2023-09-21T16:10:04-05:00 2022-12-31 208149084 ANASTASI MOORE & MARTIN PLLC 9 S WASHINGTON ST STE 600 SPOKANE WA 99201 990 2022-01-01 203584556 CHILD'S PLAY CHIL 4254035558 9660 153RD AVE NE REDMOND WA 98052 ELAINE CHASE PRESIDENT 4254035558 2023-09-21 1 ELAINE CHASE 999009999 1 PAUL ANASTASI CPA P00395796 5093230272 2023-09-21 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ELAINE CHASE 9660 153RD AVE NE REDMOND WA 98052 4503150 0 X WWW.CHILDSPLAYCHARITY.ORG X 2005 WA CHILD'S PLAY IMPROVES THE LIVES OF CHILDREN THROUGH THE POWER OF PLAY. 6 4 6 79 38038 0 3781650 4000471 0 0 312600 397030 31089 -1047 4125339 4396454 3022839 2469391 0 0 548872 570226 0 0 347047 516476 697383 4088187 3737000 37152 659454 14460372 14022478 1162693 1036628 13297679 12985850 CHILD'S PLAY SEEKS TO IMPROVE THE LIVES OF CHILDREN AND TEENS IN PEDIATRIC HOSPITALS AND OTHER CHILD WELFARE FACILITIES THROUGH THE KINDNESS AND GENEROSITY OF THE GAMER COMMUNITY AND THE POWER OF PLAY. 0 0 2994025 2469391 STARTED BY THE FOUNDERS OF PENNY ARCADE, INC., MIKE KRAHULIK AND JERRY HOLKINS IN 2003 UNITING THE GAMING COMMUNITY AND HIGHLIGHTING THE GOOD IN THE INDUSTRY WHEN GAMERS GIVE BACK! FOCUSING ON HELPING IMPROVE THE PATIENT EXPERIENCE, CHILD'S PLAY WORKS CLOSELY WITH CHILD LIFE DEPARTMENTS TO UNDERSTAND THEIR TECHNOLOGY NEEDS, PROVIDE SOLUTIONS TO GAMING ROADBLOCKS AND SUPPORT THEIR HOSPITALS PROGRAM WITH IN-KIND AND CASH CONTRIBUTIONS. WE SUPPORT MORE THAN 180 HOSPITALS AND IMPACT MORE THAN 1MILLION KIDS EACH YEAR. IN RECENT YEARS, CHILD'S PLAY HAS HEAVILY FOCUSED ON GAMING AND TECHNOLOGY SPECIALISTS. THESE POSITIONS INSIDE CHILDREN'S HOSPITALS HAVE PROVEN TO ENHANCE THE PATIENTS EXPERIENCE WHILE CREATING AN ENVIRONMENT THAT IS INCLUSIVE AROUND GAMING. THESE TECHNOLOGY SPECIALISTS PROMOTE IMMERSIVE TECHNOLOGY SUCH AS AUGMENTED AND VIRTUAL REALITY TO HELP PROVIDE DISTRACTION DURING PROCEDURES. THIS CAN HELP KIDS GET HOME SOONER AND HEAL QUICKER. CHILD'S PLAY HAS FUNDED 38 OF THESE POSITIONS TO DATE THROUGH CAPACITY BUILDING GRANTS AND CONTINUES TO LOOK FOR ADDITIONAL DONOR/SPONSOR SUPPORT TO GROW THIS PROGRAM. THESE GRANTS ALLOW THE HOSPITAL TO SUPPORT THIS NEW POSITION IN 2 TO 3 YEARS. WE KNOW NOT ALL CLINICIANS AND CARETAKERS IN AND OUTSIDE THE HOSPITAL SETTING ARE GAMERS. WE WANT TO MEET PEOPLE WHERE THEY ARE AT AND SHOW THEM THE BENEFITS OF GAMING AND POWER OF PLAY. THAT'S WHY CHILD'S PLAY CREATED THE THERAPEUTIC VIDEO GAME GUIDE A TOOL TO RECOMMEND VIDEO GAMES FOR CHILDREN BASED ON THEIR SYMPTOMS. THE GAMES AE CURATED BY RESEARCHERS AT CIRCANA GROUP, L.P., A MARKET-LEADING VIDEO GAME RESEARCH FIRM, IN COLLABORATION WITH MENTAL HEALTH RESEARCHERS AT UCSD. THIS GUIDE WAS DESIGNED AS A QUICK REFERENCE TO HELP CARETAKERS QUICKLY SELECT GAMES FOR THEIR PATIENTS. 