2024-05-15T17:51:19-05:00 2023-12-31 208149084 ANASTASI MOORE & MARTIN PLLC 9 S WASHINGTON ST STE 600 SPOKANE WA 99201 990 2023-01-01 203584556 CHILD'S PLAY CHIL 4254035558 9660 153RD AVE NE REDMOND WA 98052 ELAINE CHASE PRESIDENT 4254035558 2024-05-15 1 ELAINE CHASE 999009999 1 PAUL ANASTASI CPA P00395796 5093230272 2024-05-15 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z ELAINE CHASE 9660 153RD AVE NE REDMOND WA 98052 3935364 0 X WWW.CHILDSPLAYCHARITY.ORG X 2005 WA CHILD'S PLAY IMPROVES THE LIVES OF CHILDREN THROUGH THE POWER OF PLAY. 6 4 7 105 31964 0 4000471 3337648 0 0 397030 405492 -1047 -28460 4396454 3714680 2469391 2426801 0 0 570226 687967 0 0 387155 697383 647001 3737000 3761769 659454 -47089 14022478 14800858 1036628 1113828 12985850 13687030 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 3094227 2426801 0 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 1 MILLION 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 43 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. 3094227 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 4 0 1 7 1 1 1 0 0 0 1 1 1 1 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 130080 0 7496 KIRSTEN CARLILE DIRECTOR OF PHILANTHROPY & 40.00 X 117980 0 24309 248060 0 31805 2 0 0 0 0 96540 3241108 302213 3337648 405034 405034 904 446 458 458 458 101138 96540 161562 -60424 -60424 2190 2590 -400 -400 88450 56086 32364 32364 3714680 0 31964 345068 2050087 2050087 376714 376714 137576 34394 68788 34394 442295 248410 37038 156847 14689 8720 689 5280 48127 24261 7453 16413 45280 22224 8075 14981 1471 1471 26000 26000 108767 108767 292 292 141452 141426 26 174452 50203 6017 118232 61658 50724 10934 71756 62168 1289 8299 2972 2972 11840 8880 1973 987 SUPPLIES 41773 14545 27228 ONLINE RETAIL FEES 2783 2783 WAREHOUSING EXPENSE 1675 1675 TAXES, LICENSES & PERMI 110 100 10 3761769 3094227 280387 387155 580523 536401 1813998 1480240 7015 5000 193856 86215 2479 8279 266731 261109 24078 20588 15036 3469 4558 11567 4597312 7883993 6342024 4376005 189904 131461 14022478 14800858 82579 70095 674049 879394 80519 16957 15273 17408 184208 129974 1036628 1113828 X 12955944 13657831 29906 29199 12985850 13687030 14022478 14800858 -47089 748269 0 X 0 1 X 1 0 X 3758197 4091136 3781650 4000471 3337648 18969102 3758197 4091136 3781650 4000471 3337648 18969102 2085812 16883290 304131 182670 311157 369120 405034 1572112 20541214 0.82190 0.79310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5055 627 4428 9981 2842 7139 11567 REAL ESTATE INVESTMENT TRUSTS 2023177 F INVESTMENTS AT NAV 2352828 F 4376005 RIGHT OF USE LIABILITY 129974 129974 4834648 748269 261132 1009401 3825247 108767 -219334 -110567 3714680 4133468 261132 219334 480466 3653002 108767 108767 3761769 PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -56,086. DIRECT FUNDRAISING EXPENSES -161,562. DIRECT GAMING EXPENSES -2,590. EXCHANGE GAIN OR LOSS 904. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES 161,562. COST OF GOODS SOLD 56,086. DIRECT GAMING EXPENSES 2,590. EXCHANGE GAIN OR LOSS -904. 