PUBLIC INSPECTION COPY

Size: px
Start display at page:

Download "PUBLIC INSPECTION COPY"

Transcription

1

2 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) Part Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part Briefly descrie the organization's mission: mmmmmmmmmmmmmmmmmmmmmmmm SUSAN G. KOMEN 'S MSSON S TO SAVE LVES BY MEETNG THE MOST CRTCAL NEEDS N OUR COMMUNTES AND NVESTNG N BREAKTHROUGH TO PREVENT AND CURE BREAST CANCER. Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? Yes f "Yes," descrie these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? Yes f "Yes," descrie these changes on Schedule O. Descrie the organization's program service accomplishments for each of its three largest program services, as measured y expenses. Section 50(c)() and 50(c)() organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm ) (Expenses $,5,506. including grants of $ 6,05,6. ) (Revenue $ GRANTS TO ACADEMC NSTTUTONS AND OTHER NONPROFT ORGANZATONS TO SUPPORT BREAST CANCER PROJECTS NCLUDNG THOSE FOCUSED ON THE BOLOGY OF BREAST CANCER; EARLY DETECTON, DAGNOSS, AND PREVENTON STRATEGES; DEVELOPNG TARGETED THERAPES, OVERCOMNG BREAST CANCER PROGRESSON, TREATMENT RESSTANCE AND METASTASS, PREDCTNG RSK, DEVELOPNG NEW MAGNG TECHNQUES, AND UNDERSTANDNG AND ADDRESSNG DSPARTES N OUTCOMES AS WELL AS RESOURCES AND CONFERENCES. SEE SCHEDULE O FOR ADDTONAL DETALS.,7,77. ) ) (Expenses $,555,. including grants of $ 555,57. ) (Revenue $ PROVSON OF BREAST HEALTH/CANCER EDUCATON MATERALS AND PATENT SUPPORT PROGRAMS, SUCH AS THE KOMEN BREAST CARE HELPLNE, CLNCAL TRAL NFORMATON HELPLNE, AND TREATMENT ASSSTANCE PROGRAM, WERE MADE POSSBLE DRECTLY BY KOMEN AND THROUGH GRANTS TO OTHER NONPROFT ORGANZATONS TO NCREASE THE PUBLC'S KNOWLEDGE OF BREAST CANCER, TS RSK FACTORS, THE MPORTANCE OF EARLY DETECTON, METASTATC BREAST CANCER, TREATMENT, SOCAL SUPPORT, AND NFORMATON ABOUT COMMUNTY RESOURCES. SEE SCHEDULE O FOR ADDTONAL DETALS. ) ) (Expenses $ 5,97,7. including grants of $,,6 ) (Revenue $ GRANTS TO OTHER NONPROFT ORGANZATONS TO SUPPORT BREAST CANCER SCREENNG, DAGNOSS, AND TREATMENT PROGRAMS WTH A SPECAL EMPHASS ON PATENT NAVGATON, ESPECALLY N COMMUNTES WHERE DSPARTES N OUTCOMES ARE SGNFCANT AND/OR ACCESS S LMTED. SEE SCHEDULE O FOR ADDTONAL DETALS.,87,0. ) a (Code: (Code: c (Code: d Other program services (Descrie in Schedule O.) (Expenses $ including grants of $ 6,77,55. e Total program service expenses 7E ) (Revenue $ ) Form 990 (07) PAGE

3 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) Part V Yes s the organization descried in section 50(c)() or 97(a)() (other than a private foundation)? f "Yes," complete Schedule A s the organization required to complete Schedule B, Schedule of Contriutors (see instructions)? Did the organization engage in direct or indirect political campaign activities on ehalf of or in opposition to candidates for pulic office? f "Yes," complete Schedule C, Part Section 50(c)() organizations. Did the organization engage in loying activities, or have a section 50(h) election in effect during the tax year? f "Yes," complete Schedule C, Part s the organization a section 50(c)(), 50(c)(5), or 50(c)(6) organization that receives memership dues, assessments, or similar amounts as defined in Revenue Procedure 98-9? f "Yes," complete Schedule C, Part Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distriution or investment of amounts in such funds or accounts? f "Yes," complete Schedule D, Part Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? f "Yes," complete Schedule D, Part Did the organization maintain collections of works of art, historical treasures, or other similar assets? f "Yes," complete Schedule D, Part Did the organization report an amount in Part, line, for escrow or custodial account liaility, serve as a custodian for amounts not listed in Part ; or provide credit counseling, det management, credit repair, or det negotiation services? f "Yes," complete Schedule D, Part V Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? f "Yes," complete Schedule D, Part V f the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts V, V, V,, or as applicale. Did the organization report an amount for land, uildings, and equipment in Part, line 0? f "Yes," complete Schedule D, Part V Did the organization report an amount for investments-other securities in Part, line that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part V Did the organization report an amount for investments-program related in Part, line that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part V Did the organization report an amount for other assets in Part, line 5 that is 5% or more of its total assets reported in Part, line 6? f "Yes," complete Schedule D, Part mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmm 5 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 6 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmm 0 a c d Checklist of Required Schedules mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmm mmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm m mmmmmmmmmmm mmmmmmmmmmmmm e Did the organization report an amount for other liailities in Part, line 5? f "Yes," complete Schedule D, Part f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liaility for uncertain tax positions under FN 8 (ASC 70)? f "Yes," complete Schedule D, Part a c d e f a Did the organization otain separate, independent audited financial statements for the tax year? f "Yes," complete Schedule D, Parts and Was the organization included in consolidated, independent audited financial statements for the tax year? f "Yes," and if the organization answered "" to line a, then completing Schedule D, Parts and is optional s the organization a school descried in section 70()()(A)(ii)? f "Yes," complete Schedule E a Did the organization maintain an office, employees, or agents outside of the United States? Did the organization have aggregate revenues or expenses of more than $0,000 from grantmaking, fundraising, usiness, investment, and program service activities outside the United States, or aggregate foreign investments valued at $00,000 or more? f "Yes," complete Schedule F, Parts and V 5 Did the organization report on Part, column (A), line, more than $5,000 of grants or other assistance to or for any foreign organization? f "Yes," complete Schedule F, Parts and V 6 Did the organization report on Part, column (A), line, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? f "Yes," complete Schedule F, Parts and V 7 Did the organization report a total of more than $5,000 of expenses for professional fundraising services on Part, column (A), lines 6 and e? f "Yes," complete Schedule G, Part (see instructions) 8 Did the organization report more than $5,000 total of fundraising event gross income and contriutions on Part V, lines c and 8a? f "Yes," complete Schedule G, Part 9 Did the organization report more than $5,000 of gross income from gaming activities on Part V, line 9a? f "Yes," complete Schedule G, Part mmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmm mmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm a a Form 990 (07) 7E0.000 PAGE

4 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) Part V 0 a mmmmmmmmmmmmm mmmmmm mmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmm Did the organization operate one or more hospital facilities? f "Yes," complete Schedule H f "Yes" to line 0a, did the organization attach a copy of its audited financial statements to this return? Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part, column (A), line? f "Yes," complete Schedule, Parts and Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part, column (A), line? f "Yes," complete Schedule, Parts and Did the organization answer "Yes" to Part V, Section A, line,, or 5 aout compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? f "Yes," complete Schedule J Did the organization have a tax-exempt ond issue with an outstanding principal amount of more than $00,000 as of the last day of the year, that was issued after Decemer, 00? f "Yes," answer lines through d and complete Schedule K. f "," go to line 5a Did the organization invest any proceeds of tax-exempt onds eyond a temporary period exception? Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt onds? Did the organization act as an "on ehalf of" issuer for onds outstanding at any time during the year? Section 50(c)(), 50(c)(), and 50(c)(9) organizations. Did the organization engage in an excess enefit transaction with a disqualified person during the year? f "Yes," complete Schedule L, Part s the organization aware that it engaged in an excess enefit transaction with a disqualified person in a prior year, and that the transaction has not een reported on any of the organization's prior Forms 990 or 990-EZ? f "Yes," complete Schedule L, Part Did the organization report any amount on Part, line 5, 6, or for receivales from or payales to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? f "Yes," complete Schedule L, Part Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, sustantial contriutor or employee thereof, a grant selection committee memer, or to a 5% controlled entity or family memer of any of these persons? f "Yes," complete Schedule L, Part Was the organization a party to a usiness transaction with one of the following parties (see Schedule L, Part V instructions for applicale filing thresholds, conditions, and exceptions): A current or former officer, director, trustee, or key employee? f "Yes," complete Schedule L, Part V A family memer of a current or former officer, director, trustee, or key employee? f "Yes," complete Schedule L, Part V An entity of which a current or former officer, director, trustee, or key employee (or a family memer thereof) was an officer, director, trustee, or direct or indirect owner? f "Yes," complete Schedule L, Part V Did the organization receive more than $5,000 in non-cash contriutions? f "Yes," complete Schedule M Did the organization receive contriutions of art, historical treasures, or other similar assets, or qualified conservation contriutions? f "Yes," complete Schedule M Did the organization liquidate, terminate, or dissolve and cease operations? f "Yes," complete Schedule N, Part Did the organization sell, exchange, dispose of, or transfer more than 5% of its net assets? f "Yes," complete Schedule N, Part Did the organization own 00% of an entity disregarded as separate from the organization under Regulations sections and ? f "Yes," complete Schedule R, Part Was the organization related to any tax-exempt or taxale entity? f "Yes," complete Schedule R, Part,, or V, and Part V, line Did the organization have a controlled entity within the meaning of section 5()()? f "Yes" to line 5a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 5()()? f "Yes," complete Schedule R, Part V, line Section 50(c)() organizations. Did the organization make any transfers to an exempt non-charitale related organization? f "Yes," complete Schedule R, Part V, line Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? f "Yes," complete Schedule R, Part V Did the organization complete Schedule O and provide explanations in Schedule O for Part V, lines and 9? te. All Form 990 filers are required to complete Schedule O. mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm a c d 5 a mmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmm mmmmmmmmmmmm 7 8 a c a 6 7 0a 0 a c d 5 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 6 mmmmmmmmmmmmmmm 7 8a 8 mmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmm mmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mmmmm mmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 8 Yes 5a mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 6 Checklist of Required Schedules (continued) 8c 9 0 5a Form 990 (07) 7E PAGE

