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

Transcription

1 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 À¾µ Open to Pulic Departent of the Treasury nternal Revenue Service The organization ay have to use a copy of this return to satisfy state reporting requireents. nspection A For the 2010 calendar year, or tax year eginning 04/01, 2010, and ending 03/31, C Nae of organization LENGTON AFFLATE OF THE D Eployer identification nuer B Check if applicale: SUSAN G. KOMEN BREAST CANCER FOUNDATON, NC. Address change Doing Business As Nuer and street (or P.O. ox if ail is not delivered to street address) Roo/suite E Telephone nuer J Nae change nitial return Terinated City or town, state or country, and ZP + 4 Aended return LENGTON, KY G Gross receipts $ 728,631. Application F Nae and address of principal officer: H(a) s this a group return for Yes No pending MARY ALLSON BELSHOFF affiliates? 1795 ALYSHEBA WAY, SUTE 3104 LENGTON, KY H() Are all affiliates included? Yes No Tax-exept status: 501(c)(3) 501(c) ( ) (insert no.) 4947(a)(1) or 527 f "No," attach a list. (see instructions) J Wesite: H(c) Group exeption nuer K For of organization: Corporation Trust Association Other L Year of foration: M State of legal doicile: Suary Part Activities & Governance Revenue Expenses Net Assets or Fund Balances 1 Briefly descrie the organization's ission or ost significant activities: a Part 1795 ALYSHEBA WAY, SUTE 3104 (859) Check this ox if the organization discontinued its operations or disposed of ore than 25% of its net assets. Nuer of voting eers of the governing ody (Part V, line 1a) 3 Nuer of independent voting eers of the governing ody (Part V, line 1) 4 Total nuer of individuals eployed in calendar year 2010 (Part V, line 2a) 5 Total nuer of volunteers (estiate if necessary) 6 Total gross unrelated usiness revenue fro Part V, colun (C), line 12 7a Net unrelated usiness taxale incoe fro For 990-T, line 34 7 Prior Year Contriutions and grants (Part V, line 1h) COPY FOR Progra service revenue (Part V, line 2g) PUBLC NSPECTON nvestent incoe (Part V, colun (A), lines 3, 4, and 7d) Other revenue (Part V, colun (A), lines 5, 6d, 8c, 9c, 10c, and 11e) Total revenue - add lines 8 through 11 (ust equal Part V, colun (A), line 12) Grants and siilar aounts paid (Part, colun (A), lines 1-3) Benefits paid to or for eers (Part, colun (A), line 4) Salaries, other copensation, eployee enefits (Part, colun (A), lines 5-10) a Professional fundraising fees (Part, colun (A), line 11e) Total fundraising expenses (Part, colun (D), line 25) Other expenses (Part, colun (A), lines 11a-11d, 11f-24f) Total expenses. Add lines (ust equal Part, colun (A), line 25) Revenue less expenses. Sutract line 18 fro line 12 Total assets (Part, line 16) Total liailities (Part, line 26) AFFLATE FORM 990 NOT FLED WTH RS DE OUR MSSON S A WORLD WTHOUT BREAST CANCER; TO SAVE LVES BY EMPOWERNG PEOPLE, ENSURNG QUALTY CARE FOR ALL, AND ENERGZNG SCENCE TO DSCOVER AND DELVER THE CURES. 61,344. Beginning of Current Year Current Year End of Year Net assets or fund alances. Sutract line 21 fro line 20 Signature Block Under penalties of perjury, declare that have exained this return, including accopanying schedules and stateents, and to the est of y knowledge and elief, it is true, correct, and coplete. Declaration of preparer (other than officer) is ased on all inforation of which preparer has any knowledge. Sign Here M Signature of officer Date MARK NADOLNY CFO M Type or print nae and title , , ,046. 3, , , , , , , , , , , , , , , , , , , , ,265. Print/Type preparer's nae Preparer's signature Date Check if PTN Paid selfeployed KATHLEEN MOSELEY 12/21/2011 Preparer EN Use Only Fir's nae ERNST & YOUNG U.S. LLP Fir's address Phone no. 41 SOUTH HGH STREET, SUTE 1100 COLUMBUS, OH May the RS discuss this return with the preparer shown aove? (see instructions) Yes No For Paperwork Reduction Act Notice, see the separate instructions. For 990 (2010) 0E U 1385 V SGK300 PAGE 2