1 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 PROGRAM SERVICES GRANTS TO LOCAL RECIPIENTS/CHILD WELFARE ORGANIZATIONS 236014 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICES GRANTS TO LOCAL RECIPIENTS/CHILD WELFARE ORGANIZATIONS 68500 MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, 0 0 PROGRAM SERVICES GRANTS TO LOCAL RECIPIENTS/CHILD WELFARE ORGANIZATIONS 10000 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 PROGRAM SERVICES GRANTS TO LOCAL RECIPIENTS/CHILD WELFARE ORGANIZATIONS 50260 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 PROGRAM SERVICES GRANTS TO LOCAL RECIPIENTS/CHILD WELFARE ORGANIZATIONS 10000 0 0 0 0 0 0 374774 0 374774 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 193514 EFT 0 EUROPE (INCLUDING ICELAND & GREENLAND) GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 14000 EFT 0 EUROPE (INCLUDING ICELAND & GREENLAND) GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 10500 EFT 0 MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT, GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 10000 EFT 0 EAST ASIA AND THE PACIFIC GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 10000 EFT 0 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 10000 EFT 0 NORTH AMERICA GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 9200 EFT 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 9000 EFT 0 EUROPE (INCLUDING ICELAND & GREENLAND) GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 8500 EFT 0 EAST ASIA AND THE PACIFIC GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 8000 EFT 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 8000 EFT 0 EAST ASIA AND THE PACIFIC GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 7000 EFT 0 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 7000 EFT 0 EAST ASIA AND THE PACIFIC GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 6000 EFT 0 NORTH AMERICA GAMING AND TECHNOLOGY EQUIPMENT AND PROGRAMS 5500 EFT 0 15 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 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 197678 96540 101138 26557 48199 86806 197678 96540 101138 26557 48199 86806 161562 -60424 1 THE NEMOURS FOUNDATION 1600 ROCKLAND ROAD SHANDS HOUSE WILMINGTON DE 19803 590634433 501(C)(3) 171600 7656 BOOK DUNKIN JOY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GRANT - GENERAL SUPPORT, GIFT CHILDREN'S HOSPITAL 200 HENRY CLAY AVENUE NEW ORLEANS LA 70118 720467503 501(C)(3) 149650 1223 BOOK CHRISTMAS IN JULY GRANT - GENERAL SUPPORT, GIFT CHILDREN'S HOSPITAL COLORADO FOUNDATION ANSCHUTZ MEDICAL CAMPUS 13123 E 16TH AVENUE BOX 045 AURORA CO 80045 840813462 501(C)(3) 130662 6220 BOOK GIVEAWAY, CHRISTMAS IN JULY, SPRING CLEANING, PEDIATRIC GAMING TECHNOLOGY SY GRANT - GENERAL SUPPORT, GIFT ELIZABETH SETON CHILDRENS CENTER 300 CORPORATE BLVD SOUTH YONKERS NY 10701 133398657 501(C)(3) 110400 1423 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GRANT - GENERAL SUPPORT, GIFT MARY BRIDGE CHILDREN'S FOUNDATION PO BOX 5296 MS 409-1-PHIL TACOMA WA 98415 943030039 501(C)(3) 97760 3929 BOOK CHRISTMAS IN JULY, GIVEAWAY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, DUNKIN