SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ART WITH A HEART IN HEALTHCARE INC
 
Employer identification number

26-1313805
Return Reference Explanation
FORM 990, PAGE 2, PART III, LINE 4A THE ORGANIZATION'S OFFICE SPACE HAS BEEN DONATED FOR THIS PROGRAM AND IS VALUED AT 25,500 FOR 2013.
FORM 990, PAGE 2, PART III, LINE 4B 5. PROVIDE CONTRACT ARTIST AND PROGRAM SERVICES FOR CRITICALLY ILL CHILDREN SPONSORED BY THE CUMMER FAMILY FOUNDATION. 6. PROVIDE CONTRACT ARTIST AND RELATED PROGRAM MANAGEMENT FOR CRITICALLY ILL CHILDREN SPONSORED BY THE STATE OF FLORIDA DIVISION OF CULTURAL AFFAIRS. 7. OTHER SPECIAL PROJECTS AND ART SUPPLIES SPONSORED BY CHARITABLE GRANTS.
FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF FORM 990 IS PROVIDED TO BOARD TREASURER FOR REVIEW, ON BEHALF OF THE BOARD, ALONG WITH THE ORGANIZATION'S AUDIT REPORT. BOTH ITEMS ARE THEN PRESENTED TO THE ENTIRE BOARD AT THE FIRST MEETING FOLLOWING THEIR COMPLETION.
FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9 RENT EXPENSE DONATED FACILITIES 25,500
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

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