2024-05-15T17:18:34-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2022-07-01 113843214 ARIZONA ASSISTANCE IN HEALTH CARE INC ARIZ 6232073000 PO BOX 5157 GOODYEAR AZ 85338 WILLIAM STOCKLEY TREASURER 6232073000 2024-05-15 1 WILLIAM STOCKLEY 999009999 1 TYLER JOHNSON P01604007 6123764500 2024-04-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NICOLE REDDIN PO BOX 5157 GOODYEAR AZ 85338 135363 0 X GOODYEAR.AIH.ORG X 2006 AZ TO PROVIDE CANCER PATIENTS AND THEIR FAMILIES WITH HELP FOR NON MEDICAL EXPENSES DURING TREATMENT 8 8 0 12 0 0 207949 44322 0 0 0 0 15877 31087 223826 75409 54650 72350 0 0 0 0 0 0 0 2320 7085 56970 79435 166856 -4026 317505 313479 253 253 317252 313226 OUR MISSION IS TO ASSIST CANCER PATIENTS AND THEIR FAMILIES WITH NON-MEDICAL EXPENSES WHEN THE COST OF PROLONGED MEDICAL CARE CREATES FINANCIAL HARDSHIP. 0 0 72350 72350 0 ARIZONA ASSISTANCE IN HEALTHCARE PROVIDES FINANCIAL SUPPORT FOR EXPENSES OTHER THAN HOSPITAL, PHYSICIAN, MEDICATION AND SUPPLEMENTS, HOTEL EXPENSES AND AIRLINE CHARGES. FUNDS CAN BE GRANTED FOR RENT, UTILITIES, CAR PAYMENTS AND VARIOUS OTHER EMERGENCY NEEDS. 72350 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 0 0 0 0 0 X WILLIAM STOCKLEY 6233630420 PO BOX 5157 GOODYEAR AZ 85338 X NICOLE REDDIN PRESIDENT 2.00 X X 0 0 0 BILL STOCKLEY TREASURER 2.00 X X 0 0 0 CHRISTINE SHEARS SECRETARY 2.00 X X 0 0 0 AMY WALTERS DIRECTOR 2.00 X 0 0 0 JANET BROWN DIRECTOR 2.00 X 0 0 0 WALLY CAMPBELL DIRECTOR 2.00 X 0 0 0 MATT VARMA DIRECTOR 2.00 X 0 0 0 EMILY DILLE DIRECTOR 2.00 X 0 0 0 LAURA KEITH DIRECTOR 2.00 X 0 0 0 0 0 0 0 0 0 0 0 10100 34222 10000 44322 84111 10100 59954 24157 24157 6930 0 6930 6930 75409 0 0 31087 72350 72350 483 483 485 485 ADMINISTRATION 4310 4310 EQUIPMENT RENTAL AND MA 1552 1552 MISCELLANEOUS 255 255 79435 72350 7085 0 317505 313479 317505 313479 253 253 253 253 X 317252 313226 317252 313226 317505 313479 -4026 0 X 0 0 0 X 119380 62013 81577 207949 44322 515241 119380 62013 81577 207949 44322 515241 258052 257189 -3206 11409 24157 32360 547601 192919 0.46970 0.67300 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED PROJECT PINK 94211 10100 84111 10000 22310 6233 2000 19411 94211 10100 84111 10000 22310 6233 2000 19411 59954 24157 1 GRANTS TO PATIENTS AND FAMILIES 290 72350 0 N/A N/A PART I, LINE 2: THE BOARD OF DIRECTORS REVIEW THE VARIOUS PATIENT CASES AND THOSE IN NEED OF FINANCIAL ASSISTANCE. AFTER DELIBERATION, THE BOARD SELECTS PATIENTS AND FAMILIES WITH WHOM TO PROVIDE GRANTS AND MAINTAINS A BOARD APPROVAL LIST SUPPORTING THEIR DECISION. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD MAY DESIGNATE AN EXECUTIVE COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 6 ACTIVE MEMBERS MAY PARTICIPATE IN ALL CORPORATION PROGRAMS AND MAY SERVE ON THE CORPORATION. THE NUMBER OF ACTIVE MEMBERS SHALL NOT EXCEED SIXTEEN. ACTIVE MEMBERS ARE INDIVIDUALS INTERESTED IN SUPPORTING THE CORPORATION BY ACTIVELY PARTICIPATING IN FUNDRAISING EVENTS. HONORARY MEMBERS WILL BE NON-VOTING MEMBERS FOR AN INDEFINITE PERIOD AT THE DISCRETION OF THE BOARD AND SHALL BE CHOSEN ON THE BASIS OF THEIR DISTINGUISHED SERVICE OR CONTRIBUTION TO THE CORPORATION, COMMUNITY OR FOR THE PURPOSE OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ALL MEMBERS SHALL BE ELECTED BY MAJORITY VOTE OF THE ACTIVE MEMBERS BY WRITTEN BALLOT. THE DIRECTORS OF THE CORPORATION SHALL BE ELECTED BY THE ACTIVE MEMBERS BY WRITTEN BALLOT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE TREASURER PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS, AND EMPLOYEES OF THE CORPORATION SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND HAS DISCLOSED ANY INTEREST OR POTENTIAL INTEREST THAT SUCH PERSON MIGHT HAVE WHICH MIGHT GIVE RISE TO A CONFLICT WITH THE CORPORATION. IF AT ANY TIME DURING THE YEAR, THE INFORMATION IN THE ANNUAL DISCLOSURE STATEMENT CHANGES MATERIALLY, SUCH PERSON SHALL DISCLOSE SUCH CHANGES AND REVISE THE ANNUAL DISCLOSURE FORM. THE BOARD OF DIRECTORS SHALL REGULARLY REVIEW THE ANNUAL DISCLOSURE STATEMENTS AND TAKE SUCH STEPS AS NECESSARY TO ENFORCE COMPLIANCE WITH THIS POLICY. THE BOARD OF DIRECTORS SHALL DETERMINE, BY MAJORITY VOTE, WHETHER THE DISCLOSURE SHOWS THAT A CONFLICT OF INTEREST EXISTS, OR CAN REASONABLY BE CONSTRUED TO EXIST. THE BOARD OF DIRECTORS MAY REQUEST THE PERSON TO PROVIDE FACTUAL INFORMATION REGARDING THE POTENTIAL OR ACTUAL CONFLICT OF INTERESTS AND SUCH PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT. IF DEEMED APPROPRIATE, THE BOARD OF DIRECTORS MAY APPOINT A NON-INTERESTED PERSON, COMMITTEE, OR SUBCOMMITTEE TO INVESTIGATE ALTERNATIVES TO SUCH PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT. IF A CONFLICT OF INTEREST IS DEEMED TO EXIST, THE PERSON HAVING THE CONFLICT OF INTEREST SHALL NOT PARTICIPATE OR ATTEND, VOTE ON, OR USE HIS OR HER PERSONAL INFLUENCE IN CONNECTION WITH THE DISCUSSIONS, DELIBERATIONS, OR VOTE WITH RESPECT TO SUCH CONTRACT, TRANSACTION, ARRANGEMENT, OR RELATED MATTERS AFFECTING THE CORPORATION. IN ORDER TO APPROVE SUCH CONTRACT, TRANSACTION, OR ARRANGEMENT, THE BOARD OF DIRECTORS MUST FIRST FIND, BY MAJORITY VOTE WITHOUT COUNTING THE VOTE OF THE INTERESTED DIRECTOR OR DIRECTORS, THAT (I) THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT, AND (II) THE PROPOSED CONTRACT, TRANSACTION, OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE PERSONS PRESENT FOR THE DISCUSSION AND VOTE, THE CONTENT OF THE DISCUSSION, THE VOTE THEREOF (INCLUDING ANY ROLL CALL), AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND THAT A QUORUM WAS PRESENT. THE CORPORATION SHALL KEEP MINUTES OF THE DISCUSSIONS AND DELIBERATIONS AS PART OF THE MINUTES OF THE CORPORATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.