Kelly Schreibeis Memorial Foundation in Sheridan, Wyoming (WY)

Kelly Schreibeis Memorial Foundation
Employer Identification Number (EIN)	680601947
Name of Organization	Kelly Schreibeis Memorial Foundation
In Care of Name	Kay Pittman
Address	PO BOX 6786, Sheridan, WY 82801-7106
Subsection	Charitable Organization
Ruling Date	08/2006
Deductibility	Contributions are deductible
Foundation	Organization that normally receives no more than one third of its support from gross investment income and unrelated business income and at the same time more than one third of its support from contributions, fees, and gross receipts related to exempt purposes
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2013
Assets	$25,000 to $99,999
Income	$25,000 to $99,999
Filing Requirement	990 - Required to file Form 990-N - Income less than $25,000 per year
Asset Amount	$50,100
Amount of Income	$31,952
Form 990 Revenue Amount	$31,952
National Taxonomy of Exempt Entities (NTEE)	Diseases, Disorders, Medical Disciplines: Diseases, Disorders, Medical Disciplines (Not Elsewhere Classified)

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Financial snapshot ($)

Revenue for 2013

Support schedule

	2011	2012	2013
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$27,123	$27,790	$31,952
Contributions, gifts, grants, and similar amounts received	$2,808	$2,814	$12,213
Program service revenue including government fees and contracts	$0	$0	$0
Membership dues and assessments	$0	$0	$0
Investment income	$251	$103	$95
Gain/Loss from sale of assets other than inventory	$0	$0	$0
Net income/loss from gaming and fundraising events	$24,064	$24,873	$19,644
Gross income from gaming	$0	$0	$0
Gross income from fundraising events	$24,064	$24,873	$19,644
Less: direct expenses from gaming and fundraising events	$0	$0	$0
Gross profit/loss from sales of inventory	$0	$0	$0
Other revenue	$0	$0	$0
Total expenses	$31,666	$31,562	$20,935
Total net assets	$42,855	$39,083	$50,100
Excess/Deficit for the year	$-4,543	$-3,772	$11,017
Net assets or fund balances at beginning of year	$47,398	$42,855	$39,083
Other changes in net assets or fund balances	$0	$0	$0
Net assets or fund balances at end of year		$39,083	$50,100

	2011	2012	2013
Balance Sheets
Total assets	$42,855	$39,083	$50,100
Total liabilities	$0	$0	$0
Net assets or fund balances	$42,855	$39,083	$50,100

	2011	2012	2013
Other Information
Did the organization engage in any significant activity not previously reported to the IRS?		No	No
Were any significant changes made to the organizing or governing documents?		No	No
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities	No	No	No
Has the organization filed a Form 990-T for the year?		No	No
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year?		No	No
Amount of political expenditures, direct or indirect		$0	$0
Did the organization file Form 1120-POL for this year?		No	No
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?		No	No
Total amount involved		$0	$0
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ?		No	No
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?		No	No

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported	0
Sum of amounts of support	$0

	2009 - 2013 Total
Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013)
Public support	$145,002
Subtotal	$145,002
Gifts, grants, contributions, and membership fees received	$40,075
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	$104,927
Gross receipts from activities that are not an unrelated trade or business under section 513	$0
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf	$0
The value of services or facilities furnished by a governmental unit to the organization without charge	$0
Less	$0
Amounts received from disqualified persons	$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support	$0
Total support	$146,302
Public support	$145,002
Subtotal	$1,300
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources	$1,300
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975	$0
Net income from unrelated business activities, whether or not the business is regularly carried on	$0
Other income	$0

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