARE FOUNDATION, 5,949 TO THE LOCAL SCHOOL DISTRICT, 33,746 TO CITY FOR EMS EQUIPMENT, AND 1,612 TO A 501(C)3 ORGANIZATION. |
| Return Reference | Explanation |
|---|---|
| PART II, LINE 17A | 1) PUBLIC SUPPORT WAS 22.65% IN 2018, ABOVE THE 10% BENCHMARK. THIS HAD INCREASED 2.25% FROM THE PRIOR FISCAL YEAR. 2) BOARD MEMBERS REPRESENT BROAD PUBLIC SUPPORT. THEY HAVE FIFTY-SEVEN BOARD MEMBERS AS OF JUNE 30, 2019. 3) GRANTS AND FELLOWSHIPS TO MEDICAL RESEARCH ARE AWARDED. THE RESEARCH OUTCOMES, WOULD BENEFIT THE GENERAL PUBLIC. ADDITIONALLY, THE H. L. SNYDER MEDICAL FOUNDATION AWARDS SCHOLARSHIPS TO STUDENTS PURSUING AN EDUCATION IN THE MEDICAL FIELD. APPLICATIONS FOR SCHOLARSHIPS ARE ACCEPTED FROM THE PUBLIC AND THE GENERAL PUBLIC HAS THE OPPORTUNITY TO APPLY FOR THE SCHOLARSHIPS. 4) H.L. SNYDER MEDICAL FOUNDATION GAVE 52,895 TO A LOCAL HOSPITAL HEALTHCARE FOUNDATION, 5,949 TO THE LOCAL SCHOOL DISTRICT, 33,746 TO CITY FOR EMS EQUIPMENT, AND 1,612 TO A 501(C)3 ORGANIZATION. |
| PART II, LINE 17B | 1) PUBLIC SUPPORT WAS 20.40% IN 2017, ABOVE THE 10% BENCHMARK. THIS HAD INCREASED 0.67% FROM THE PRIOR FISCAL YEAR. 2) BOARD MEMBERS REPRESENT BROAD PUBLIC SUPPORT. THEY HAVE FIFTY-SEVEN BOARD MEMBERS AS OF JUNE 30, 2018. 3) GRANTS AND FELLOWSHIPS TO MEDICAL RESEARCH PROGRAMS ARE AWARDED. THE RESEARCH OUTCOMES, WOULD BENEFIT THE GENERAL PUBLIC. ADDITIONALLY, THE H.L. SNYDER MEDICAL FOUNDATION AWARDS SCHOLARSHIPS TO STUDENTS PURSUING EDUCTION IN THE MEDICAL FIELD. APPLICATIONS FOR SCHOLARSHIPS ARE ACCEPTED FROM THE PUBLIC. THE GENERAL PUBLIC HAS THE OPPORTUNITY FOR SCHOLARSHIPS. 4) H.L. SNYDER MEDICAL FOUNDATION GAVE 16,371 TO THE LOCAL SCHOOL DISTRICT AND INTERLOCAL, 50,000 TO THE LOCAL GOVERNMENTAL HOSPITAL, 6,565 TO A 501(C)3 HEALTH ORGANIZATION, 9,471 TO THE LOCAL FIRE DEPARTMENT, 19,388 TO THE LOCAL VETERANS HOME |
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Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 2 | CAROLINE BLAKESLEE LINCOLN SNYDER, M.D. TRUSTEE TRUSTEE/RESA FAMILY RELATIONSHIP CAROLINE BLAKESLEE MARJORIE SNYDER TRUSTEE TRUSTEE FAMILY RELATIONSHIP MARJORIE SNYDER LINCOLN SNYDER, M.D. TRUSTEE TRUSTEE/RESE FAMILY RELATIONSHIP KATIE EASTMAN TOM HERLOCKER, ATTY. TRUSTEE ASST. SEC FAMILY RELATIONSHIP TOM HERLOCKER, ATTY. DENNIS HERLOCKER, ATTY. ASST. SEC. TRUSTEE FAMILY RELATIONSHIP HANNELORE SNYDER BROWN HEIDI SNYDER FLAGG, M.D. TRUSTEE TRUSTEE FAMILY RELATIONSHIP JIM SNYDER JOHN W. SNYDER TRUSTEE TRUSTEE FAMILY RELATIONSHIP JOHN W. SNYDER SUSAN SNYDER FORRESTER TRUSTEE TREASTRUSTEE FAMILY RELATIONSHIP SHARON TAYLOR WILLIAM A. TAYLOR, JR. TRUSTEE TRUSTEE FAMILY RELATIONSHIP CATHY HOLADAY C. DAVID MCDERMOTT TRUSTEE TRUSTEE FAMILY RELATIONSHIP MARJORIE MCDERMOTT CATHY HOLADAY TRUSTEE TRUSTEE FAMILY RELATIONSHIP MARJORIE