5 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) Part V mmmmmmmmmmmmmmmmmmmmm 7 mmmmmmmmmm mmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm 5 mm mmmmmmm mmmmmmmmmmm mmmmmmmm Yes a a Enter the numer reported in Box of Form 096. Enter -0- if not applicale Enter the numer of Forms W-G included in line a. Enter -0- if not applicale c Did the organization comply with ackup withholding rules for reportale payments to vendors and reportale gaming (gamling) winnings to prize winners? a Enter the numer of employees reported on Form W-, Transmittal of Wage and Tax a Statements, filed for the calendar year ending with or within the year covered y this return f at least one is reported on line a, did the organization file all required federal employment tax returns? te. f the sum of lines a and a is greater than 50, you may e required to e-file (see instructions) a Did the organization have unrelated usiness gross income of $,000 or more during the year? f "Yes," has it filed a Form 990-T for this year? f "" to line, provide an explanation in Schedule O a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a ank account, securities account, or other financial account)? f "Yes," enter the name of the foreign country: 5a c 6a 7 a c d e f g h 8 9 a 0 a 5 Statements Regarding Other RS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V c a mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm a 5a 5 5c 6a m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm 7a 7 See instructions for filing requirements for FinCEN Form, Report of Foreign Bank and Financial Accounts (FBAR). Was the organization a party to a prohiited tax shelter transaction at any time during the tax year? Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transaction? f "Yes" to line 5a or 5, did the organization file Form 8886-T? Does the organization have annual gross receipts that are normally greater than $00,000, and did the organization solicit any contriutions that were not tax deductile as charitale contriutions? f "Yes," did the organization include with every solicitation an express statement that such contriutions or gifts were not tax deductile? Organizations that may receive deductile contriutions under section 70(c). Did the organization receive a payment in excess of $75 made partly as a contriution and partly for goods and services provided to the payor? f "Yes," did the organization notify the donor of the value of the goods or services provided? Did the organization sell, exchange, or otherwise dispose of tangile personal property for which it was required to file Form 88? 7d f "Yes," indicate the numer of Forms 88 filed during the year mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmm mmmmm mm mmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmm mmmmmmmmmm mmmmmmmmmmmmmm mmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmm mmmmmmmmmmmmmmmmmm Did the organization receive any funds, directly or indirectly, to pay premiums on a personal enefit contract? Did the organization, during the year, pay premiums, directly or indirectly, on a personal enefit contract? f the organization received a contriution of qualified intellectual property, did the organization file Form 8899 as required? f the organization received a contriution of cars, oats, airplanes, or other vehicles, did the organization file a Form 098-C? Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained y the sponsoring organization have excess usiness holdings at any time during the year? Sponsoring organizations maintaining donor advised funds. Did the sponsoring organization make any taxale distriutions under section 966? Did the sponsoring organization make a distriution to a donor, donor advisor, or related person? Section 50(c)(7) organizations. Enter: 0a nitiation fees and capital contriutions included on Part V, line 0 Gross receipts, included on Form 990, Part V, line, for pulic use of clu facilities Section 50(c)() organizations. Enter: a a Gross income from memers or shareholders Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) a Section 97(a)() non-exempt charitale trusts. s the organization filing Form 990 in lieu of Form 0? f "Yes," enter the amount of tax-exempt interest received or accrued during the year Section 50(c)(9) qualified nonprofit health insurance issuers. a s the organization licensed to issue qualified health plans in more than one state? te. See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain y the states in which the organization is licensed to issue qualified health plans c c Enter the amount of reserves on hand mmmmmmmmmmmmmmmmmmmm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm mm m m m m m m m m m m m mmmmmm a Did the organization receive any payments for indoor tanning services during the tax year? f "Yes," has it filed a Form 70 to report these payments? f "," provide an explanation in Schedule O 7E c 7e 7f 7g 7h 8 9a 9 a a a Form 990 (07) PAGE 5

6 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) 6 Part V Governance, Management, and Disclosure For each "Yes" response to lines through 7 elow, and for a "" mmmmmmmmmmmmmmmmmmmmmmmm response to line 8a, 8, or 0 elow, descrie the circumstances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response or note to any line in this Part V Section A. Governing Body and Management a Enter the numer of voting memers of the governing ody at the end of the tax year mmmmm Yes a f there are material differences in voting rights among memers of the governing ody, or if the governing ody delegated road authority to an executive committee or similar committee, explain in Schedule O. mmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mm mmmmmm mmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Enter the numer of voting memers included in line a, aove, who are independent Did any officer, director, trustee, or key employee have a family relationship or a usiness relationship with any other officer, director, trustee, or key employee? Did the organization delegate control over management duties customarily performed y or under the direct supervision of officers, directors, or trustees, or key employees to a management company or other person? Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 5 Did the organization ecome aware during the year of a significant diversion of the organization's assets? 6 Did the organization have memers or stockholders? 7a Did the organization have memers, stockholders, or other persons who had the power to elect or appoint one or more memers of the governing ody? Are any governance decisions of the organization reserved to (or suject to approval y) memers, stockholders, or persons other than the governing ody? 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year y the following: a The governing ody? Each committee with authority to act on ehalf of the governing ody? 9 s there any officer, director, trustee, or key employee listed in Part V, Section A, who cannot e reached at the organization's mailing address? f "Yes," provide the names and addresses in Schedule O mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmm 5 6 7a 7 8a 8 9 Section B. Policies (This Section B requests information aout policies not required y the nternal Revenue Code.) mmmmmmmmmmmmmmmmmmmmmmmmmm mmm m mmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmm 0 a Did the organization have local chapters, ranches, or affiliates? f "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and ranches to ensure their operations are consistent with the organization's exempt purposes? a Has the organization provided a complete copy of this Form 990 to all memers of its governing ody efore filing the form? Descrie in Schedule O the process, if any, used y the organization to review this Form 99 a Did the organization have a written conflict of interest policy? f "," go to line Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? c Did the organization regularly and consistently monitor and enforce compliance with the policy? f "Yes," descrie in Schedule O how this was done Did the organization have a written whistlelower policy? Did the organization have a written document retention and destruction policy? 5 Did the process for determining compensation of the following persons include a review and approval y independent persons, comparaility data, and contemporaneous sustantiation of the delieration and decision? a The organization's CEO, Executive Director, or top management official Other officers or key employees of the organization f "Yes" to line 5a or 5, descrie the process in Schedule O (see instructions). 6 a Did the organization invest in, contriute assets to, or participate in a joint venture or similar arrangement with a taxale entity during the year? f "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicale federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? mmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Section C. Disclosure mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmm ATTACHMENT Yes 0a 0 a a c 5a 5 6a List the states with which a copy of this Form 990 is required to e filed Section 60 requires an organization to make its Forms 0 (or 0 if applicale), 990, and 990-T (Section 50(c)()s only) availale for pulic inspection. ndicate how you made these availale. Check all that apply. Own wesite Upon request Another's wesite Other (explain in Schedule O) 9 Descrie in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements availale to the pulic during the tax year. State the name, address, and telephone numer of the person who possesses the organization's ooks and records: 0 RA WLLAMS 5005 LBJ FREEWAY SUTE 56 DALLAS, T E0.000 Form 990 (07) PAGE 6