J GRANT - GENERAL SUPPORT, GIFT THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOUNDATION 3401 CIVIC CENTER BLVD PHILADELPHIA PA 19104 232237932 501(C)(3) 90646 4501 BOOK CHRISTMAS IN JULY, DUNKIN JOY, SPRING CLEANING, PEDIATRIC GAMING TECHNOLOGY GRANT - GENERAL SUPPORT, GIFT CARILION CLINIC FOUNDAITON 903 S JEFFERSON ST ROANOKE VA 24016 541190773 501(C)(3) 81700 1223 BOOK CHRISTMAS IN JULY GRANT - GENERAL SUPPORT, GIFT UNIVERSITY OF MINNESOTA FOUNDATION 200 SOUTHEAST OAK STREET SUITE 500 MINNEAPOLIS MN 55455 416042488 501(C)(3) 72305 2686 BOOK SPRING CLEANING, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, DUNKIN JOY, GIVEAWAY GRANT - GENERAL SUPPORT UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION 102 KINKEAD HALL C/O UNIVERSITY OF KENTUCKY LEXINGTON KY 40506 616033693 501(C)(3) 67090 6698 BOOK CHRISTMAS IN JULY, DUNKIN JOY, GIVEAWAY, MCGOVERN, SPRING CLEANING GRANT - GENERAL SUPPORT, GIFT CONNECTICUT CHILDREN'S FOUNDATION INC PO BOX 412901 BOSTON MA 02241 222619869 501(C)(3) 67355 4563 BOOK CHRISTMAS IN JULY, SPRING CLEANING, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, D GRANT - GENERAL SUPPORT, GIFT SUNSYSTEM DEVELOPMENT CORPORATION (ADVENT HEALTH FOUNDATION) ADVENTHEALTH FOR CHILDREN 800 NORTH MAGNOLIA AVENUE 6TH FLOOR ORLANDO FL 32803 592219301 501(C)(3) 55500 3879 BOOK DUNKIN JOY, CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, GIVEAW GRANT - GENERAL SUPPORT VALLEYWISE HEALTH FOUNDATION 2901 E CAMELBACK RD SUITE 202 PHOENIX AZ 85016 860777567 501(C)(3) 32302 3279 BOOK CHRISTMAS IN JULY, GIVEAWAY GRANT - GENERAL SUPPORT, GIFT LOGAN HEALTH FOUNDATION 310 SUNNYVIEW LANE KALISPELL MT 59901 311703013 501(C)(3) 30734 1513 BOOK CHRISTMAS IN JULY, SPRING CLEANING, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GRANT - GENERAL SUPPORT BOSTON CHILDREN'S HOSPITAL TRUST 401 PARK DRIVE SUITE 602 BOSTON MA 02215 042774441 501(C)(3) 30500 1423 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GRANT - GENERAL SUPPORT, GIFT CHILDREN'S HEALTH CARE FOUNDATION 5901 LINCOLN DR EDINA MN 55436 EDINA MN 55436 411814223 501(C)(3) 6000 14447 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GIFT BAYSTATE HEALTH FOUNDATION DEVELOPMENT OFFICE 280 CHESTNUT STREET SPRINGFIELD MA 01199 043549011 501(C)(3) 17070 1423 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GRANT - GENERAL SUPPORT, GIFT CINCINNATI CHILDREN'S PO BOX 5202 CINCINNATI OH 45201 310833936 501(C)(3) 17000 1223 BOOK CHRISTMAS IN JULY GIFT RADY CHILDREN'S HOSPITAL FOUNDATION 3020 CHILDRENS WAY MC 5005 SAN DIEGO CA 92123 330170626 501(C)(3) 12000 5704 BOOK CHRISTMAS IN JULY, DUNKIN JOY, GIVEAWAY GIFT CHILDREN'S MEDICAL CENTER FOUNDATION 2777 NORTH STEMMONS FREEWAY SUITE 1700 DALLAS TX 75207 752062015 501(C)(3) 13500 4088 BOOK CHRISTMAS IN JULY, DUNKIN JOY, GIVEAWAY, SPRING CLEANING GIFT MEMORIAL MEDICAL CENTER FOUNDATION 2801 ATLANTIC AVE LONG BEACH CA 90806 956105984 501(C)(3) 13200 3479 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, GIVEAWAY GRANT - GENERAL SUPPORT, GIFT CHILDRENS HEALTHCARE ATLANTA 3395 NORTHEAST EXPRESSWAY