Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and 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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 281,939 | 267,263 | 248,805 | 330,820 | 108,571 | 1,237,398 |
| 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 | 281,939 | 267,263 | 248,805 | 330,820 | 108,571 | 1,237,398 |
| 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).. | 985,757 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 251,641 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 281,939 | 267,263 | 248,805 | 330,820 | 108,571 | 1,237,398 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 36,385 | 36,333 | 33,874 | 70,015 | 62,345 | 238,952 |
| 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.).. | 0 | |||||
| 11 | Total support. Add lines 7 through 10 | 1,476,350 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) |
||||
| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, 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 2019. 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 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 19009920 |
| Software Version: | 2019v5.0 |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Client Note 1 | Client Note 1 - RENAL SUPPORT NETWORK2019 FORM 99095-4672679QUALIFYING AS PUBLICLY SUPPORTEDRenal Support Network(RSN) is a nonprofit, patient-focused, patient-run organization established in 1993 to provide non-medical services to those affected by chronic kidney disease(CKD). RSN strives to help patients develop their personal coping skills, special talents, and employability by educating and empowering them (and their family members) to take control of the course and management of the disease.Contributions are not required to become a member of RSN. Over 300 individual and corporate contributors support the funding of the many programs available to CKD patients. The RSN board members consist of kidney patients and renal care professionals who are experts in the field of chronic kidney disease and related areas.RSN currently has the following programs and services:KidneyTalk Magazine(28 page newsletter)is written by people with kidney disease, healthcare professionals and care givers.Over 20,000 copies are distributed bi-annually at medical facilities and sent to individuals. The Wellness & Education Kidney Advocacy Network (weKAN)This program consists of 'patient activists' from across the country whose common goal is to ensure that people with CKD receive quality care. Patient activists also work to educate people about the risks of chronic kidney disease.KidneyTalkAn online radio talk show hosted by Lori Hartwell , covering a wide variety of kidney-related topics(go to rsnhope.org) to inspire kidney patients to lead the fullest life possible. This show is being recognized worldwide.20th Annual Renal Teen Prom(over 400 people attended from across the country)A free event for teenagers and young adults with kidney disease.Set in the style of a senior prom, this gala draws "kidney teens", their guests, and volunteers for a night of fun, entertainment and camaraderie. Hopeline-This program is a toll free call-in line offering patient to patient encouragement and support from operators who live successfully with chronic kidney disease. Patient Lifestyle meetings and support groups offer day-long seminars on topics having real-life relevance and allow patients to share their experiences and hope.RSN holds an Annual Essay Contest which provides people who have CKD with a forum where they can share their experiences, strength, and hope, as well as inspire others. Every year we have a different theme and the top three essays win prizes and have their essay published in our Live & Give Newsletter as well as on our website. RSN has 18,500+ members,6,500+ Renalert subscribers,40,000+ monthly website visitors, 3,300+ annual hopeline calls & emails,335+ education meeting attendees,30,300+ facebook fans, and 6,300+ twitter followers, and 1,600+ Instagram followers.Visit www.RSNhope.org for more informationDONATIONS ARE ENCOURAGED ON THE RSN WEBSITE AND ARE ACCEPTED BY PHONE, CHECK OR ON-LINE. |
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: RSNs KidneyTalk is an informative, inspirational, and entertaining online, half-hour radio talk show that launched in 2006 with host RSN Founder & President Lori Hartwell who has been a renal disease survivor since 1968. KidneyTalk provides the audience with practical advice on how to live a full and productive life despite CKD. The show features healthcare professionals and people living successfully with kidney disease who share personal experiences and wisdom. OTHER PROGRAM SERVICES 5: RSN's KidneyTalk Magazine contains 28 pages of patient and professionally writtenarticles that bring health, happiness and hope to readers all across the country.The purpose is to provide patients with education, encouragement and tools necessaryto help navigate kidney disease. The Live & Give is published twice yearly with20,000 copies per edition mailed out to people with kidney disease and dialysisfacilities throughout the United States. This publication is at no charge to receive it. OTHER PROGRAM SERVICES 6: RSNs 17th Annual Patient Essay Contest provides an outstanding opportunity for people who have chronic kidney disease, including people on dialysis and kidney transplant recipients, to make a valuable contribution to society by expressing their ideas, views, and most importantly, hope. The annual contest theme allowed writers to share their courageous perspective of survival. Entrants needed to meet only one qualification to have been diagnosed with chronic kidney disease. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | A COPY OF PROPOSED FORM 990 AND ASSOCIATED SCHEDULES WAS E MAILED TO PRESIDENT FOR REVIEW PRIOR TO FILING OF TAX RETURN AND WAS DISCUSSED AT A BOARD MEETING. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | available upon request |
| Software ID: | 19009920 |
| Software Version: | 2019v5.0 |