2994025 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0 0 0 0 0 1 5 0 1 6 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 X 6 4 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 WA X TRAVIS ERIKSEN 4255298885 9660 153RD AVE NE REDMOND WA 98052 ELAINE CHASE PRESIDENT 2.00 X X 0 0 0 MIKE KRAHULIK VICE PRESIDENT 2.00 X X 0 0 0 ASHER MARKS SECRETARY 2.00 X X 0 0 0 MIKE HAYES TREASURER 3.00 X X 0 0 0 MATEO MESSINA BOARD MEMBER 2.00 X 0 0 0 TALON BEESCH BOARD MEMBER 2.00 X 0 0 0 TRAVIS ERIKSEN EXECUTIVE DIRECTOR 40.00 X 129823 0 7423 KIRSTEN CARLILE DIRECTOR OF PHILANTHROPY & PARTNER EXPERIENCES 40.00 X 107188 0 21528 237011 0 28951 2 0 0 0 0 90581 95000 3814890 348393 4000471 369120 369120 31264 3354 27910 27910 27910 18666 90581 57751 -39085 -39085 6957 0 6957 6957 76672 45591 31081 31081 4396454 0 38038 357945 2321583 2321583 147808 147808 137247 34312 68623 34312 338215 164469 72815 100931 12446 6124 2593 3729 44999 21536 11045 12418 37319 15702 10982 10635 7876 1400 6281 195 35500 35500 100090 100090 1799 449 1350 89810 32685 57125 241358 113239 13868 114251 70797 51412 10939 8446 56957 45777 3318 7862 50 50 130 130 11763 8823 1960 980 SUPPLIES 73835 29085 44750 WAREHOUSING EXPENSE 3682 70 3612 ONLINE RETAIL FEES 2611 2611 TAXES, LICENSES & PERMI 1125 160 965 3737000 2994025 395928 347047 849511 580523 1235680 1813998 48953 7015 40497 193856 2231 2479 182387 266731 49666 24078 5055 497 4688 4558 5734552 4597312 6306237 6342024 5970 189904 14460372 14022478 80492 82579 925416 674049 153500 80519 3285 15273 0 184208 1162693 1036628 X 13270308 12955944 27371 29906 13297679 12985850 14460372 14022478 659454 -971283 0 X 0 1 X 1 0 X 147607 3758197 4091136 3781650 4000471 15779061 147607 3758197 4091136 3781650 4000471 15779061 2276486 13502575 79038 304131 182670 311157 369120 1246116 17025177 0.79310 0.72250 X SCHEDULE A, PART II, COLUMN A COLUMN A REFLECTS A CHANGE IN ACCOUNTING PERIOD AND ONLY INCLUDES 3 MONTHS' WORTH OF DATA. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5055 497 4558 4558 REAL ESTATE INVESTMENT TRUSTS 692114 F INVESTMENTS AT NAV 5649910 F 6342024 RIGHT OF USE LIABILITY 184208 184208 3449728 -971283 21355 -949928 4399656 100140 -103342 -3202 4396454 3761557 21355 103342 124697 3636860 100140 100140 3737000 PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES -57,751. COST OF GOODS SOLD -45,591. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES 57,751. COST OF GOODS SOLD 45,591. 