STE 100 ATLANTA GA 30341 581710601 501(C)(3) 15000 1423 BOOK PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, CHRISTMAS IN JULY GIFT PROVIDENCE HEALTH CARE FOUNDATION EASTERN WASHINGTON DBA PROVIDENCE INLAND 101 WEST 8TH AVENUE SPOKANE WA 99202 320014330 501(C)(3) 13100 1423 BOOK CHRISTMAS IN JULY GRANT - GENERAL SUPPORT, GIFT PHOENIX CHILDREN'S HOSPITAL FOUNDATION 2929 E CAMELBACK RD 122 PHOENIX AZ 85016 742421549 501(C)(3) 10500 3379 BOOK CHRISTMAS IN JULY, GIVEAWAY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, GIFT UCSF BENIOFF CHILDREN'S HOSPITAL FOUNDATION 2201 BROADWAY SUITE 600 OAKLAND CA 94612 941657474 501(C)(3) 9000 4702 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, GIFT CHOC FOUNDATION 1201 W LA VETA AVE ORANGE CA 92868 956097416 501(C)(3) 9500 3279 BOOK CHRISTMAS IN JULY, GIVEAWAY GIFT CHILDREN'S HOSPITAL LOS ANGELES FOUNDATION 4650 SUNSET BLVD MS29 LOS ANGELES CA 90027 951690977 501(C)(3) 10000 2593 BOOK CHRISTMAS IN JULY, GIVEAWAY GIFT CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON ONE PERKINS SQUARE AKRON OH 44308 340714357 501(C)(3) 10500 1223 BOOK CHRISTMAS IN JULY GIFT THE HUNTSVILLE HOSPITAL FOUNDATION INC 3020 BOUNDARY OAKS DRIVE HUNTSVILLE AL 35801 630752604 501(C)(3) 9800 1793 BOOK CHRISTMAS IN JULY, SPRING CLEANING, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GRANT - GENERAL SUPPORT, GIFT GOOD SAMARITAN HOSPITAL FOUNDATION 1000 MONTAUK HIGHWAY WEST ISLIP NY 11795 770611240 501(C)(3) 11400 0 GRANT - GENERAL SUPPORT VALLEY CHILDREN'S FOUNDATION 9300 VALLEY CHILDRENS PLACE MADERA CA 93636 942797447 501(C)(3) 8000 3379 BOOK CHRISTMAS IN JULY, GIVEAWAY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GIFT NATIONWIDE CHILDREN'S HOSPITAL 700 CHILDRENS DRIVE COLUMBUS OH 43205 311036370 501(C)(3) 10000 1323 BOOK PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, CHRISTMAS IN JULY GIFT UNIVERSITY OF NEBRASKA FOUNDATION 1010 LINCOLN MALL STE 300 LINCOLN NE 68508 911858433 501(C)(3) 10000 1223 BOOK CHRISTMAS IN JULY GRANT - GENERAL SUPPORT, GIFT DELL CHILDREN'S MEDICAL CENTER FOUNDATION 4900 MUELLER BLVD AUSTIN TX 78723 200468031 501(C)(3) 8000 2731 BOOK CHRISTMAS IN JULY, SPRING CLEANING, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, G GIFT SEATTLE CHILDREN'S HOSPITAL AND RESEARCH FOUNDATION 6901 SANDPOINT WAY NE S-200 SEATTLE WA 98115 911156519 501(C)(3) 9000 1729 BOOK CHRISTMAS IN JULY, SPRING CLEANING GIFT CS MOTT CHILDREN'S HOSPITAL 1500 E MEDICAL CENTER DR F3970 ANN ARBOR MI 48109 386006309 501(C)(3) 8500 1423 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GIFT ST LOUIS CHILDRENS HOSPITAL FOUNDATION 1001 HIGHLANDS PLAZA DR WEST STE 160 ST LOUIS MO 63110 431626863 501(C)(3) 8500 1423 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GIFT ST JOSEPH'S HOSPITAL OF TAMPA FOUNDATION INC 2700 W DR MARTIN LUTHER KING BLVD SUITE 310 TAMPA FL 33607 591100828 501(C)(3) 5000 4675 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, DUNKIN JOY, GIVEAW GIFT NEWARK BETH ISRAEL MEDICAL CENTER CHILDRENS HOSPITAL OF NEW JERSEY NEWARK BETH ISRAEL MEDICAL CENTER NEWARK NJ 07112 810682747 