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)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 475,685 | 521,624 | 327,688 | 397,878 | 732,485 | 2,455,360 |
| 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 | 475,685 | 521,624 | 327,688 | 397,878 | 732,485 | 2,455,360 |
| 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) .. | 145,425 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 2,309,935 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 475,685 | 521,624 | 327,688 | 397,878 | 732,485 | 2,455,360 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 324 | 405 | 240 | 60 | 438 | 1,467 |
| 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 | 2,529,513 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (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 on 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): |
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| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4a | Dec My Room, Inc. decorates and personalizes the hospital rooms of children with cancer. These are children admitted to the hospital for bone marrow transplants, intensive chemotherapy, or other therapies requiring prolonged hospitalization of 3 weeks or longer. Dec My Room purchases decorations, toys, and games that reflect the child's unique personality and interests. Dec My Room volunteers, wearing our blue aprons, take the decorations and gifts and transform the child's hospital room into a special place decorated just for that child. The child takes their gifts home. In addition, Dec My Room has begun to decorate rooms for antepartum patients and high-risk pregnant moms who are on bed rest at the hospital for prolonged amounts of time. Dec My Room is based in Houston, TX, and has affiliates in Chattanooga, TN; Cleveland, OH; Austin, TX; Dallas, TX; Ft. Worth, TX; Los Angeles, CA; Holmdel, NJ; San Francisco, CA; Oklahoma City, OK and the State of Florida. Houston manages the locations without a Chapter Director. In 2022, Dec My Room decorated 945 rooms across the country: - 71 rooms among six hospitals (Texas Children's, MD Anderson, HealthBridge, Children's Memorial Hermann, Shriners Galveston, and Memorial Hermann TIRR) in Houston, TX - 77 rooms among Children's Health, HCA Medical City Children's, Fort Worth Cook Children's and Children's Health, Plano in the North Texas area - 17 rooms at Dell Children's in Austin, TX - 2 rooms at Methodist in San Antonio, TX - 2 rooms at El Paso Children's in El Paso, TX - 79 rooms among five hospitals (UCSF Benioff San Francisco, UC Davis, UCSF Benioff Oakland, LPCH Stanford, and Kaiser Permanente Santa Clara) in San Francisco, CA - 72 rooms among five hospitals (Children's Los Angeles, Kaiser LAMC, UC Irvine, City of Hope, and Children's Orange County) in Los Angeles, CA - 111 rooms among four hospitals (Cleveland Clinic Children's, MetroHealth, Children's Rehab, and University Children's) in Cleveland, OH and Nationwide in Columbus, OH - 1 room at DC National in Washington, DC. - 1 room at Montefiore Children's and Mount Sinai in New York - 5 rooms at Erlanger in Chattanooga, TN - 7 rooms at Nashville Centennial Children's in Nashville, TN - 9 rooms among three hospitals (including Hackensack Meridian and K. Hovnanian Children's) in New Jersey - 21 rooms among three hospitals (Children's New Orleans, Our Lady of the Lake in Baton Rouge, and Ochsner in New Orleans) in Louisiana - 7 rooms among five hospitals (Central DuPage Northwestern, La Rabida, Marianjoy Rehab, Robert H. Lurie, and Shriners Hospital) in Chicago, IL - 376 rooms among 20 hospitals throughout the State of Florida - 3 rooms at Blank Children's in Iowa - 32 rooms at OKC Children's and Bethany Children's Rehab in Oklahoma - 3 rooms between Boston UMASS and Bay State in Massachusetts - 2 rooms at Sparrow Children's in Michigan - 5 rooms at Gillette in Minnesota - 18 rooms at St. Louis Children's in Missouri - 3 rooms between Lovelace and Eastern NM Medical Center in New Mexico - 4 rooms between UPMC Pittsburgh and Lehigh Valley Riley in Allentown, Pennsylvania - 15 rooms at UVA in Virginia - 2 rooms between SSM St. Mary's Pediatrics and SSM St. Mary's antepartum patients in Wisconsin In 2022, Dec My Room added 30 hospitals to the Dec My Room program: - 14 hospitals in Florida: Wolfson, Jacksonville; Nemours Rehab, Kissimmee; Lee Health Rehab, Ft. Meyers; Nicklaus Children's, Miami; Broward Health/Salah, Ft. Lauderdale; Broward Health, Coral Springs; Holtz Children's, Miami; AdventHealth Children's, Orlando; AdventHealth Disney Pavilion; University of Miami, Jackson; Children's Comprehensive Care Center (Broward Care Center), Pompano; Deerfield Health & Rehabilitation Center; Memorial Health Hollywood; Broward Health Women's Davie - 1 hospital in Louisiana: OLOL Children's Hospital in Baton Rouge - 1 hospital in Westfield, Massachusetts: Bay State - 1 hospital in Nebraska: Nebraska Medicine - 2 hospitals in New Mexico: Lovelace, Roswell, and Eastern New Mexico - 3 hospitals in Ohio: Nationwide Children's Hospital in Columbus; University Health Rainbow Babies in Cleveland; and University Hospitals in Cleveland - 2 hospitals in Pennsylvania: Lehigh Valley Reilly Children's Hospital and UPMC Pittsburgh Children's - 1 hospital in South Carolina: Hands of Hope - 4 hospitals in Texas: Children's Health, Plano; Dell Children's, Austin; Memorial Hermann TIRR, El Paso - 1 hospital in Wisconsin: SSM Health St. Mary's in Madison |
| Form 990, Part VI, Section A, line 2 | Kendall Plank and Susan Plank have a family relationship. |
| Form 990, Part VI, Section B, line 11b | Form 990 is initially reviewed by the VP of Finance and President. A copy is provided to the entire board before filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | The Board reviews the By-laws and Conflict of Interest policy annually. Any Director with a potential or actual conflict of interest between the organization's interests and the Director's personal, family, financial, or professional interests shall disclose this conflict of interest to the Board of Directors. If a Director has a conflict of interest relating to any matter under consideration for a decision, they shall abstain from any vote, discussion (except as the remaining Board deems necessary for informational purposes), or any attempt to influence the Board's decision. The Board may require the Director to be excused from a meeting while the matter is being deliberated and voted on. |
| Form 990, Part VI, Section B, line 15a | The President reviews compensation. The President reviews weekly and daily time working with the Foundation and considers experience and responsibilities in determining compensation. |
| Form 990, Part VI, Section C, line 19 | Documents are available upon request. |
| Form 990, Part IX, line 11g | Program directors: Program service expenses 108,743. Total expenses 108,743. |
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