2 For 990 (2010) Page 2 Part Stateent of Progra Service Accoplishents Check if Schedule O contains a response to any question in this Part 1 Briefly descrie the organization's ission: OUR MSSON S A WORLD WTHOUT BREAST CANCER; TO SAVE LVES BY EMPOWERNG PEOPLE, ENSURNG QUALTY CARE FOR ALL, AND ENERGZNG SCENCE TO DSCOVER AND DELVER THE CURES. 2 Did the organization undertake any significant progra services during the year which were not listed on the prior For 990 or 990-EZ? Yes No f "Yes," descrie these new services on Schedule O. 3 Did the organization cease conducting, or ake significant changes in how it conducts, any progra services? Yes No f "Yes," descrie these changes on Schedule O. 4 Descrie the exept purpose achieveents for each of the organization's three largest progra services y expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the aount of grants and allocations to others, the total expenses, and revenue, if any, for each progra service reported. 4a (Code: ) (Expenses $ 177,078. including grants of $ 121,488. ) (Revenue $ -3,562. ) PUBLC HEALTH EDUCATON PROGRAMS AND GRANTS: SEE SCHEDULE O FOR ADDTONAL DETALS. 4 (Code: ) (Expenses $ 94,796. including grants of $ 94,382. ) (Revenue $ 0. ) HEALTH SCREENNG PROGRAMS AND GRANTS: SEE SCHEDULE O FOR ADDTONAL DETALS. 4c (Code: ) (Expenses $ 112,552. including grants of $ 0. ) (Revenue $ 0. ) RESEARCH PAYMENTS TO PARENT: OUR PLAN S STRAGHTFORWARD: WE FUND CUTTNG-EDGE RESEARCH TO FND THE CURES. REMANNG NET MONES (A MNMUM OF 25%) FROM KOMEN AFFLATE EVENTS LKE THE RACE FOR THE CURE SERES HELP SUPPORT THE KOMEN RESEARCH GRANT PROGRAM CONDUCTED BY THE KOMEN PARENT ORGANZATON, WHCH PROVDES FUNDNG FOR NNOVATVE BREAST CANCER RESEARCH AND A VARETY OF MERTOROUS AWARDS. SEE SCHEDULE O FOR ADDTONAL DETALS. 4d Other progra services. (Descrie in Schedule O.) (Expenses $ 182,938. including grants of $ 178,576. ) (Revenue $ 0. ) 4e Total progra service expenses 567,364. For 990 (2010) 0E U 1385 V SGK300 PAGE 3

3 For 990 (2010) Page 3 Part V Checklist of Required Schedules 1 s the organization descried in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? f "Yes," coplete Schedule A 1 2 s the organization required to coplete Schedule B, Schedule of Contriutors? (see instructions) 2 3 Did the organization engage in direct or indirect political capaign activities on ehalf of or in opposition to candidates for pulic office? f "Yes," coplete Schedule C, Part 3 4 Section 501(c)(3) organizations. Did the organization engage in loying activities, or have a section 501(h) election in effect during the tax year? f "Yes," coplete Schedule C, Part 4 5 s the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives eership dues, assessents, or siilar aounts as defined in Revenue Procedure 98-19? f "Yes," coplete Schedule C, Part 5 6 Did the organization aintain any donor advised funds or any siilar funds or accounts where donors have the right to provide advice on the distriution or investent of aounts in such funds or accounts? f "Yes," coplete Schedule D, Part 6 7 Did the organization receive or hold a conservation easeent, including easeents to preserve open space, the environent, historic land areas, or historic structures? f "Yes," coplete Schedule D, Part 7 8 Did the organization aintain collections of works of art, historical treasures, or other siilar assets? f "Yes," coplete Schedule D, Part 8 9 Did the organization report an aount in Part, line 21; serve as a custodian for aounts not listed in Part ; or provide credit counseling, det anageent, credit repair, or det negotiation services? f "Yes," coplete Schedule D, Part V 9 10 Did the organization, directly or through a related organization, hold assets in ter, peranent, or quasi-endowents? f "Yes," coplete Schedule D, Part V f the organization s answer to any of the following questions is "Yes," then coplete Schedule D, Parts V, V, V,, or as applicale. a Did the organization report an aount for land, uildings, and equipent in Part, line 10? f "Yes," coplete Schedule D, Part V 11a Did the organization report an aount for investents other securities in Part, line 12 that is 5% or ore of its total assets reported in Part, line 16? f "Yes," coplete Schedule D, Part V 11 c Did the organization report an aount for investents-progra related in Part, line 13 that is 5% or ore of its total assets reported in Part, line 16? f "Yes," coplete Schedule