501(C)(3) 8350 1323 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, CHRISTMAS IN JULY GRANT - GENERAL SUPPORT, GIFT ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO FOUNDATION 225 E CHICAGO AVENUE BOX 4 CHICAGO IL 60611 363357006 501(C)(3) 7500 2012 BOOK SPRING CLEANING, CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GIFT VANDERBILT UNIVERSITY MEDICAL CENTER 1161 21ST AVENUE SOUTH D-3300 MEDICAL CENTER NORTH NASHVILLE TN 37232 352528741 501(C)(3) 8000 1223 BOOK CHRISTMAS IN JULY GIFT CHILDREN'S HOSPITAL OF PITTSBURGH FOUNDATION 4401 PENN AVENUE CENTRAL PLANT FLOOR 3 PITTSBURGH PA 15224 251865744 501(C)(3) 8000 1223 BOOK CHRISTMAS IN JULY GIFT THE UNIVERSITY OF VIRGINIA HEALTH FOUNDATION (UVA CHILDREN'S) UVA CHILDRENS HOSPITAL PO BOX 800008 CHARLOTTESVILLE VA 22908 412097394 501(C)(3) 8000 1223 BOOK CHRISTMAS IN JULY GIFT ALABAMA CHILDRENS HOSPITAL FOUNDATION 1600 7TH AVENUE SOUTH ATTN FOUNDATION BIRMINGHAM AL 35233 630879471 501(C)(3) 7000 1224 BOOK CHRISTMAS IN JULY GIFT JOHNS HOPKINS ALL CHILDREN'S HOSPITAL INC 501 6TH AVE SOUTH PETERSBURG FL 33701 590683252 501(C)(3) 4000 4176 BOOK CHRISTMAS IN JULY, SPRING CLEANING, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, D GIFT WI COOK FOUNDATION INC 801 7TH AVENUE FORT WORTH TX 76104 752051649 501(C)(3) 6500 1615 BOOK CHRISTMAS IN JULY, GIVEAWAY GIFT INTERMOUNTAIN HEALTHCARE FOUNDATION AT PRIMARY CHILDREN'S HOSPITAL 36 SOUTH STATE STREET 21ST FLOOR SALT LAKE CITY UT 84111 800225150 501(C)(3) 6000 1946 BOOK CHRISTMAS IN JULY, SPRING CLEANING, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, GIFT OU MEDICINE INC DBA OKLAHOMA CHILDREN'S HOSPITAL 1200 EVERETT DRIVE OKLAHOMA CITY OK 73104 821883948 501(C)(3) 3500 4437 BOOK CHRISTMAS IN JULY, DUNKIN JOY, SPRING CLEANING, GIVEAWAY, PEDIATRIC GAMING T GIFT AUXILIARY JOHN H STROGER HOSPITAL COOK COUNTY 1901 WEST HARRISON STREET 1280 CHICAGO IL 60612 237103817 501(C)(3) 7290 0 GRANT - GENERAL SUPPORT RILEY CHEER GUILD AT RILEY HOSPITAL FOR CHILDREN ROOM 4510705 RILEY HOSPITAL DRIVE INDIANAPOLIS IN 46202 356018517 501(C)(3) 6000 1223 BOOK CHRISTMAS IN JULY GIFT CHILDREN'S HOSPITAL OF MICHIGAN FOUNDATION 3011 WEST GRAND BLVD SUITE 218 DETROIT MI 48202 320087353 501(C)(3) 5500 1332 BOOK CHRISTMAS IN JULY, GIVEAWAY GIFT NEWTON-WELLESLEY HOSPITAL 2014 WASHINGTON ST NEWTON MA 02462 042103611 501(C)(3) 6450 0 GRANT - GENERAL SUPPORT CHILDREN'S HOSPITAL OF WISCONSIN FOUNDATION INC 9000 WEST WISCONSIN AVE MAIL STATION C630 MILWAUKEE WI 53226 391500075 501(C)(3) 5000 1323 BOOK CHRISTMAS IN JULY, GIVEAWAY GIFT BAPTIST MEMORIAL HEALTH CARE FOUNDATION 350 NORTH HUMPHREYS BOULEVARD MEMPHIS TN 38120 592487135 501(C)(3) 5000 1223 BOOK CHRISTMAS IN JULY GIFT CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS INC 601 CHILDRENS LANE NORFOLK VA 23507 540506321 501(C)(3) 5000 1223 BOOK CHRISTMAS IN JULY GIFT LEBONHEUR CHILDREN'S HOSPITAL FOUNDATION 848 ADAMS AVE MEMPHIS TN 38174 621872938 501(C)(3) 5000 1223 BOOK CHRISTMAS IN JULY GIFT CHILDREN'S HOSPITAL FOUNDATION 234 EAST GRAY STREET STE 450 LOUISVILLE KY 40202 616027530 501(C)(3) 5000 1223 