MCDERMOTT J. D. MCDERMOTT, M.D. TRUSTEE TRUSTEE FAMILY RELATIONSHIP C. DAVID MCDERMOTT J. D. MCDERMOTT, M.D. TRUSTEE TRUSTEE FAMILY RELATIONSHIP MARJORIE MCDERMOTT C. DAVID MCDERMOTT TRUSTEE TRUSTEE FAMILY RELATIONSHIP BRIAN GENTRY TODD GENTRY TRUSTEE TRUSTEE FAMILY RELATIONSHIP HARRY GARSCHAGEN JEAN GARSCAGEN TRUSTEE TRUSTEE FAMILY RELATIONSHIP HARRY GARSCHAGEN ANDREW GARSCHAGEN TRUSTEE TRUSTEE FAMILY RELATIONSHIP JEAN GARSCHAGEN ANDREW GARSCHAGEN TRUSTEE TRUSTEE FAMILY RELATIONSHIP LUCY FREEMAN, ATTY DAN FREEMAN, O.D. ASST SEC. TRUSTEE FAMILY RELATHIONSHIP LUCY FREEMAN, ATTY. TOM HERLOCKER, ATTY. ASST. SEC. ASST. SEC. FAMILY RELATHIONSHIP MATTHEW BLAKESLEE W BROOK BLAKESLEE TRUSTEE PRESTRUSTEE FAMILY RELATIONSHIP MATTHEW BLAKESLEE CAROLINE BLAKESLEE TRUSTEE TRUSTEE FAMILY RELATIONSHIP WALKER FORRESTER SUSAN FORRESTER TRUSTEE TREASTRUSTEE FAMILY RELATIONSHIP ALEXANDRA MOORE HARRY GARSCHAGEN TRUSTEE TRUSTEE FAMILY RELATIONSHIP ALEXANDRA MOORE JEAN GARSCHAGEN TRUSTEE TRUSTEE FAMILY RELATIONSHIP WALKER FORRESTER JIM SNYDER TRUSTEE TRUSTEE FAMILY RELATIONSHIP HEIDI BROWN HANNELORE SNYDER BROWN TRUSTEE TRUSTEE FAMILY RELATIONSHIP SUSAN SNYDER, M.D LINCOLN SNYDER, M.D. TRUSTEE TRUSTEE/RESE FAMILY RELATIONSHIP GRIFFIN FORRESTER SUSAN SNYDER FORRESTER TRUSTEE TREASTRUSTEE FAMILY RELATIONSHIP GRANT BLAKESLEE W BROOK BLAKESLEE TRUSTEE TRUSTEE FAMILY RELATIONSHIP ERIKA BROWN HEIDI BROWN TRUSTEE TRUSTEE FAMILY RELATIONSHIP SCOTT BROWN HANNELORE SNYDER BROWN TRUSTEE TRUSTEE FAMILY RELATIONSHIP W BROOK BLAKESLEE CAROLINE BLAKESLEE PRES TRUSTEE TRUSTEE FAMILY RELATIONSHIP GRAN BLAKESLEE CAROLINE BLAKESLEE TRUSTEE TRUSTE FAMILY RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 11B | PAID PREPARER COMPLETES RETURN. REVIEW OF COMPLETED RETURN MADE WITH MEMBER REPRESENTATIVE DESIGNATED BY THE BOARD OF TRUSTEES OF THE H.L. SNYDER MEDICAL FOUNDATION. PRIOR TO FILING THE 06/30/2019 FORM 990 TAX RETURN, THE ADMINISTRATOR FOR THE H.L. SNYDER MEDICAL FOUNDATION WILL MAKE THE FORM 990 AVAILABLE TO ALL BOARD MEMBERS WHO WISH TO REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EXECUTIVE FINANCE COMMITEE MEETS EVERY THREE MONTHS, ANY ISSUES WOULD BE ADDDRESSED AT THEIR MEETINGS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | ANY SALARY ADJUSTMENTS FOR ADMINISTRATOR POSITION ARE APPROVED BY A COMMITEE OF BOARD MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | ANY SALARY ADJUSTMENTS FOR THE ADMINISTRATOR ARE REVIEWED BY A COMMITEE OF BOARD MEMBERS. THE ADMINISTRATOR POSITION IS THE ONLY PAID POSITION OF THE H.L. SNYDER MEDICAL FOUNDATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | BASIC DOCUMENTS ARE ALREADY PUBLIC RECORD - FORM 990 AND ARTICLES OF INCORPORATION. |
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| Software Version: |