1 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 PROGRAM SERVICES GRANTS TO LOCAL RECIPIENTS/CHILD WELFARE ORGANIZATIONS 40477 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICES GRANTS TO LOCAL RECIPIENTS/CHILD WELFARE ORGANIZATIONS 56956 MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, 0 0 PROGRAM SERVICES GRANTS TO LOCAL RECIPIENTS/CHILD WELFARE ORGANIZATIONS 10500 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 PROGRAM SERVICES GRANTS TO LOCAL RECIPIENTS/CHILD WELFARE ORGANIZATIONS 34875 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 PROGRAM SERVICES GRANTS TO LOCAL RECIPIENTS/CHILD WELFARE ORGANIZATIONS 5000 0 0 0 0 0 0 147808 0 147808 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 6375 EFT 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 8000 EFT 0 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 7000 EFT 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 8500 EFT 0 MIDDLE EAST AND NORTH AFRICA GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 10500 EFT 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 8000 EFT 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 15727 EFT 0 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 32131 EFT 0 9 0 0 0 0 0 0 0 PART I, LINE 2: CHILD'S PLAY REQUESTS A REPORT FROM THE ORGANIZATION DETAILING HOW THEY USED THE FUNDS. PART I, LINE 3: ALL AMOUNTS REPORTED ON PART I, LINE 3, COLUMN (F), ARE EXPENDITURES, WHICH ARE REPORTED ON THE ACCRUAL BASIS OF ACCOUNTING AND INCLUDE GRANTS PAYABLE. GRANTS PAYABLE CONSIST OF UNCONDITIONAL FUNDING COMMITMENTS MADE TO OTHER ORGANIZATIONS. UNCONDITIONAL GRANT PAYMENTS ARE ALL DUE IN THE NEXT TWO YEARS. GRANTS AUTHORIZED BY CHILD'S PLAY BUT UNPAID AT YEAR END ARE REPORTED AS LIABILITIES. PART III ACCOUNTING METHOD: PART II, LINE 1: GRANTS ARE REPORTED ON THE ACCRUAL BASIS OF ACCOUNTING AND INCLUDE GRANTS PAYABLE. GRANTS PAYABLE CONSIST OF UNCONDITIONAL FUNDING COMMITMENTS MADE TO OTHER ORGANIZATIONS. UNCONDITIONAL GRANT PAYMENTS ARE ALL DUE IN THE NEXT TWO YEARS. GRANTS AUTHORIZED BY CHILD'S PLAY BUT UNPAID AT YEAR END ARE REPORTED AS LIABILITIES. AUCTION 109247 90581 18666 17356 21954 18441 109247 90581 18666 17356 21954 18441 57751 -39085 1 ST ELIZABETH SETON CHILDREN'S FOUNDATION LTD 300 CORPORATE BLVD SOUTH YONKERS NY 10701 800879753 501(C)(3) 236300 1614 BOOK CHRISTMAS IN JULY, PGTS 22 GRANT - GENERAL SUPPORT, GIFT RADY CHILDREN'S HOSPITAL FOUNDATION 3020 CHILDRENS WAY MC 5001 SAN DIEGO CA 92123 330170626 501(C)(3) 222801 887 BOOK CHRISTMAS IN JULY GRANT - GENERAL SUPPORT, GIFT THE NEMOURS FOUNDATION 10140 CENTURION PARKWAY NORTH JACKSONVILLE FL 32256 590634433 501(C)(3) 174900 2411 BOOK CHRISTMAS IN JULY, PGTS 22 GRANT - GENERAL SUPPORT, GIFT CHILDREN'S HOSPITAL COLORADO FOUNDATION 13123 EAST 16TH AVE BOX 045 AURORA CA 80045 840813462 501(C)(3) 172404 3951 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING, PGTS 22 GRANT - GENERAL SUPPORT, GIFT FAIRVIEW HEALTH SERVICES 2450 RIVERSIDE