7 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) 7 Part V Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and ndependent Contractors Check if Schedule O contains a response or note to any line in this Part V mmmmmmmmmmmmmmmmmmmmmmmmmmmm Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees a Complete this tale for all persons required to e listed. Report compensation for the calendar year ending with or within the organization's tax year. % % % % % List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. List all of the organization's current key employees, if any. See instructions for definition of "key employee." List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportale compensation (Box 5 of Form W- and/or Box 7 of Form 099-MSC) of more than $00,000 from the organization and any related organizations. List all of the organization's former officers, key employees, and highest compensated employees who received more than $00,000 of reportale compensation from the organization and any related organizations. List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $0,000 of reportale compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. Check this ox if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) (A) Name and Title Position (B) Former Highest compensated employee Key employee CHAR OF THE BOARD () LNDA CUSTARD BOARD MEMBER () JANE ABRAHAM BOARD MEMBER () ALAN FELD BOARD MEMBER (5) DR. OLUFUNMLAYO OLOPADE BOARD MEMBER (6) JANET DUNN FRANTZ BOARD MEMBER (7) DAN GLENNON BOARD MEMBER AND TREASURER (8) MELSSA MAFELD BOARD MEMBER (9) MEGHAN SHANNON BOARD MEMBER (0) TRSH WHEATON BOARD MEMBER () ANGELA ZEPEDA BOARD MEMBER () KM BOHR BOARD MEMBER (BEG. 6/7) () PETER D. BRUNDAGE BOARD MEMBER (BEG. 6/7) () ANDREW ROBNSON BOARD MEMBER (BEG. 6/7) Officer () CONNE O'NELL nstitutional trustee ndividual trustee or director (do not check more than one Average ox, unless person is oth an hours per week (list any officer and a director/trustee) hours for related organizations elow dotted line) (D) (E) (F) Reportale compensation from the organization (W-/099-MSC) Reportale compensation from related organizations (W-/099-MSC) Estimated amount of other compensation from the organization and related organizations Form 7E (07) PAGE 7

8 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) Part V 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) Name and title (B) (C) Average Position (do not check more than one ox, unless person is oth an officer and a director/trustee) hours per week (list any hours for Former Highest compensated employee Key employee ( 5) LNDA WLKNS BOARD MEMBER (END 6/7) ( 6) KAYE CELLE BOARD MEMBER (END 6/7) ( 7) PAULA SCHNEDER PRESDENT AND CEO (BEG. 0/7) ( 8) ROBERT GREEN CHEF FNANCAL OFFCER ( 9) ADAM VANEK (BEG. /7) GEN. COUNSEL & ASST CORP SECY ( 0) ELLEN WLLMOTT NTERM CEO (END 0/7) ( ) LESLEY LURE (END /7) DEPUTY COUNSEL & ASSST SECY ( ) CHRSTNA ALFORD SVP, DEVELOPMENT ( ) VCTORA WOLODZKO VP AND COM. HEALTH PR ( ) LOR MARS SVP, AFFLATE NETWORK ( 5) ERC MONTGOMERY VP,.T. Officer line) nstitutional trustee elow dotted ndividual trustee or director related organizations (D) (E) Reportale Reportale compensation compensation from from related the organizations organization (W-/099-MSC) (W-/099-MSC) (F) Estimated amount of other compensation from the organization and related organizations 7,55. 6,55. 8,8. 0, ,6.,96. 80,56. 6,89. 95,097. 6,77. 8,88. 9,5. 85,56., ,. 8,785. 9,. 6,65. 0,57. 0,57. m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m c d Su-total,08,. Total from continuation sheets to Part V, Section A,08,. Total (add lines and c) Total numer of individuals (including ut not limited to those listed aove) who received more than $00,000 of reportale compensation from the organization 9 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? f "Yes," complete Schedule J for such individual mmmmmmmmmmmmmmmmmmmmmmmmmm For any individual listed on line a, is the sum of reportale compensation and other compensation from the organization and related organizations greater than $50,000? f Yes, complete Schedule J for such individual Yes mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmm Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? f Yes, complete Schedule J for such person 5 Section B. ndependent Contractors Complete this tale for your five highest compensated independent contractors that received more than $00,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. 5 (A) Name and usiness address (B) Description of services (C) Compensation ATTACHMENT Total numer of independent contractors (including ut not limited to those listed aove) who received more than $00,000 in compensation from the organization 9 7E Form 990 (07) PAGE 8

9 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) Part V 8 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) Name and title (B) (C) Average Position (do not check more than one ox, unless person is oth an officer and a director/trustee) hours per week (list any hours for Former Highest compensated employee Key employee ( 6) CATHERNE OLVER VP, HUMAN RESOURCES ( 7) ANDREA RADER SR DR, COM. (END 0/8) ( 8) RA WLLAMS CONTROLLER ( 9) SUBHENDU RATH SR DR, T ENTERPRSE SYSTEMS ( 0) VANESSA HEWTT SR DR, NTERNAL AUDT ( ) KMBERLY SABELKO SR DR, SCENTFC STRATEGY ( ) DR. JUDTH SALERNO FORMER PRESDENT & CEO Officer line) nstitutional trustee elow dotted ndividual trustee or director related organizations (D) (E) Reportale Reportale compensation compensation from from related the organizations organization (W-/099-MSC) (W-/099-MSC) (F) Estimated amount of other compensation from the organization and related organizations 8,06. 5,. 7,769. 8,9. 7,059.,50 6,799. 8, ,8. 0,56 5,755. 0,8. 7,6. m m m m m m m m m m m m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m c d Su-total Total from continuation sheets to Part V, Section A Total (add lines and c) Total numer of individuals (including ut not limited to those listed aove) who received more than $00,000 of reportale compensation from the organization 9 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line a? f "Yes," complete Schedule J for such individual mmmmmmmmmmmmmmmmmmmmmmmmmm For any individual listed on line a, is the sum of reportale compensation and other compensation from the organization and related organizations greater than $50,000? f Yes, complete Schedule J for such individual Yes mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmm Did any person listed on line a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? f Yes, complete Schedule J for such person 5 Section B. ndependent Contractors Complete this tale for your five highest compensated independent contractors that received more than $00,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. 5 (A) Name and usiness address (B) Description of services (C) Compensation Total numer of independent contractors (including ut not limited to those listed aove) who received more than $00,000 in compensation from the organization 7E Form 990 (07) PAGE 9

10 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) Part V Statement of Revenue Check if Schedule O contains a response or note to any line in this Part V Contriutions, Gifts, Grants Program Service Revenue and Other Similar Amounts (A) Total revenue mmmmmmmm mmmmmmmmmm mmmmmmmmm mmmmmmmm mm m mmmmmmmmmmmmmmmmmm Federated campaigns a Memership dues c Fundraising events c d Related organizations d e Government grants (contriutions) e f All other contriutions, gifts, grants, a g h 9 mmmmmmmmmmmmmmmmmmmmmmmm (B) Related or exempt function revenue (C) Unrelated usiness revenue (D) Revenue excluded from tax under sections 5-5 6,005,958. 5,076,67 6,97. ncash contriutions included in lines a-f: $ Total. Add lines a-f 5,,7. Business Code a AFFLATE FUNDS ,7,77.,7,77. c d e f g m m m m m m mm mm mm mm mm m m m m m m m mmmmmmmmmmmmmmmm m m m m m m m m m m m m m m m m m m m m m m m mm mmmmmmmm mmm m mm m m m m m m m m m m m m m m m All other program service revenue Total. Add lines a-f nvestment income (including dividends, ncome from investment of tax-exempt ond proceeds Royalties 6a (i) Real (ii) Personal (ii) Other Less: rental expenses c d Rental income or (loss) Net rental income or (loss) Gross amount from sales of (i) Securities assets other than inventory 6,,988. 8a 5,589,97 77,0. 77,0. mmmm m m mm mm mm mm mm m m m m m m m m m m m m m m m Less: cost or other asis 7,7,877. and sales expenses c d 5,589,97 Gross rents 7a,7,77. interest, and other similar amounts) 5 Other Revenue 59,0. f and similar amounts not included aove ,69,. Gain or (loss) Net gain or (loss) 8,69,. 8,69,. -,969,789. -,969,789. Gross income from fundraising events (not including $ 6,005,958. mmmmmmmmmmm mmmmmmmmmm mmmmmmm mmmmmmmmmmm mmmmmmmmmm mmmmmmm mmmmmmmmm mmmmmmmmmmmmmmmmm of contriutions reported on line c). a 7,9. Less: direct expenses Net income or (loss) from fundraising events 5,69,7. See Part V, line 8 c 9a c 0a c Gross income from gaming activities. See Part V, line 9 Less: direct expenses Net income or (loss) from gaming activities Gross sales of inventory, returns and allowances a 6,0 78,7. -6,97. -6,97.,9,9. Business Code SHARED SERVCES NTERCOMPANY ,9,9. OTHER NCOME ,5. c mmmmmmmmmmmmm m m m mm mm mm mm mm mm mm mm mm mm mm mm mm d All other revenue e Total. Add lines a-d Total revenue. See instructions. less Less: cost of goods sold Net income or (loss) from sales of inventory Miscellaneous Revenue a a 7E ,0 8,.,57,8. 76,77,969. 5,85,9. 6,0 9,65,08. Form 990 (07) PAGE 0