D, Part V 11c d Did the organization report an aount for other assets in Part, line 15 that is 5% or ore of its total assets reported in Part, line 16? f "Yes," coplete Schedule D, Part 11d e Did the organization report an aount for other liailities in Part, line 25? f "Yes," coplete Schedule D, Part 11e f Did the organization s separate or consolidated financial stateents for the tax year include a footnote that addresses the organization's liaility for uncertain tax positions under FN 48 (ASC 740)? f "Yes," coplete Schedule D, Part 11f 12 a Did the organization otain separate, independent audited financial stateents for the tax year? f "Yes," coplete Schedule D, Parts,, and 12a Was the organization included in consolidated, independent audited financial stateents for the tax year? f "Yes," and if the organization answered "No" to line 12a, then copleting Schedule D, Parts,, and is optional s the organization a school descried in section 170()(1)(A)(ii)? f "Yes," coplete Schedule E a Did the organization aintain an office, eployees, or agents outside of the United States? 14a Did the organization have aggregate revenues or expenses of ore than $10,000 fro grantaking, fundraising, usiness, and progra service activities outside the United States? f "Yes," coplete Schedule F, Parts and V Did the organization report on Part, colun (A), line 3, ore than $5,000 of grants or assistance to any organization or entity located outside the United States? f "Yes," coplete Schedule F, Parts and V Did the organization report on Part, colun (A), line 3, ore than $5,000 of aggregate grants or assistance to individuals located outside the United States? f "Yes," coplete Schedule F, Parts and V Did the organization report a total of ore than $15,000 of expenses for professional fundraising services on Part, colun (A), lines 6 and 11e? f "Yes," coplete Schedule G, Part (see instructions) Did the organization report ore than $15,000 total of fundraising event gross incoe and contriutions on Part V, lines 1c and 8a? f "Yes," coplete Schedule G, Part Did the organization report ore than $15,000 of gross incoe fro gaing activities on Part V, line 9a? f "Yes," coplete Schedule G, Part a Did the organization operate one or ore hospitals? f "Yes," coplete Schedule H 20a f "Yes" to line 20a, did the organization attach its audited financial stateents to this return? Note. Soe For 990 filers that operate one or ore hospitals ust attach audited financial stateents (see instructions) 20 Yes No For 990 (2010) 0E U 1385 V SGK300 PAGE 4

4 For 990 (2010) Page 4 Part V Checklist of Required Schedules (continued) 21 Did the organization report ore than $5,000 of grants and other assistance to governents and organizations in the United States on Part, colun (A), line 1? f "Yes," coplete Schedule, Parts and Did the organization report ore than $5,000 of grants and other assistance to individuals in the United States on Part, colun (A), line 2? f "Yes," coplete Schedule, Parts and Did the organization answer "Yes" to Part V, Section A, line 3, 4, or 5 aout copensation of the organization's current and forer officers, directors, trustees, key eployees, and highest copensated eployees? f "Yes," coplete Schedule J a Did the organization have a tax-exept ond issue with an outstanding principal aount of ore than $100,000 as of the last day of the year, that was issued after Deceer 31, 2002? f "Yes," answer lines 24 through 24d and coplete Schedule K. f No, go to line 25 24a Did the organization invest any proceeds of tax-exept onds eyond a teporary period exception? 