BOOK CHRISTMAS IN JULY GIFT YALE NEW HAVEN HOSPITAL YNHCC SP7-741420 YORK STREET NEW HAVEN CT 06109 060646652 501(C)(3) 5000 1223 BOOK CHRISTMAS IN JULY GIFT DAYTON CHILDREN'S HOSPITAL FOUNDATION 1 CHILDRENS PLAZA DAYTON OH 45404 311045247 501(C)(3) 4500 1423 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GIFT THE JOHN'S HOPKINS HOSPITAL 750 E PRATT ST SUITE 1700 BALTIMORE MD 21202 520591656 501(C)(3) 4000 1882 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, SPRING CLEANING GIFT THE UCLA FOUNDATION 757 WESTWOOD BLVD 5TH FLOOR LOS ANGELES CA 90016 952250801 501(C)(3) 2500 3379 BOOK CHRISTMAS IN JULY, GIVEAWAY GIFT EAST ALABAMA MEDICAL CENTER FOUNDATION 2000 PEPPERELL PARKWAY OPELIKA AL 36801 630959617 501(C)(3) 5700 0 GRANT - GENERAL SUPPORT CENTRACARE HEALTH - ST CLOUD 1406 6TH AVENUE NORTH ST CLOUD MN 56303 410695596 501(C)(3) 5495 0 GRANT - GENERAL SUPPORT MAINE MEDICAL CENTER (THE BARBARA BUSH CHILDREN'S HOSPITAL) 110 FREE STREET PORTLAND ME 04101 010238552 501(C)(3) 1500 3948 BOOK CHRISTMAS IN JULY, DUNKIN JOY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM GIFT TEXAS CHILDREN'S HOSPITAL 6621 FANNIN STREET B16231 HOUSTON TX 77030 741100555 501(C)(3) 2500 2903 BOOK CHRISTMAS IN JULY, SPRING CLEANING, GIVEAWAY, PEDIATRIC GAMING TECHNOLOGY SY GIFT LEE MEMORIAL HEALTH SYSTEM FOUNDATION INC 16451 HEALTHPARK COMMON DR SUITE 200 FORT MYERS FL 33908 590714812 501(C)(3) 3500 1874 BOOK CHRISTMAS IN JULY, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, SPRING CLEANING GIFT CHILDREN'S HOSPITAL & MEDICAL CENTER - OMAHA 8404 INDIAN HILLS DR OMAHA NE 68114 476105603 501(C)(3) 4000 1323 BOOK CHRISTMAS IN JULY GIFT AUGUSTA UNIVERSITY FOUNDATION INC 1120 15TH STREET AD-1104 AUGUSTA GA 30912 586038134 501(C)(3) 4000 1223 BOOK CHRISTMAS IN JULY GIFT UNIVERSITY OF WASHINGTON FOUNDATION 407 GERBERDING HALL BOX 351210 SEATTLE WA 98195 943079432 501(C)(3) 1000 4223 BOOK CHRISTMAS IN JULY, GAMING KART GIFT ATRIUM HEALTH FOUNDATION 208 EAST BLVD CHARLOTTE NC 28203 566060481 501(C)(3) 4000 1223 BOOK CHRISTMAS IN JULY GIFT ORLANDO HEALTH FOUNDATION INC 3160 SOUTHGATE COMMERCE BOULEVARD SUITE 50 ORLANDO FL 32806 592244943 501(C)(3) 4000 1223 BOOK CHRISTMAS IN JULY GIFT NORTHWELL HEALTH FOUNDATION 2000 MARCUS AVE NEW HYDE PARK NY 11042 112965575 501(C)(3) 3000 2026 BOOK SPRING CLEANING, PEDIATRIC GAMING TECHNOLOGY SYMPOSIUM, CHRISTMAS IN JULY GIFT 71 0 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 2309 0 1 1 PENNY ARCADE INC MIKE KRAHULIK (VICE PRESIDENT) IS AN OWNER OF PENNY ARCADE INC PAYABLE FOR WAREHOUSING AND MERCHANDISE X 17408 0 1 1 FC INDUSTRIES LLC SEE BELOW RENT DEPOSIT X 5970 0 1 1 25687 FC INDUSTRIES LLC SEE BELOW 67164 RENT 0 PENNY ARCADE INC MIKE KRAHULIK (VICE PRESIDENT) IS AN OWNER OF PENNY ARCADE INC 64051 WAREHOUSING AND MERCHANDISE 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 3 82334 COMPARABLE SALES X GAMES/TOYS/ELECTRONICS/APPAREL 80 72917 COMPARABLE SALES X GAME CODES, CONSOLES, CONTROLLERS 3 45155 COMPARABLE SALES X BOARD & CARD GAMES 1 18966 COMPARABLE SALES 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.