11 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) Part Statement of Functional Expenses Section 50(c)() and 50(c)() organizations must complete all columns. All other organizations must complete column (A). Check if Schedule O contains a response or note to any line in this Part mmmmmmmmmmmmmmmmmmmmmmmm Do not include amounts reported on lines 6, 7, 8, 9, and 0 of Part V. mmmm mmmmmmmmm (A) Total expenses (B) Program service expenses (C) Management and general expenses 0 (D) Fundraising expenses Grants and other assistance to domestic organizations and domestic governments. See Part V, line Grants and other assistance individuals. See Part V, line to 6,68,98. 6,68,98. domestic Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part V, lines 5 and 6 mmmmm mmmmmmmmm mmmmmmmmmm,6,806.,6,806. Benefits paid to or for memers 5 Compensation of current officers, directors, trustees, and key employees,85,05.,58,88. 5,65.,65. 5,9,7. 9,8,5.,09,69,0, ,7,790,058.,075,6. 50,5.,7,. 679,56.,5. 5,56.,79. 0, ,8. 5,005. 7, ,95. 0,678.,79. 9, , 9, Compensation not included aove, to disqualified mmmmmm mmmmmmmmmmmm persons (as defined under section 958(f)()) and persons descried in section 958(c)()(B) 7 Other salaries and wages 8 Pension plan accruals and contriutions (include section 0(k) and 0() employer contriutions) mmmmmmmmmmmm mmmmmmmmmmmmmmmmmm m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmm m mmmmmmmmm mmmmmm m m m m m mm mm mm mm mm mm mm mm mm mm mm mmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmm 9 Other employee enefits 0 Payroll taxes Fees for services (non-employees): a Management Legal c Accounting d Loying e Professional fundraising services. See Part V, line 7 f nvestment management fees g Other. 5,0 5,55 0,678.,8,9. 69,58.,8,9. 69,58. (f line g amount exceeds 0% of line 5, column (A) amount, list line g expenses on Schedule O.) Advertising and promotion Office expenses nformation technology 5 Royalties 6 Occupancy 7 Travel 8 Payments of travel or entertainment expenses for any federal, state, or local pulic officials 9 Conferences, conventions, and meetings 0 nterest Payments to affiliates Depreciation, depletion, and amortization nsurance Other mmmm mmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmm mmmm mmmmmmmmmmmmmmmmmmm expenses. temize expenses not,95,5. 9,06,86.,68, ,09.,5,8,77,995. 5,80,9,9,8. 0,59. 0,76. 60, ,0,5,6 7, , ,87. 77,0. 70,989. 8,. 88,69. 0, 6,0. 75,.,5. 6,. 75,07 65,69. 7,675. 0,7,705.,55,9.,7,7. 99, ,096. 8,76, 8,5,78. 86, ,65. 8,5. 59,89. 6,77,55. 6,. 85,67. 7,078. 6,9.,7. 7,7,96.,56,95. 85,596. 0,9. 7,. 6,8.,87,989.,6,07. 0,8,777.,8,8.,9,56. 6,6. 587,66. 6,69. covered aove (List miscellaneous expenses in line e. f line e amount exceeds 0% of line 5, column (A) amount, list line e expenses on Schedule O.) a CONSULT & PROF. SVCS RENTAL & MANT c EVENT PRODUCTON d BANK FEES EQUP e All other expenses 5 Total functional expenses. Add lines through e 6 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a comined educational campaign and if fundraising solicitation. Check here following SOP 98- (ASC ) m m m m m m m 7E Form 990 (07) PAGE

12 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) Net Assets or Fund Balances Liailities Assets Part Balance Sheet Check if Schedule O contains a response or note to any line in this Part mmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmm 5 Cash - non-interest-earing Savings and temporary cash investments Pledges and grants receivale, net Accounts receivale, net Loans and other receivales from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part of Schedule L 6 Loans and other receivales from other disqualified persons (as defined under section 958(f)()), persons descried in section 958(c)()(B), and contriuting employers and sponsoring organizations of section 50(c)(9) voluntary employees' eneficiary organizations (see instructions). Complete Part of Schedule L m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm tes and loans receivale, net nventories for sale or use Prepaid expenses and deferred charges Land, uildings, and equipment: cost or 9,9,. 0a other asis. Complete Part V of Schedule D 8,07,9. 0 Less: accumulated depreciation nvestments - pulicly traded securities nvestments - other securities. See Part V, line nvestments - program-related. See Part V, line ntangile assets 5 Other assets. See Part V, line 6 Total assets. Add lines through 5 (must equal line ) 7 Accounts payale and accrued expenses 8 Grants payale 9 Deferred revenue 0 Tax-exempt ond liailities Escrow or custodial account liaility. Complete Part V of Schedule D Loans and other payales to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part of Schedule L Secured mortgages and notes payale to unrelated third parties Unsecured notes and loans payale to unrelated third parties 5 Other liailities (including federal income tax, payales to related third parties, and other liailities not included on lines 7-). Complete Part of Schedule D Total liailities. Add lines 7 through 5 6 and Organizations that follow SFAS 7 (ASC 958), check here complete lines 7 through 9, and lines and (A) Beginning of year (B) End of year,8,756. 0,9,,78,8,00,869. 5,70,50.,9, ,6.,76, ,655.,5,98 mmmmmmmmmm mmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmm mmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmm mmmm,69,69 0c 97,5,7. 6,68,90. 0, ,5,. 6 8,99,5 7 8,800,5. 8 6,5. 9 0,68,0. 0,757,76. 7,75,58 0,77. 0,8,5. 6,87,68. 70,8,876. 7,50 mmmmmmmmmmmmmm mmmmmmm mmmmmmmmm 5 9,7, ,05,059. 8,,668. 7,76, , ,58,57. 7,7,98. 5,00 m m m m m m m m m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mmmmmmmmmmmmmmmmmmmmmmmmmmmmm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mmmmmmmmmmmmmmmm mmmmmmmm mmmm m m m m m m mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm Unrestricted net assets Temporarily restricted net assets Permanently restricted net assets Organizations that do not follow SFAS 7 (ASC 958), check here complete lines 0 through. 0 mmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmm a Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, uilding, or equipment fund Retained earnings, endowment, accumulated income, or other funds Total net assets or fund alances Total liailities and net assets/fund alances and 0 8,8,0. 0,5,.,06,55. 0,8,5. Form 990 (07) 7E PAGE

13 PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) Part m m m m m m m m m m m m m m 76,77,969. mmmmmm mmmmmmmmmmmmmmmmmmmmmmm 8,76, mmmmmmmmmmmmmmmmmmmmmmm -6,58,7. mmmmmmmmmmmmmmmmmmmmmmmmmm 8,8,0. mmmmm -8,85. mmmmmmmmmmmmmmmmmmmmmmmmmmmmm -,50 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm,0,877. mmmmmmmmmmmmmmmm,06,55. mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Financial Statements and Reporting Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m Total revenue (must equal Part V, column (A), line ) Total expenses (must equal Part, column (A), line 5) Revenue less expenses. Sutract line from line Net assets or fund alances at eginning of year (must equal Part, line, column (A)) Net unrealized gains (losses) on investments Donated services and use of facilities nvestment expenses Prior period adjustments Other changes in net assets or fund alances (explain in Schedule O) Net assets or fund alances at end of year. Comine lines through 9 (must equal Part, line, column (B)) Part Yes Reconciliation of Net Assets Check if Schedule O contains a response or note to any line in this Part Accrual Accounting method used to prepare the Form 990: Cash Other f the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule O. mmmmmmm a mmmmmmmmmmmmmm c a Were the organization's financial statements compiled or reviewed y an independent accountant? f "Yes," check a ox elow to indicate whether the financial statements for the year were compiled or reviewed on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis Were the organization's financial statements audited y an independent accountant? f "Yes," check a ox elow to indicate whether the financial statements for the year were audited on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis c f "Yes" to line a or, does the organization have a committee that assumes responsiility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? f the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-? f "Yes," did the organization undergo the required audit or audits? f the organization did not undergo the required audit or audits, explain why in Schedule O and descrie any steps taken to undergo such audits. mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm a Form 990 (07) 7E PAGE

14 PUBLC NSPECTON COPY SCHEDULE A OMB Pulic Charity Status and Pulic Support (Form 990 or 990-EZ) Complete if the organization is a section 50(c)() organization or a section 97(a)() nonexempt charitale trust. Department of the Treasury nternal Revenue Service Attach to Form 990 or Form 990-EZ. Go to for instructions and the latest information. Name of the organization À¾µ» Open to Pulic nspection Employer identification numer SUSAN G KOMEN BREAST CANCER FDN, NC Reason for Pulic Charity Status (All organizations must complete this part.) See instructions. Part The organization is not a private foundation ecause it is: (For lines through, check only one ox.) A church, convention of churches, or association of churches descried in section 70()()(A)(i). A school descried in section 70()()(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).) A hospital or a cooperative hospital service organization descried in section 70()()(A)(iii). A medical research organization operated in conjunction with a hospital descried in section 70()()(A)(iii). Enter the hospital's name, city, and state: 5 An organization operated for the enefit of a college or university owned or operated y a governmental unit descried in section 70()()(A)(iv). (Complete Part.) 6 A federal, state, or local government or governmental unit descried in section 70()()(A)(v). 7 An organization that normally receives a sustantial part of its support from a governmental unit or from the general pulic descried in section 70()()(A)(vi). (Complete Part.) 8 A community trust descried in section 70()()(A)(vi). (Complete Part.) 9 An agricultural research organization descried in section 70()()(A)(ix) operated in conjunction with a land-grant college or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university: 0 An organization that normally receives: () more than / % of its support from contriutions, memership fees, and gross receipts from activities related to its exempt functions - suject to certain exceptions, and () no more than / %of its support from gross investment income and unrelated usiness taxale income (less section 5 tax) from usinesses acquired y the organization after June 0, 975. See section 509(a)(). (Complete Part.) An organization organized and operated exclusively to test for pulic safety. See section 509(a)(). An organization organized and operated exclusively for the enefit of, to perform the functions of, or to carry out the purposes of one or more pulicly supported organizations descried in section 509(a)() or section 509(a)(). See section 509(a)(). Check the ox in lines a through d that descries the type of supporting organization and complete lines e, f, and g. Type. A supporting organization operated, supervised, or controlled y its supported organization(s), typically y giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part V, Sections A and B. Type. A supporting organization supervised or controlled in connection with its supported organization(s), y having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part V, Sections A and C. Type functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part V, Sections A, D, and E. Type non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distriution requirement and an attentiveness requirement (see instructions). You must complete Part V, Sections A and D, and Part V. Check this ox if the organization received a written determination from the RS that it is a Type, Type, Type functionally integrated, or Type non-functionally integrated supporting organization. Enter the numer of supported organizations Provide the following information aout the supported organization(s). a c d e mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm f g (i) Name of supported organization (ii) EN (iii) Type of organization (descried on lines -0 aove (see instructions)) (iv) s the organization listed in your governing document? Yes (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions) (A) (B) (C) (D) (E) Total For Paperwork Reduction Act tice, see the nstructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 07 7E0.000 PAGE

