THE BREAST FORM FUND INC

Address
14 CENTER ST
NORTHAMPTON, MA 01060
Contact
Phone: +1 (413) 584-6673
Nonprofit
NTEE: G32 - Diseases, disorders, and medical disciplines
EIN: 35-2222308

Mission

TO EDUCATE, INFORM AND ASSIST THE PUBLIC IN THE AREA OF BREAST HEALTH. TO PROVIDE BREAST PROSTHESIS AND/ OR POST-MASTECTOMY BRAS TO UNINSURED AND UNDER-INSURED WOMEN.
 201220112010
Basic features of the organization
Year of formation2004
Metropolitan statistical area8003
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Number of employees000
Personnel
Aubrey, Diane
Title  TREASURER
Name of key/compensated person  DIANE AUBREY
Position of compensated person
Current officer  True
Average hours per week working for org  000.00
Reportable compensation from org  $0.00
Other comp, non-reportable, from org and related orgs  $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00
Cossin, Robin
Title  DIRECTOR
Name of key/compensated person  ROBIN COSSIN
Position of compensated person
Average hours per week working for org  000.00
Reportable compensation from org  $0.00
Other comp, non-reportable, from org and related orgs  $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00
Coyne, Sandi
Title  DIRECTOR
Name of key/compensated person  SANDI COYNE
Position of compensated person
Average hours per week working for org  000.00
Reportable compensation from org  $0.00
Other comp, non-reportable, from org and related orgs  $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00
D'Anrienzo, Daria
Name of key/compensated personDARIA D'ANRIENZODARIA D'ANRIENZO 
Position of compensated person
Average hours per week working for org 2.00 
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00 
Esposito, Cindy
TitleSECRETARYSECRETARY 
Name of key/compensated personCINDY ESPOSITOCINDY ESPOSITO 
Position of compensated person
Current officerTrueTrue 
Average hours per week working for org 2.00 
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00 
Fine, Judith
TitlePRESIDENTPRESIDENTPRESIDENT
Name of key/compensated personJUDITH FINEJUDITH FINEJUDITH FINE
Position of compensated person
Current officerTrueTrueTrue
Average hours per week working for org 2.00000.00
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Goldsmith, Susan
Name of key/compensated personSUSAN GOLDSMITHSUSAN GOLDSMITH 
Position of compensated person
Average hours per week working for org 2.00 
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00 
Hooks, Trudy
Title  DIRECTOR
Name of key/compensated person  TRUDY HOOKS
Position of compensated person
Average hours per week working for org  000.00
Reportable compensation from org  $0.00
Other comp, non-reportable, from org and related orgs  $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00
Jorgensen, Janice
TitleTREASURERTREASURERCLERK
Name of key/compensated personJANICE JORGENSENJANICE JORGENSENJANICE JORGENSEN
Position of compensated person
Current officerTrueTrueTrue
Average hours per week working for org 2.00000.00
Reportable compensation from org$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00
Lind, Jenn
Name of key/compensated personJENN LINDJENN LIND 
Position of compensated person
Average hours per week working for org 2.00 
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00 
Merchant, Kerry
Name of key/compensated personKERRY MERCHANTKERRY MERCHANT 
Position of compensated person
Average hours per week working for org 2.00 
Reportable compensation from org$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00 
Robinson, Philip
Title  DIRECTOR
Name of key/compensated person  PHILIP ROBINSON
Position of compensated person
Average hours per week working for org  000.00
Reportable compensation from org  $0.00
Other comp, non-reportable, from org and related orgs  $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00
Purpose: mission, activities, & accomplishments
Mission or significant activitiesTO EDUCATE, INFORM AND ASSIST THE PUBLIC IN THE AREA OF BREAST HEALTH. TO PROVIDE BREAST PROSTHESIS AND/ OR POST-MASTECTOMY BRAS TO UNINSURED AND UNDER-INSURED WOMEN.TO EDUCATE, INFORM AND ASSIST THE PUBLIC IN THE AREA OF BREAST HEALTH. TO PROVIDE BREAST PROSTHESIS AND/ OR POST-MASTECTOMY BRAS TO UNINSURED AND UNDER-INSURED WOMEN.TO EDUCATE, INFORM AND ASSIST THE PUBLIC IN THE AREA OF BREAST HEALTH. TO PROVIDE BREAST PROSTHESIS AND/ OR POST-MASTECTOMY BRAS TO UNINSURED AND UNDER-INSURED WOMEN.
Program service expenses, total$30,216.00$25,467.00$13,107.00
Programs, including revenue & expenses
TO EDUCATE/INFORM AND ASSIST THE PUBLIC IN THE AREA OF BREAST HEALTH
Program expenses$30,216.00$25,467.00$13,107.00
Program descriptionTO EDUCATE/INFORM AND ASSIST THE PUBLIC IN THE AREA OF BREAST HEALTHTO EDUCATE/INFORM AND ASSIST THE PUBLIC IN THE AREA OF BREAST HEALTHTO EDUCATE/INFORM AND ASSIST THE PUBLIC IN THE AREA OF BREAST HEALTH
Financial data
Revenue
Total revenue$2,003.00$26,028.00$37,455.00
Revenue from contributions (total) $3,829.00$15,006.00
Investment income, current yr$120.00$136.00$147.00
Total revenue from grants, etc., current yr$0.00$3,829.00$15,006.00
Total unrelated business revenue$0.00$0.00$0.00
Other revenue, current yr$0.00$0.00$0.00
Program service revenue (total)$1,883.00$22,063.00$22,302.00
Gross receipts$2,003.00$26,028.00$37,455.00
Sources of contributions
Revenue from all other contributions $3,829.00$15,006.00
Other types of revenue
Income from dividends, interest, and similar investments$120.00$136.00$147.00
Net rental income $0.00$0.00
Expense categories (totals)
Total functional expenses: sum of all$31,886.00$46,617.00$31,238.00
Total functional expenses: program service $30,216.00$25,467.00$13,107.00
Total functional expenses: management and general$1,520.00$21,150.00$5,900.00
Total functional expenses: fundraising$150.00$0.00$12,231.00
Fees for services
Fundraising service fees (total)$0.00$0.00$0.00
Assets and liabilities
Total assets$28,201.00$57,211.00$99,280.00
Total assets, beginning of year$57,211.00$99,280.00$93,063.00
Total liabilities$40.00$88.00$0.00
Total liabilities, beginning of year$88.00  
Unrestricted net assets, end of yr$28,161.00$57,123.00$99,280.00
Net assets$28,161.00$57,123.00$99,280.00
Net assets, beginning of year$57,123.00$99,280.00$93,063.00
Cash: non-interest bearing$3,158.00$21,859.00$52,461.00
Cash: non-interest bearing, beginning of year$21,859.00$52,461.00$27,647.00
Other financial variables
Revenue less expenses-$29,883.00-$20,589.00$6,217.00
Savings & temp cash investment$25,043.00$34,914.00$46,819.00
Prepaid expenses & deferred charges $438.00 
Accounts payable & accrued expenses$40.00$88.00 
Total net assets or fund balances$28,161.00$57,123.00$99,280.00
Governance and accountability
Number of voting members775
Number of independent voting members770
Cash accountingTrueTrueTrue
Tax year start date2012-01-012011-01-012010-01-01
Tax year end date2012-12-012011-12-012010-12-01
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990
Date e-filing submitted2013-07-252012-09-272011-09-29
IRS schema version2012v2.12011v1.22010v3.2
Filing identifier201331199349300333201201299349300210201121199349300002
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