AVE MINNEAPOLIS MN 55454 410991680 501(C)(3) 143205 577 BOOK PGTS 22 GRANT - GENERAL SUPPORT CONNECTICUT CHILDREN'S FOUNDATION INC 282 WASHINGTON STREET HARTFORD CT 06106 222619869 501(C)(3) 134880 1524 BOOK CHRISTMAS IN JULY, PGTS 22 GRANT - GENERAL SUPPORT, GIFT UNIVERSITY OF KENTUCKY STUDENT COUNCIL ON FAMILY RELATIONS 500 GARRIGUS BLDG UNIV OF KY LEXINGTON KY 40546 616001218 501(C)(3) 132680 1430 BOOK CHRISTMAS IN JULY, PGTS 22, GAME CODES GRANT - GENERAL SUPPORT, GIFT UNIVERSITY OF MISSISSIPPI FOUNDATION 406 UNIVERSITY AVE OXFORD MS 38655 237310293 501(C)(3) 63950 0 GRANT - GENERAL SUPPORT OCHSNER CLINIC FOUNDATION 1514 JEFFERSON HIGHWAY NEW ORLEANS LA 70121 720502505 501(C)(3) 49700 0 GRANT - GENERAL SUPPORT INTEGRIS HEALTH FOUNDATION INC 3001 QUAIL SPRINGS PKWY OKLAHOMA CITY OK 73134 731047338 501(C)(3) 42278 887 BOOK CHRISTMAS IN JULY GRANT - GENERAL SUPPORT, GIFT PHOENIX CHILDREN'S HOSPITAL FOUNDATION 2929 E CAMELBACK ROAD SUITE 22 PHOENIX AZ 85016 742421549 501(C)(3) 38719 3184 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING, PGTS 22, GAME CODES GRANT - GENERAL SUPPORT, GIFT OU MEDICINE INC 1200 EVERETT DR OKLAHOMA CITY OK 73104 821883948 501(C)(3) 38667 2051 BOOK CHRISTMAS IN JULY, PGTS 22, GIVEAWAYS GRANT - GENERAL SUPPORT, GIFT CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS INC 601 CHILDRENS LANE NORFOLK VA 23507 540506321 501(C)(3) 36601 1410 BOOK CHRISTMAS IN JULY, PGTS 22 GRANT - GENERAL SUPPORT, GIFT NORTHWELL HEALTH FOUNDATION 972 BRUSH HOLLOW ROAD 5TH FL WESTBURY NY 11590 112965575 501(C)(3) 24005 4908 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING, PGTS 22, GAME CODES GRANT - GENERAL SUPPORT, GIFT SEATTLE CHILDRENS HOSPITAL FOUNDATION PO BOX 5371 MS 818-FI SEATTLE WA 98145 911156519 501(C)(3) 18950 6023 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING, PGTS 22, RESTRICTED GIFT GRANT - GENERAL SUPPORT, GIFT MONMOUTH MEDICAL CENTER FOUNDATION INC 300 SECOND AVENUE LONG BRANCH NJ 07740 222456079 501(C)(3) 17538 587 BOOK GIVEAWAY GRANT - GENERAL SUPPORT, GIFT CHILDREN'S HEALTHCARE OF ATLANTA FOUNDATION INC 1575 NORTHEAST EXPRESSWAY ATLANTA GA 30329 581710601 501(C)(3) 16500 3502 BOOK CHRISTMAS IN JULY, GIVEAWAY, PGTS 22 GIFT ROBERT WOOD JOHNSONSON UNIVERSITY HOSPITAL FOUNDATION INC 181 SOMERSET ST 2ND FLOOR NEW BRUNSWICK NJ 08901 222378007 501(C)(3) 16488 887 BOOK CHRISTMAS IN JULY GRANT - GENERAL SUPPORT CHILDREN'S HOSPITAL MEDICAL CENTER 3333 BURNET AVE CINCINNATI OH 45229 310833936 501(C)(3) 16000 2755 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING, PGTS 22 GIFT THE JOHN'S HOPKINS HOSPITAL 3910 KESWICK RD S BLDG NO 4300A BALTIMORE MD 21211 520591656 501(C)(3) 14860 4152 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING, PGTS 