March of Dimes Foundation Form 990 Tax Year 2008

March of Dimes Foundation Form 990 Tax Year 2008 March of Dimes Foundation Form 990 Tax Year 2008 Form Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the

More information

PUBLIC INSPECTION COPY

PUBLIC INSPECTION COPY PUBLC NSPECTON COPY Form 990 (2017) Page Part 1 Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part Briefly describe the organization's

More information

2015 Department of the Treasury

2015 Department of the Treasury OMB No. 1545-0047 Return of Organization Exempt From Income Tax Form 990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 2015 Department of the Treasury

More information

*** PUBLIC DISCLOSURE COPY ***

*** PUBLIC DISCLOSURE COPY *** *** PUBLIC DISCLOSURE *** OMB No. 1545-0047 Return of Organization Exempt From Income Tax Form 990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 2013

More information

2017 Department of the Treasury

2017 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** OMB No. 1545-0047 Return of Organization Exempt From Income Tax Form 990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

More information

Part III Statement of Program Service Accomplishments

Part III Statement of Program Service Accomplishments Form 990 (2016) GREATER CHICAGO FOOD DEPOSITORY 36-2971864 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III 1 Briefly

More information

2017 Department of the Treasury

2017 Department of the Treasury ETENDED TO MAY 15, 2019 OMB No. 1545-0047 Return of Organization Exempt From Income Tax Form 990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 2017

More information

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service ** ** OMB No. 1545-0047 Return of Organization Exempt From Income Tax Form 990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 2013 Department of the

More information

PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO OMB No

PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO OMB No PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO. 5960-04586 OMB No. 1545-0047 Return of Organization Exempt From Income Tax Form990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code

More information

Part III Statement of Program Service Accomplishments

Part III Statement of Program Service Accomplishments Form 990 (2017) PAYPAL CHARITABLE GIVING FUND 45-0931286 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III 1 Briefly

More information

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP

THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP Form 990 (2011) Page 2 Statement of Program Service Accomplishments Part III THE SUSAN G. KOMEN BREAST CANCER FDN, GROUP 75-2462834 Check if Schedule O contains a response to any question in this Part

More information

SEE SCHEDULE O. 2 Did the organization undertake any significant program services during the year which were not listed on the prior

SEE SCHEDULE O. 2 Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 (2016) THE PETCO FOUNDATION 33-0845930 Page 2 Part III Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III..................................................

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form Department of the Treasury Internal Revenue Service Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) The organization may

More information

Part III Statement of Program Service Accomplishments

Part III Statement of Program Service Accomplishments Form 990 (2014) COMMUNITY FOUNDATION OF NEW JERSEY 22-2281783 Part III Statement of Program Service Accomplishments 1 2 3 4 4a 4b 4c Check if Schedule O contains a response or note to any line in this

More information

2011 IRS Form 990 Lance Armstrong Foundation

2011 IRS Form 990 Lance Armstrong Foundation 0 IRS Form 990 Lance Armstrong Foundation Overview Public Review of IRS Form 990 Recently the foundation filed its annual tax return, Form 990, with the Internal Revenue Service. We view this annual tax

More information

2014 Department of the Treasury

2014 Department of the Treasury ** PUBLIC DISCLOSURE COPY ** ETENDED TO FEBRUARY 16, 2016 OMB No. 1545-0047 Return of Organization Exempt From Income Tax Form 990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code

More information

Form 990 (2013) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2013) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (2013) THE HUMANE SOCIETY OF THE UNITED STATES 53-0225390 Part III Statement of Program Service Accomplishments 1 2 3 4 4a Check if Schedule O contains a response or note to any line in this Part

More information

IThe organization may have to use a copy of this return to satisfy state reporting requirements. Inspection

IThe organization may have to use a copy of this return to satisfy state reporting requirements. Inspection For ½½ Return of Organization Exept Fro ncoe Tax Under section 501(c), 527, or 4947(a)(1) of the nternal Revenue Code (except lack lung enefit trust or private foundation) OMB No. 1545-0047 À¾µ Open to

More information

generally cannot redact the information on the form Inspection - Information about Form 990 and its instructions is at

generally cannot redact the information on the form Inspection - Information about Form 990 and its instructions is at For Paperwork Reduction Act Notice, see the separate instructions. l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493132011274 OMB No 1545-0047 Return of Organization Exempt From Income

More information

Community Benefits and the New Form 990

Community Benefits and the New Form 990 Community Benefits and the New Form 990 Anne McGeorge Grant Thornton LLP Grant Thornton LLP. All rights reserved. anne.mcgeorge@gt.com (704) 632-3520 May 7, 2008 Why Form 990 is important The public: Maintaining

More information

Paid Preparer Use Only

Paid Preparer Use Only Form 990 Return of Organization Exempt From Income Tax Under section 501(c) 527 or 4947( a)(1) of the Internal Revenue Code (except private foundations) Do not enter Social Security numbers on this form

More information

Constitution for the National Association to Advance Fat Acceptance, Inc. PREAMBLE

Constitution for the National Association to Advance Fat Acceptance, Inc. PREAMBLE Constitution for the National Association to Advance Fat Acceptance, Inc. PREAMBLE The National Association to Advance Fat Acceptance is a nonprofit, member supported organization composed of determined

More information

MIAMI CHILDREN S HOSPITAL POLICY AND PROCEDURE

MIAMI CHILDREN S HOSPITAL POLICY AND PROCEDURE ISSUED BY: Research PAGE: 1 of 6 REPLACES POLICY DATED: EFFECTIVE DATE: 08/09/2012 DISTRIBUTION: Departmentwide APPROVED BY: Andrews, April (SVP/CECO), BOD Audit and Compliance Committee, Perdomo, Jose

More information

3 Number of voting members of the governing body ( Part VI, line 1a). 3 20

3 Number of voting members of the governing body ( Part VI, line 1a). 3 20 For Paperwork Reduction Act Notice, see the separate instructions. lefile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93493318073161 OMB No 1545-0047 Return of Organization Exempt From Income

More information

PRICE DEMERS & CO. Barristers, Solicitors & Notaries Public

PRICE DEMERS & CO. Barristers, Solicitors & Notaries Public PRICE DEMERS & CO. Barristers, Solicitors & Notaries Public Incorporation of BVI Business Companies under the BVI Business Companies Act, 2004 1. Introduction The following is a brief summary of the main

More information

Return of Private Foundation

Return of Private Foundation Form or Section 4947(a)(1) Trust Treated as Private Foundation Department of the Treasury Do not enter social security numbers on this form as it may be made public. Internal Revenue Service Go to www.irs.gov/form990pf

More information

Form 990. Session Objectives: Part II

Form 990. Session Objectives: Part II Form 990 Session Objectives: Part I Identify recordkeeping requirements State purpose of Form 990 List entities that must file Form 990 Identify what is reported on major sections of Form 990 List common

More information

City, town or post off.ce, state, and ZIP code G Gross receipts $ 827,817,791

City, town or post off.ce, state, and ZIP code G Gross receipts $ 827,817,791 N 0 W Cl) p uji z Form 990 Return of Organization Exempt From Income Tax Department of the Treawy Internal Revenuesem^ce OM BNo 1545-0047 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue

More information

General Terms and Conditions

General Terms and Conditions General Terms and Conditions Revision history (November 2007) Date issued Replaced pages Effective date 11/07 ii, iii, 2, 4 11/07 11/06 all pages 11/06 01/06 all pages 01/06 02/05 ii, iii, 4, 7 8 02/05

More information

Conflict of Interest Policy

Conflict of Interest Policy Revised 10/13/2016 Conflict of Interest Policy All AMIA leaders have an obligation to make decisions and conduct affairs of the organization based, first and foremost, upon the desire to promote AMIA and

More information

COMMUNITY HOSPICE & PALLIATIVE CARE NOTICE OF PRIVACY PRACTICES

COMMUNITY HOSPICE & PALLIATIVE CARE NOTICE OF PRIVACY PRACTICES COMMUNITY HOSPICE & PALLIATIVE CARE NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE

