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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
JESSICA JUNE CHILDREN'S CANCER
FOUNDATION INC
Employer identification number
13-4280980
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) COMMUNITY FOUNDATION OF BROWARD
910 EAST LAS OLAS BLVD 200
FORT LAUDERDALE,FL33301
65-2477112 501C3 75,000       SUPPORT ENDOWNMENT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022
Page 2

Schedule I (Form 990) 2022
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) FOR CANCER PATIENTS 515 132,663      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
SCHEDULE I, PAGE 4, PART IV JJCCF'S FINANCIAL ASSISTANCE PROGRAM IS COMMITTED TO PROVIDING EMERGENCY FINANCIAL RELIEF TO HELP FAMILIES FIGHTING CHILDHOOD CANCER PAY FOR EVERYDAY BASIC NECESSITIES SUCH AS RENT, UTILITY, MEDICAL, CAR, GAS AND FOOD. THE ASSISTANCE IS DESCRIBED AS A LIFELINE PREVENTING FAMILIES FROM SPIRALING DOWN AND VITAL TO THE SURVIVAL OF THE CHILDREN IN TREATMENT. ALL CHILDREN AND THEIR FAMILIES WHO QUALIFY FOR THE FINANCIAL ASSISTANCE PROGRAM BENEFIT FROM THE SUPPORTIVE CARE SERVICES PROGRAM WHICH ENCOMPASS EMOTIONAL/BEREAVEMENT SUPPORT, RESPITE OPTIONS, ADVOCACY, COLLABORATION, IN-KIND DISTRIBUTION, WISH GRANTING/MATCHING. CHILD FIGHTING CANCER COMES FROM A LOW-INCOME FAMILY CURRENTLY EXPERIENCING FINANCIAL HARDSHIP. CHILD'S CANCER DIAGNOSIS HAS AFFECTED FAMILY'S FINANCES / INCOME. FAMILY IS TEMPORARILY STRUGGLING TO MAINTAIN BASIC HUMAN NEEDS. MOST CASES INVOLVE A SINGLE PARENT HOUSEHOLD AND FAMILY QUALIFIES FOR GOVERNMENT ASSISTANCE PROGRAMS SUCH AS MEDICAID AND SUPPLEMENTAL SECURITY INCOME. IN ORDER TO APPLY FOR THE PROGRAM, THE CHILD MUST RESIDE IN THE STATE OF FLORIDA, AND THE CHILD MUST BE UNDER 18 YEARS OF AGE (0-17 YEARS OLD). A CHILD / FAMILY MUST BE REFERRED BY THEIR SOCIAL WORKER AND COMPLETE OUR (3) PAGE FINANCIAL ASSISTANCE APPLICATION FORM WITH THEIR SOCIAL WORKER. APPLICATIONS SHOULD BE EMAILED TO JJCCF BY THE SOCIAL WORKER. AFTER JJCCF STAFF REVIEWS THE SUBMITTED APPLICATION, THE CHILD'S CAREGIVER WILL BE CONTACTED TO CONFIRM ELIGIBILITY AND EXPLAIN THE ASSISTANCE PROCESS. COPIES OF OUTSTANDING BILLS REPRESENTING BASIC HUMAN NEEDS (I.E., MEDICAL, UTILITIES, RENT, MORTGAGE, INSURANCE, CAR PAYMENT) SHOULD BE PROVIDED. GROCERY OR GAS GIFT CARDS MAY BE REQUESTED. JJCCF STAFF WILL REQUEST A HEADSHOT OF THE CHILD FOR OUR ANNUAL COLLAGE OF THE FACES BEHIND OUR MISSION AND MAIL OUR FINANCIAL ASSISTANCE PACKAGE TO THE CHILD'S HOME ADDRESS. ALSO IN 2021, THE ORGANIZATION TRANSFERRED ASSETS TO THE COMMUNITY FOUNDATION OF BROWARD (THE "FOUNDATION") WHICH IS HOLDING THEM AS AN ENDOWED COMPONENT FUND ("FUND") FOR THE BENEFIT OF THE ORGANIZATION. THE PURPOSE OF THE FUND IS TO FURTHER OR CARRY OUT THE CHARITABLE PURPOSE OF THE ORGANIZATION IN PERPETUITY. IN THE EVENT THE JESSICA JUNE CHILDREN'S CANCER FOUNDATION, INC. SHOULD CEASE TO EXIST, THE FUND SHALL CONVERT TO A FIELD OF INTEREST FUND THAT WILL PROVIDE FINANCIAL ASSISTANCE (NOT IN CASH) FOR LOW-INCOME FAMILIES WITH CHILDREN AGES 0-17 FIGHTING CANCER TO ENSURE ACCESS TO BASIS HUMAN NECESSITIES. THE ORGANIZATION HAS GRANTED THE COMMUNITY FOUNDATION OF BROWARD (THE "FOUNDATION") VARIANCE POWER WHICH GIVES THE FOUNDATION'S BOARD OF TRUSTEES THE POWER TO USE THE FUND FOR OTHER PURPOSES IN CERTAIN CIRCUMSTANCES. THE FUND IS SUBJECT TO THE FOUNDATION'S INVESTMENT AND SPENDING POLICIES WHICH CURRENTLY RESULT IN A DISTRIBUTION TO THE ORGANIZATION OF 5 PERCENT OF THE 12 QUARTER WEIGHTED AVERAGE OF THE FAIR MARKET VALUE OF THE FUND.
Schedule I (Form 990) 2022



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