22, GAME CODES GRANT - GENERAL SUPPORT, GIFT THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 232237932 501(C)(3) 13500 1410 BOOK CHRISTMAS IN JULY, PGTS 22 GIFT LEGACY HEALTH FOUNDATION 1919 NW LOVEJOY STREET PORTLAND OR 97209 465662403 501(C)(3) 11900 0 GRANT - GENERAL SUPPORT NEW YORK-PRESBYTERIAN QUEENS 56-45 MAIN STREET FLUSHING NY 11355 111839362 501(C)(3) 11400 0 GRANT - GENERAL SUPPORT STONY BROOK FOUNDATION 230 ADMINISTRATION BUILDING STONY BROOK NY 11794 116077945 501(C)(3) 11400 0 GRANT - GENERAL SUPPORT SUTTER HEALTH PACIFIC 91-2301 OLD FORT WEAVER ROAD EWA BEACH HI 96706 990298651 501(C)(3) 11000 887 BOOK CHRISTMAS IN JULY GRANT - GENERAL SUPPORT, GIFT MEMORIAL MEDICAL CENTER FOUNDATION 2801 ATLANTIC AVENUE LONG BEACH CA 90806 956105984 501(C)(3) 9577 1997 BOOK CHRISTMAS IN JULY, GIVEAWAY, PGTS 22 GRANT - GENERAL SUPPORT, GIFT UCSF BENIOFF CHILDREN'S HOSPITAL FOUNDATION 1330 BROADWAY NO 1135 OAKLAND CA 94612 941657474 501(C)(3) 9500 2465 BOOK CHRISTMAS IN JULY, PGTS 22 GIFT MONROE CARELL JR CHILDRENS HOSPITAL AT VANDERBILT 1161 21ST AVE S SUITE D3300 MCN NASHVILLE TN 37232 351519741 501(C)(3) 8500 887 BOOK CHRISTMAS IN JULY GIFT REGENTS OF THE UNIVERSITY OF MICHIGAN 1500 EAST MEDICAL CENTER DRIVE F2519 UH SOUTH ANN ARBOR MI 48109 386006309 501(C)(3) 8500 2904 BOOK CHRISTMAS IN JULY, GIVEAWAY, PGTS 22 GIFT VALLEY CHILDREN'S HEALTHCARE FOUNDATION 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 942797447 501(C)(3) 8500 1578 BOOK CHRISTMAS IN JULY, PGTS GIFT BANNER HEALTH FOUNDATION 2901 N CENTRAL AVE STE 160 PHOENIX AZ 85012 942545356 501(C)(3) 8000 2661 BOOK CHRISTMAS IN JULY GIFT TEXAS CHILDREN'S HOSPITAL 6621 PANNIN ST HOUSTON TX 77030 741100555 501(C)(3) 8000 2705 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING, PGTS 22 GIFT CHILDREN'S HOSPITAL PITTSBURGH FOUNDATION UPMC 4401 PENN AVE CENTRAL PLANT FLR 3 PITTSBURGH PA 15224 251865744 501(C)(3) 8000 887 BOOK CHRISTMAS IN JULY GIFT CHILDREN'S HOSPITAL FOUNDATION 111 MICHIGAN AVENUE NW WASHINGTON DC 20010 521640402 501(C)(3) 8000 1410 BOOK CHRISTMAS IN JULY, PGTS 22 GIFT ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO FOUNDATION 225 E CHICAGO AVE BOX 282 CHICAGO IL 60611 363357006 501(C)(3) 7500 4933 BOOK CHRISTMAS IN JULY, GIVEAWAY, PGTS 22, DAF GIFT THE CHILDREN'S MERCY HOSPITAL 2401 GILLHAM RD KANSAS CITY MO 64108 440605373 501(C)(3) 7500 1306 BOOK CHRISTMAS IN JULY, PGTS 22 GIFT THE RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA 1001 NORTH EMMET STREET CHARLOTTESVILLE VA 22904 546001796 501(C)(3) 7500 1474 BOOK CHRISTMAS IN JULY, GIVEAWAYS GIFT CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON ONE PERKINS SQUARE AKRON OH 44308 340714357 501(C)(3) 7457 887 BOOK CHRISTMAS IN JULY