More information

INOVIO PHARMACEUTICALS, INC. INVESTIGATOR CONFLICT OF INTEREST POLICY

INOVIO PHARMACEUTICALS, INC. INVESTIGATOR CONFLICT OF INTEREST POLICY INOVIO PHARMACEUTICALS, INC. INVESTIGATOR CONFLICT OF INTEREST POLICY August 24, 2012 1. Purpose Public confidence and the reputation of the company are valuable business assets that Inovio strives to

More information

General Terms and Conditions

General Terms and Conditions General Terms and Conditions Revision history (July 2008) Date issued Replaced pages Effective date 07/08 all pages 07/08 11/07 ii, iii, 2, 4 11/07 11/06 all pages 11/06 01/06 all pages 01/06 02/05 ii,

More information

QUESTIONNAIRE ANTI MONEY LAUNDERING (Including Counter Terrorist Financing, Financial Sanctions Monitoring, KYC)

QUESTIONNAIRE ANTI MONEY LAUNDERING (Including Counter Terrorist Financing, Financial Sanctions Monitoring, KYC) QUESTIOAIRE ATI MOE LAUDERIG (Including Counter Terrorist Financing, Financial Sanctions Monitoring, KC) Please respond to the following questionnaire by filling the columns with appropriate details or

More information

CITY OF VALLEJO HIDDENBROOKE IMPROVEMENT DISTRICT NO IMPROVEMENT LEVY ADMINISTRATION REPORT FISCAL YEAR

CITY OF VALLEJO HIDDENBROOKE IMPROVEMENT DISTRICT NO IMPROVEMENT LEVY ADMINISTRATION REPORT FISCAL YEAR CITY OF VALLEJO HIDDENBROOKE IMPROVEMENT DISTRICT NO. 1998-1 IMPROVEMENT LEVY ADMINISTRATION REPORT FISCAL YEAR 2010-11 December 17, 2010 Hiddenbrooke Improvement District No. 1998-1 Improvement Levy Administration

More information

Hello, Fundraiser! All the best, Julie Lowe Ronald McDonald House Charities of Greater Washington, DC

Hello, Fundraiser! All the best, Julie Lowe Ronald McDonald House Charities of Greater Washington, DC Hello, Fundraiser! We are so excited to work with you on your fundraising event in support of Ronald McDonald House Charities of Greater Washington, DC and help Raise Love for the families we support!

More information

Director of Donor Partnerships

Director of Donor Partnerships TULSA Community Foundation Tulsa Community Foundation (TCF) was founded in late 1998 and exists to make charitable giving more meaningful and efficient. Hundreds of individuals and corporations make all

More information

UCCS CAMPUS POLICY. This policy sets forth the parameters for providing alcoholic beverages at fundraising events.

UCCS CAMPUS POLICY. This policy sets forth the parameters for providing alcoholic beverages at fundraising events. UCCS CAMPUS POLICY Policy Title: Use of Alcohol Policy Number: 100-003 Policy Functional Area: ADMINISTRATION/ORGANIZATION Effective: February 18, 2013 Approved by: Responsible Vice Chancellor: Office

More information

******************************************************************* MINUTES OF SYMMES TOWNSHIP SPECIAL MEETING

******************************************************************* MINUTES OF SYMMES TOWNSHIP SPECIAL MEETING ******************************************************************* MINUTES OF SYMMES TOWNSHIP SPECIAL MEETING AUGUST 14, 2018 ******************************************************************* The meeting

More information

TRAUMA RECOVERY/HAP OPERATING GUIDELINES

TRAUMA RECOVERY/HAP OPERATING GUIDELINES TRAUMA RECOVERY/HAP OPERATING GUIDELINES FOR THE NATIONAL TRAUMA RECOVERY NETWORK, THE TRAUMA RECOVERY NETWORK ASSOCIATIONS, AND THE TRAUMA RECOVERY NETWORK CHAPTERS Operating Guidelines These Operating

More information

CHARITY NUMBER NORTHAMPTONSHIRE CHILDMINDING ASSOCIATION TRUSTEES REPORT AND FINANCIAL INFORMATION FOR THE YEAR ENDED 31 st MARCH 2017

CHARITY NUMBER NORTHAMPTONSHIRE CHILDMINDING ASSOCIATION TRUSTEES REPORT AND FINANCIAL INFORMATION FOR THE YEAR ENDED 31 st MARCH 2017 CHARITY NUMBER 1047565 NORTHAMPTONSHIRE CHILDMINDING ASSOCIATION TRUSTEES REPORT AND FINANCIAL INFORMATION FOR THE YEAR ENDED 31 st MARCH 2017 2 LIST OF OFFICERS AND TRUSTEES Year ended 31 st March 2017

More information

APPLICATION INSTRUCTIONS

APPLICATION INSTRUCTIONS APPLICATION INSTRUCTIONS This application is a six (6) page document dated 8/2015 1. Pages 1 and 2 of the application is the INFORMATION FOR PARENT/GUARDIAN to read and keep... 2. Pages 5 and 6 of the

More information

IC Chapter 4. Indiana Tobacco Use Prevention and Cessation Trust Fund

IC Chapter 4. Indiana Tobacco Use Prevention and Cessation Trust Fund IC 4-12-4 Chapter 4. Indiana Tobacco Use Prevention and Cessation Trust Fund IC 4-12-4-1 ( by P.L.229-2011, SEC.268.) IC 4-12-4-2 "Fund" defined Sec. 2. As used in this chapter, "fund" refers to the Indiana

More information

Pledge Processing Manual

Pledge Processing Manual I. Purpose To improve and enhance pledge processing at the University of Kentucky by clearly defining responsible areas and tasks related to pledge processing. II. III. Definitions Comprehensive Pledge

More information

Employment Contract. This sample employment contract is from Self-Employment vs. Employment Status, CDHA (no date available)

Employment Contract. This sample employment contract is from Self-Employment vs. Employment Status, CDHA (no date available) Employment Contract This sample employment contract is from Self-Employment vs. Employment Status, CDHA (no date available (NOTE: This is only one example of an employment contract. This example is meant

More information

Z E N I T H M E D I C A L P R O V I D E R N E T W O R K P O L I C Y Title: Provider Appeal of Network Exclusion Policy

Z E N I T H M E D I C A L P R O V I D E R N E T W O R K P O L I C Y Title: Provider Appeal of Network Exclusion Policy TheZenith's Z E N I T H M E D I C A L P R O V I D E R N E T W O R K P O L I C Y Title: Provider Appeal of Network Exclusion Policy Application: Zenith Insurance Company and Wholly Owned Subsidiaries Policy

More information

These Rules of Membership apply in respect of all Products purchased by a Member from Sigma (and any Program Partner) on or after 1 February 2017.

These Rules of Membership apply in respect of all Products purchased by a Member from Sigma (and any Program Partner) on or after 1 February 2017. Rules of Membership 1. Introduction These Rules of Membership apply in respect of all Products purchased by a Member from Sigma (and any Program Partner) on or after 1 February 2017. The previously published

More information

UK MEN S SHEDS ASSOCIATION (A CHARITABLE INCORPORATED ORGANISATION) TRUSTEES ANNUAL REPORT CHARITY NO

UK MEN S SHEDS ASSOCIATION (A CHARITABLE INCORPORATED ORGANISATION) TRUSTEES ANNUAL REPORT CHARITY NO UK MEN S SHEDS ASSOCIATION (A CHARITABLE INCORPORATED ORGANISATION) CHARITY NO. 1162409 TRUSTEES ANNUAL REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2017 UK MEN S SHEDS ASSOCIATION 1 TRUSTEES

More information

REFUGE RECOVERY ANNUAL FINANCIAL REPORT 2017

REFUGE RECOVERY ANNUAL FINANCIAL REPORT 2017 Introduction This is the inaugural Annual Report for Refuge Recovery, the non-profit established to support the worldwide Refuge Recovery movement. Going forward, the Board of Directors intends for these

More information

Alcohol & Drug Practice

Alcohol & Drug Practice Alcohol & Drug Practice Vice-President, Health & Safety June 1, 2011 Purpose Cenovus recognizes that the use of alcohol and drugs can adversely affect job performance, the work environment and the safety

More information

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 10-Q

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 10-Q 10-Q 1 v402511_10q.htm FORM 10-Q UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT 1934. For the

More information

Community Partners. Fundraising. helpful tips, tools and resources for community partners

Community Partners. Fundraising. helpful tips, tools and resources for community partners Community Partners Fundraising 2017 helpful tips, tools and resources for community partners Palmetto Health Foundation, a 501(c)(3) nonprofit organization, engages community partners to enhance health

More information

Community Partners. Fundraising. helpful tips, tools and resources for community partners

Community Partners. Fundraising. helpful tips, tools and resources for community partners Community Partners Fundraising 2018 helpful tips, tools and resources for community partners Palmetto Health Foundation, a 501(c)(3) nonprofit organization, engages community partners to enhance health

More information

RULES OF CONDUCT OF INSIDERS RESPECTING

RULES OF CONDUCT OF INSIDERS RESPECTING T RULES OF CONDUCT OF INSIDERS RESPECTING RADING O F SECURITIES OF TFI International lnc. Amended and restated July 2015 Executive Summary As an insider of TFI International Inc. ( TFI International )

More information

MEMORANDUM ASSOCIATION

MEMORANDUM ASSOCIATION MEMORANDUM OF ASSOCIATION MEMORANDUM OF ASSOCIATION THE COMPANIES ACT, 1985 COMPANY LIMITED BY GUARANTEE AND NOT HAVING A SHARE CAPITAL MEMORANDUM OF ASSOCIATION OF GERDA BOYESEN INTERNATIONAL INSTITUTE

More information

EMPLOYEE PARKING PASS PROGRAM

EMPLOYEE PARKING PASS PROGRAM Chief Executive Officer LAX Los Angeles World Airports EMPLOYEE PARKING PASS PROGRAM Under the Employee Parking Pass Program (EPP), Los Angeles World Airports (LAWA) offers complimentary and discounted

More information

USE OF ALCOHOLIC BEVERAGES ON CAMPUS GUIDELINES

USE OF ALCOHOLIC BEVERAGES ON CAMPUS GUIDELINES Forsyth Conference Center at Lanier Technical College Forsyth Campus 3410 Ronald Reagan Blvd Cumming, GA 30041 678-341-6633 Fax: 678-989-3113 forsythconferencecenter/laniertech.edu USE OF ALCOHOLIC BEVERAGES

More information

Chapter TOBACCO RETAILER'S PERMIT

Chapter TOBACCO RETAILER'S PERMIT Sections: 8.60.010 - Definitions. 8.60.020 - Requirements for Tobacco Retailer's Permit. 8.60.030 - Application procedure. 8.60.040 - Issuance of permit. 8.60.050 - Display of permit. 8.60.060 - Fees for

More information

(314) See Specific City or town, state, and ZIP code C If exemption application is pending, check here - Instructions.

(314) See Specific City or town, state, and ZIP code C If exemption application is pending, check here - Instructions. ---------- 3/3/2008 10 50 27 ;,M Enterprise Rent-A-Car Foundation 431262762 W Form 990 P Return of Private Foundation OMB No 1545-0052 F or Section 4947( a)(1) Nonexempt Charitable Trust 2006 Department

More information

Impactful interactions for success

Impactful interactions for success Impactful interactions for success DEAF BIBLE SOCIETY FINANCIAL STATEMENTS Wealth Advisory Outsourcing Audit, Tax, and Consulting TABLE OF CONTENTS YEAR ENDED INDEPENDENT AUDITORS REPORT 1 FINANCIAL STATEMENTS

More information

Tea Party or Luncheon Bake Sales. Walk-a-thon, Dance-a-thon, etc. Black-Tie Event

Tea Party or Luncheon Bake Sales. Walk-a-thon, Dance-a-thon, etc. Black-Tie Event Thank you for considering Friends of Gilda s Club Memphis as a beneficiary of your fundraising activities. We appreciate your efforts and look forward to working with you as a partner in raising awareness

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exept Fro Incoe Tax OMB No. 1545-0047 For Under 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 990 À¾µ» Do not enter Social Security nubers

More information

DATE ISSUED: 2/4/ of 6 LDU DHE(LOCAL)-X

DATE ISSUED: 2/4/ of 6 LDU DHE(LOCAL)-X Reasonable Suspicion Searches Alcohol or Controlled Substances Testing Types of Tests and Employees Subject to Testing Pre-Employment Testing Post-Accident Testing The District reserves the right to conduct

More information

MEMORANDUM OF UNDERSTANDING

MEMORANDUM OF UNDERSTANDING MEMORANDUM OF UNDERSTANDING BETWEEN THE NATIONAL ENERGY BOARD AND THE NORTHERN PIPELINE AGENCY CONCERNING THE PROVISION OF TECHNICAL ADVICE WITH RESPECT TO ENERGY MATTERS PREAMBLE WHEREAS the National

More information

THIRD-PARTY FUNDRAISING TOOLKIT

THIRD-PARTY FUNDRAISING TOOLKIT Welcome! Thank you for your sincere interest in helping homeless children, families, and adults served by the Presbyterian Home for Children and the Sunrise Center which is a ministry of the Presbyterian

More information

HILLENBRAND INDUSTRIES INC

HILLENBRAND INDUSTRIES INC HILLENBRAND INDUSTRIES INC FORM 8-K (Unscheduled Material Events) Filed 2/17/2004 For Period Ending 2/13/2004 Address 700 STATE ROUTE 46 E BATESVILLE, Indiana 47006-8835 Telephone 812-934-7000 CIK 0000047518

More information

Dainippon Pharmaceutical and Sumitomo Pharmaceuticals Finalize Merger Agreement

Dainippon Pharmaceutical and Sumitomo Pharmaceuticals Finalize Merger Agreement For immediate release April 28, 2005 Dainippon Pharmaceutical and Sumitomo Pharmaceuticals Finalize Merger Agreement Dainippon Pharmaceutical Co., Ltd. Sumitomo Pharmaceuticals Co., Ltd. Dainippon Pharmaceutical

More information

Baby-Sitting - $20 Per Day/Per Nanny (local clients) Less than 24 hours notice $30 Per Day/Per Nanny. Hotel Overnight Sitting - $35 per Day/Per Nanny

Baby-Sitting - $20 Per Day/Per Nanny (local clients) Less than 24 hours notice $30 Per Day/Per Nanny. Hotel Overnight Sitting - $35 per Day/Per Nanny ALL ABOUT NANNIES BUSINESS PHONE: 602-266-9116 BUSINESS FACSIMILE: 602-266-9787 BUSINESS EMAIL: ADMIN@ALLABOUTNANNIESINC.COM TEMPORARY, BABY-SITTING, HOTEL & ON-CALL AS NEEDED Mother s Full Name: Place

More information

SPHERIX ANNOUNCES FIRST QUARTER 2010 FINANCIAL RESULTS

SPHERIX ANNOUNCES FIRST QUARTER 2010 FINANCIAL RESULTS SPHERIX Investor Relations Phone: (301) 897-2564 Email: info@spherix.com SPHERIX ANNOUNCES FIRST QUARTER 2010 FINANCIAL RESULTS BETHESDA, MD, May 21, 2010 - Spherix Incorporated (NASDAQ CM: SPEX), an innovator

More information

(City, State, Zip Code)

(City, State, Zip Code) This Partner Agency Agreement, dated this day of, 2015, is between COMMUNITY FOOD SHARE, INC. (CFS), whose address is 650 South Taylor Avenue, Louisville, CO 80027, and (Partner Agency) whose address is

More information

HILLSBOROUGH COUNTY AVIATION AUTHORITY AIRPORT BOARD OF ADJUSTMENT RULES OF PROCEDURE

HILLSBOROUGH COUNTY AVIATION AUTHORITY AIRPORT BOARD OF ADJUSTMENT RULES OF PROCEDURE HILLSBOROUGH COUNTY AVIATION AUTHORITY AIRPORT BOARD OF ADJUSTMENT RULES OF PROCEDURE PURPOSE AND AUTHORITY Adopted May 6, 2010 Revised June 2, 2016 The Hillsborough County Aviation Authority Airport Board

More information

Return of Organization Exempt From Income Tax 2012

Return of Organization Exempt From Income Tax 2012 . W 0 X27 Form 990 OMB No 1545-0047 Return of Organization Exempt From Income Tax 2012 Under section 501 (c) 527 or 4947(aXl) of the Internal Revenue Code (except black lung benefit trust or private foundation

More information

CIGARETTE FIRE SAFETY AND FIREFIGHTER PROTECTION ACT Act of Jul. 4, 2008, P.L. 518, No. 42 Cl. 35 AN ACT

CIGARETTE FIRE SAFETY AND FIREFIGHTER PROTECTION ACT Act of Jul. 4, 2008, P.L. 518, No. 42 Cl. 35 AN ACT CIGARETTE FIRE SAFETY AND FIREFIGHTER PROTECTION ACT Act of Jul. 4, 2008, P.L. 518, No. 42 Cl. 35 AN ACT Providing for testing standards for cigarette fire safety, for certification of compliance by manufacturers,

More information

DIVISION OF PUBLIC & BEHAVIORAL HEALTH BUREAU OF HEALTH CARE QUALITY AND COMPLIANCE LCB File No. R Informational Statement per NRS 233B.