GRANT - GENERAL SUPPORT, GIFT THE CHILDREN'S HOSPITAL OF ALABAMA 1600 7TH AVENUE SOUTH ATTN FOUNDATION BIRMINGHAM AL 35233 630307306 501(C)(3) 7000 887 BOOK CHRISTMAS IN JULY GIFT POMONA VALLEY HOSPITAL MEDICAL CENTER 1798 N GAREY AVE POMONA CA 91767 951115230 501(C)(3) 6554 0 GRANT - GENERAL SUPPORT KAPIOLANI HEALTH FOUNDATION 55 MERCHANT STREET 26TH FLOOR HONOLULU HI 96813 990246364 501(C)(3) 6500 1578 BOOK CHRISTMAS IN JULY, PGTS 22 GIFT SHRINERS HOSPITAL FOR CHILDREN 2900 N ROCKY POINT DR TAMPA FL 33607 362193608 501(C)(3) 6500 5310 BOOK CHRISTMAS IN JULY, GIVEAWAY GIFT CHILDREN'S HEALTH CARE FOUNDATION 5901 LINCOLN DR EDINA MN 55436 411814223 501(C)(3) 6500 887 BOOK CHRISTMAS IN JULY GIFT W I COOK FOUNDATION INC DBA COOK CHILDREN'S HEALTH FOUNDATION 801 SEVENTH AVENUE FORT WORTH TX 76104 752051649 501(C)(3) 6500 1174 BOOK GIVEAWAY GIFT SARASOTA MEMORIAL HEALTHCARE FOUNDATION 1515 S OSPREY AVE SUITE B4 SARASOTA FL 34239 858012646 501(C)(3) 6320 887 BOOK CHRISTMAS IN JULY GRANT - GENERAL SUPPORT, GIFT CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION 3011 WEST GRAND BOULEVARD SUITE 218 DETROIT MI 48202 320087353 501(C)(3) 6000 1997 BOOK CHRISTMAS IN JULY, PGTS 22, GIVEAWAY GIFT ARKANSAS CHILDREN'S FOUNDATION 1 CHILDRENS WAY LITTLE ROCK AR 72202 710568795 501(C)(3) 6000 887 BOOK CHRISTMAS IN JULY GIFT INTERMOUNTAIN HEALTH FOUNDATION INC 36 SOUTH STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 800225150 501(C)(3) 6000 2638 BOOK CHRISTMAS IN JULY, GIVEAWAY, PGTS 22 GIFT UNIVERSITY OF UTAH 201 SOUTH PRESIDENTS CIRCLE RM 411 SALT LAKE CITY UT 84112 876000525 501(C)(3) 5700 0 GRANT - GENERAL SUPPORT JOE DIMAGGIO CHILDREN'S HOSPITAL FOUNDATION INC 3329 JOHNSON STREET HOLLYWOOD FL 33021 650492343 501(C)(3) 5500 2284 BOOK PGTS 22, GIVEAWAY GIFT INOVA HEALTH SYSTEM FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541071867 501(C)(3) 5500 887 BOOK CHRISTMAS IN JULY GIFT CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC PO BOX 1997 MS 900 MILWAUKEE WI 53201 391500075 501(C)(3) 5500 2036 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING, PGTS 22 GIFT STATE UNIVERSITY OF IOWA FOUNDATION 22130-CSFCH 200 HAWKINS DRIVE IOWA CITY IA 52242 420796760 501(C)(3) 5000 887 BOOK CHRISTMAS IN JULY GIFT THE CHILDREN'S HOSPITAL FOUNDATION INC 224 E BROADWAY FIFTH FLOOR LOUISVILLE KY 40202 616027530 501(C)(3) 5000 887 BOOK CHRISTMAS IN JULY GIFT CHILDREN'S HOSPITAL 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 720467503 501(C)(3) 5000 887 BOOK CHRISTMAS IN JULY GIFT OREGON HEALTH AND SCIENCE UNIVERSITY FOUNDATION 2020 SW 4TH AVENUE SUITE 900 PORTLAND OR 97201 237083114 501(C)(3) 4000 2294 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING GRANT - GENERAL SUPPORT, GIFT SANTA