DIVISION OF PUBLIC & BEHAVIORAL HEALTH BUREAU OF HEALTH CARE QUALITY AND COMPLIANCE LCB File No. R Informational Statement per NRS 233B. DIVISION OF PUBLIC & BEHAVIORAL HEALTH BUREAU OF HEALTH CARE QUALITY AND COMPLIANCE LCB File No. R120-16 Informational Statement per NRS 233B.066 1. A clear and concise explanation of the need for the

More information

Community Friends THIRD PARTY FUNDRAISING

Community Friends THIRD PARTY FUNDRAISING Community Friends THIRD PARTY FUNDRAISING Thank you for selecting the Breast Cancer Coalition of Rochester as the beneficiary of your fundraising event or activity (mutually referred to as event ). The

More information

Women s Reproductive Health Services: Sample Policy and Procedure

Women s Reproductive Health Services: Sample Policy and Procedure Women s Reproductive Health Services: Sample Policy and Procedure I. Statement of Purpose and Policy [Health Center Name] ( Health Center ) is committed to high standards and compliance with all applicable

More information

Exhibitor Prospectus. Kalahari Resort & Convention Center 1305 Kalahari Drive Wisconsin Dells, WI 53965

Exhibitor Prospectus. Kalahari Resort & Convention Center 1305 Kalahari Drive Wisconsin Dells, WI 53965 Exhibitor Prospectus Kalahari Resort & Convention Center 1305 Kalahari Drive Wisconsin Dells, WI 53965 1 Conference Demographics The 29th Annual Autism Society of Wisconsin Conference will be held on April

More information

Form 990 (2015) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form 990 (2015) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 990 (015) UNITED WAY SUNCOAST, INC. 59-75701 Part III Statement of Program Servie Aomplishments 1 Chek if Shedule O ontains a response or note to any line in this Part III Briefly desrie the organization

More information

GAVI ALLIANCE STATUTES 26 March 2008

GAVI ALLIANCE STATUTES 26 March 2008 GAVI ALLIANCE STATUTES 26 March 2008 I. GENERAL PROVISIONS Article 1 Name An independent non-profit foundation within the meaning of Articles 80 et seq. of the Swiss Civil Code is referred to as the GAVI

More information

Florida A & M University Office of Human Resources INTERNAL OPERATING PROCEDURE. Procedure No. HR-7000

Florida A & M University Office of Human Resources INTERNAL OPERATING PROCEDURE. Procedure No. HR-7000 Subject: Alcohol and Drug Testing Policy Florida A & M University Office of Human Resources INTERNAL OPERATING PROCEDURE Procedure No. HR-7000 Authority: Florida Statutes 1001.74; Chapter 112.0455, Florida

More information

CDL Drivers Controlled Substance and Alcohol Policy

CDL Drivers Controlled Substance and Alcohol Policy CDL Drivers Controlled Substance and Alcohol Policy Section 1. General. It is the purpose of this policy to encourage an enlightened viewpoint toward alcoholism and other drug dependencies as behavioral/medical

More information

CHAPTER Section 3 of P.L.1983, c.296 (C.45: ) is amended to read as follows:

CHAPTER Section 3 of P.L.1983, c.296 (C.45: ) is amended to read as follows: CHAPTER 121 AN ACT concerning the practice of physical therapy, amending P.L.2003, c.18, and amending and supplementing P.L.1983, c.296. BE IT ENACTED by the Senate and General Assembly of the State of

More information

ESM Pricing Policy. Element of Pricing and Calculation of Interest Rate. 1. Base Rate

ESM Pricing Policy. Element of Pricing and Calculation of Interest Rate. 1. Base Rate ESM Pricing Policy Objective When granting stability support, the ESM shall aim to fully cover its financing and operating costs and shall include an appropriate margin (Art. 20 of the Treaty). The main

More information

Lions Sight & Hearing Foundation Phone: Fax: Hearing Aid: Request for assistance

Lions Sight & Hearing Foundation Phone: Fax: Hearing Aid: Request for assistance Lions Sight & Hearing Foundation Phone: 602-954-1723 Fax: 602-954-1768 Hearing Aid: Request for assistance 3427 N 32 nd Street office use only Date received Case number Applicant: (Name; please print clearly)

More information

THE UNITED CHURCH OF CANADA GUIDE TO ARCHIVING PRESBYTERY RECORDS

THE UNITED CHURCH OF CANADA GUIDE TO ARCHIVING PRESBYTERY RECORDS THE UNITED CHURCH OF CANADA GUIDE TO ARCHIVING PRESBYTERY RECORDS Prepared by the United Church of Canada Archives Network, 2018 BACKGROUND As moves to a three-court structure, presbyteries will no longer

More information

New Markets Tax Credit CDE Certification Question & Answer

New Markets Tax Credit CDE Certification Question & Answer Community Development Financial Institutions Fund New Markets Tax Credit CDE Certification Question & Answer Revised July 2005 Page 1 of 10 Table of Contents General Application and Eligibility Questions

More information

Slide 1. Financial update and closing remarks. Jesper Brandgaard EVP and CFO. RAFAEL DE JESÚS FLORES, Mexico Rafael has haemophilia A

Slide 1. Financial update and closing remarks. Jesper Brandgaard EVP and CFO. RAFAEL DE JESÚS FLORES, Mexico Rafael has haemophilia A Slide 1 Financial update and closing remarks Jesper Brandgaard EVP and CFO RAFAEL DE JESÚS FLORES, Mexico Rafael has haemophilia A Slide 2 Forward-looking statements Novo Nordisk s reports filed with or

More information

ADOPTED TEMPORARY REGULATION OF THE NEVADA TAX COMMISSION

ADOPTED TEMPORARY REGULATION OF THE NEVADA TAX COMMISSION Chapter 453D of NAC ADOPTED TEMPORARY REGULATION OF THE NEVADA TAX COMMISSION LCB File No. T002-17 Filed with the Secretary of State on May 8, 2017 EXPLANATION - Matter in italics is new; matter in brackets

More information

(4) Be as detailed as necessary to provide history of work performed; and:

(4) Be as detailed as necessary to provide history of work performed; and: www.omarfigueroa.com Page 66 of 278 (4) Be as detailed as necessary to provide history of work performed; and: (A) Include information adequate to identify any associated manufacturing facility (e.g.,

More information

CONSTITUTION ARTICLE I NAME AND LOGO ARTICLE II OBJECTIVES AND PURPOSES ARTICLE III MEMBERSHIP

CONSTITUTION ARTICLE I NAME AND LOGO ARTICLE II OBJECTIVES AND PURPOSES ARTICLE III MEMBERSHIP ARTICLE I NAME AND LOGO CONSTITUTION The name of the Society is Cameroon Radiological Protection Society which is created in 28 th September 2012 may be referred to in abbreviated form as CRPS. The logo

More information

4. Project Inform does receive restricted donations from corporations, non-profits, foundations, and government entities.

4. Project Inform does receive restricted donations from corporations, non-profits, foundations, and government entities. DONATION GUIDELINES As a non-profit organization, Project Inform is able to fulfill its mission and provide services, free of charge, because of its fundraising and outreach efforts. Project Inform receives

More information

For An Act To Be Entitled. Subtitle

For An Act To Be Entitled. Subtitle 0 0 State of Arkansas INTERIM STUDY PROPOSAL 0-0th General Assembly A Bill DRAFT JMB/JMB Second Extraordinary Session, 0 SENATE BILL By: Senator J. Hutchinson Filed with: Arkansas Legislative Council pursuant

More information

ORDER OF THE LIEUTENANT GOVERNOR IN COUNCIL

ORDER OF THE LIEUTENANT GOVERNOR IN COUNCIL PROVINCE OF BRITISH COLUMBIA ORDER OF THE LIEUTENANT GOVERNOR IN COUNCIL Order in Council No. 542, Approved and Ordered October 5, 2018 Executive Council Chambers, Victoria On the recommendation of the

More information

Operational Efficiency:

Operational Efficiency: Operational Efficiency: metrics that matter Copyright Altus Ltd 214. All rights reserved. Kevin Okell Consultancy Director 15/5/214 From distribution chain to value chain Ad-valorem pricing driven from

More information

CENTRALE. Monetary. compared. domestic. million.

CENTRALE. Monetary. compared. domestic. million. CENTRALE BANK VAN ARUBAA Statistical News Release Second Quarter 2012 Date: November 7, 2012 Monetary and financial developments Money and credit In the second quarterr of 2012, the money supply decreased

More information

Stop the Heroin Facts to Help with your Fundraising Efforts:

Stop the Heroin Facts to Help with your Fundraising Efforts: Stop the Heroin Facts to Help with your Fundraising Efforts: Stop the Heroin seeks to change lives by helping people who are getting ready to graduate from inpatient rehab transition into a sober living

More information

NYCASC Events & Activities Sub-Committee Guidelines

NYCASC Events & Activities Sub-Committee Guidelines NYCASC Events & Activities Sub-Committee Guidelines A. Purpose The primary purpose of the NYCASC Events & Activities Sub-Committee is to assist the NYC Area Service Committee in furthering the unity of

More information

POLICY STATEMENT 78 Serving, Possessing, and Consuming of Alcoholic Beverages

POLICY STATEMENT 78 Serving, Possessing, and Consuming of Alcoholic Beverages POLICY STATEMENT 78 Serving, Possessing, and Consuming of Alcoholic Beverages POLICY DIGEST Monitoring Unit: Office of Academic Affairs Initially Issued: August 15, 2005 Last Revised: July 10, 2018 I.

More information

FORM8-K HILLENBRAND,INC.

FORM8-K HILLENBRAND,INC. UNITEDSTATES SECURITIESANDEXCHANGECOMMISSION Washington,D.C.20549 FORM8-K CURRENTREPORT PursuanttoSection13or15(d)oftheSecuritiesExchangeActof1934 Date of Report (Date of earliest event reported): December18,2015

More information

2009 Instructions For Schedule B Form 990 Ez 2011 >>>CLICK HERE<<<

2009 Instructions For Schedule B Form 990 Ez 2011 >>>CLICK HERE<<< 2009 Instructions For Schedule B Form 990 Ez 2011 Glossary to Instructions for Form 990. Appendix of Special Instructions to Form 990, Completing the Heading of Form Schedule B, Schedule of Contributors.

More information