ROSA CHILDREN'S HOSPITAL FOUNDATION PO BOX 1661 SAN ANTONIO TX 78296 741224362 501(C)(3) 4000 1410 BOOK CHRISTMAS IN JULY, PGTS 22 GIFT MONTEFIORE MEDICAL CENTER 111 EAST 210TH STREET BRONX NY 10467 131740114 501(C)(3) 3500 1761 BOOK GIVEAWAY GIFT NYU LANGONE HOSPITALS 550 FIRST AVENUE NEW YORK NY 10016 133971298 501(C)(3) 3000 2162 BOOK CHRISTMAS IN JULY, GIVEAWAYS, SPRING CLEANING GIFT CHILDREN'S HOSPITAL CORPORATION DBA BOSTON CHILDREN'S HOSPITAL 300 LONGWOOD AVENUE BOSTON MA 02115 042774441 501(C)(3) 2500 3337 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING, PGTS 22 GIFT UNC HEALTH FOUNDATION INC 123 W FRANKLIN STREET CHAPEL HILL NC 27516 566057494 501(C)(3) 2500 2649 BOOK CHRISTMAS IN JULY, GIVEAWAYS GIFT LEE MEMORIAL HEALTH SYSTEM FOUNDATION INC 9800 S HEALTHPARK DRIVE SUITE 405 FORT MEYERS FL 33908 650645343 501(C)(3) 2000 3429 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING, PGTS 22 GIFT CMC FOUNDATION OF CENTRAL TEXAS PO BOX 45998 ST LOUIS MO 63145 200468031 501(C)(3) 1000 4065 BOOK CHRISTMAS IN JULY, GIVEAWAY, SPRING CLEANING, PGTS 22, GAME CODES GIFT LOGAN HEALTH FOUNDATION 310 SUNNYVIEW LN KALISPELL MT 59901 311703013 501(C)(3) 1000 4625 BOOK CHRISTMAS IN JULY, GIVEAWAY PGTS 22 GIFT 64 PART I, LINE 2: CHILD'S PLAY REQUESTS A REPORT FROM THE ORGANIZATION DETAILING HOW THEY USED THE FUNDS. PENNY ARCADE INC MIKE KRAHULIK (VICE PRESIDENT) IS AN OWNER OF PENNY ARCADE INC RECEIVABLE FOR TRAVEL REIMBURSEMENT X 2479 0 1 1 PENNY ARCADE INC MIKE KRAHULIK (VICE PRESIDENT) IS AN OWNER OF PENNY ARCADE INC PAYABLE FOR WAREHOUSING X 15273 0 1 1 17752 FC INDUSTRIES LLC SEE BELOW 78556 RENT 0 PENNY ARCADE INC MIKE KRAHULIK (VICE PRESIDENT) IS AN OWNER OF PENNY ARCADE INC 58217 WAREHOUSING 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: FC INDUSTRIES LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MIKE KRAHULIK (VICE PRESIDENT) AND MIKE HAYES (TREASURER) ARE OWNERS OF FC INDUSTRIES LLC X 1 19772 X GAME CODES, CONSOLES, CONTROLLERS 4 191084 FMV X GAMES/TOYS/ELECTRONICS/APPAREL 80 59544 FMV X APPAREL 2 40770 FMV X BOARD & CARD GAMES 2 37223 FMV 0 0 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTORS FORM 990, PART VI, SECTION A, LINE 2 MIKE KRAHULIK (VICE PRESIDENT) HAS OWNERSHIP INTEREST IN PENNY ARCADE, INC. MIKE KRAHULIK (VICE PRESIDENT) AND MIKE HAYES (TREASURER) HAVE OWNERSHIP INTERESTS IN FC INDUSTRIES, LLC. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS SENT TO THE BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST ISSUES ARE MONITORED AND ENFORCED AT AN ANNUAL BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE DIRECTOR COMPENSATION IS INCLUDED IN THE ANNUAL BUDGET WHICH THE BOARD APPROVES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.