24 c Did the organization aintain an escrow account other than a refunding escrow at any tie during the year to defease any tax-exept onds? 24c d Did the organization act as an "on ehalf of" issuer for onds outstanding at any tie during the year? 24d 25 a Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess enefit transaction with a disqualified person during the year? f "Yes," coplete Schedule L, Part 25a 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 Fors 990 or 990-EZ? f "Yes," coplete Schedule L, Part Was a loan to or y a current or forer officer, director, trustee, key eployee, highly copensated eployee, or disqualified person outstanding as of the end of the organization's tax year? f "Yes," coplete Schedule L, Part Did the organization provide a grant or other assistance to an officer, director, trustee, key eployee, sustantial contriutor, or a grant selection coittee eer, or to a person related to such an individual? f "Yes," coplete 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 A current or forer officer, director, trustee, or key eployee? f "Yes," coplete Schedule L, Part V 28a A faily eer of a current or forer officer, director, trustee, or key eployee? f "Yes," coplete Schedule L, Part V 28 c An entity of which a current or forer officer, director, trustee, or key eployee (or a faily eer thereof) was an officer, director, trustee, or direct or indirect owner? f "Yes," coplete Schedule L, Part V 28c 29 Did the organization receive ore than $25,000 in non-cash contriutions? f "Yes," coplete Schedule M Did the organization receive contriutions of art, historical treasures, or other siilar assets, or qualified conservation contriutions? f "Yes," coplete Schedule M Did the organization liquidate, terinate, or dissolve and cease operations? f "Yes," coplete Schedule N, Part Did the organization sell, exchange, dispose of, or transfer ore than 25% of its net assets? f "Yes," coplete Schedule N, Part Did the organization own 100% of an entity disregarded as separate fro the organization under Regulations sections and ? f "Yes," coplete Schedule R, Part Was the organization related to any tax-exept or taxale entity? f "Yes," coplete Schedule R, Parts,, V, and V, line s any related organization a controlled entity within the eaning of section 512()(13)? 35 a Did the organization receive any payent fro or engage in any transaction with a controlled entity within the eaning of section 512()(13)? f "Yes," coplete Schedule R, Part V, line 2 Yes No 36 Section 501(c)(3) organizations. Did the organization ake any transfers to an exept non-charitale related organization? f "Yes," coplete Schedule R, Part V, line Did the organization conduct ore than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal incoe tax purposes? f "Yes," coplete Schedule R, Part V Did the organization coplete Schedule O and provide explanations in Schedule O for Part V, lines 11 and 19? Note. All For 990 filers are required to coplete Schedule O. 38 For 990 (2010) Yes No 0E U 1385 V SGK300 PAGE 5

5 Stateents Regarding Other RS Filings and Tax Copliance Check if Schedule O contains a response to any question in this Part V Enter the nuer reported in Box 3 of For Enter -0- if not applicale 1a Enter the nuer of Fors W-2G included in line 1a. Enter -0- if not applicale 1 Did the organization coply with ackup withholding reportale gaing (galing) winnings to prize winners? Enter the nuer of eployees reported on For W-3, Transittal of Wage and Tax Stateents, filed for the calendar year ending with or within the year covered y this return 2a For 990 (2010) Page 5 Part V 1 a c 2a rules for reportale payents to vendors and f at least one is reported on line 2a, did the organization file all required federal eployent tax returns? 2 Note. f the su of lines 1a and 2a is greater than 250, you ay e required to e-file. (see instructions) 3a Did the organization have unrelated usiness gross incoe of $1,000 or ore during the year? 3a f "Yes," has it filed a For 990-T for this year? f "No," provide an explanation in Schedule O 3 4a At any tie 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)? 4a f Yes, enter the nae of the foreign country: See instructions for filing requireents for For TD F , Report of Foreign Bank and Financial Accounts. 5a Was the organization a party to a prohiited tax shelter transaction at any tie during the tax year? 5a Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transaction? 5 c f "Yes," to line 5a or 5, did the organization file For 8886-T? 5c 6a Does the organization have annual gross receipts that are norally greater than $100,000, and did the organization solicit any contriutions that were not tax deductile? 6a f "Yes," did the organization include with every solicitation an express stateent that such contriutions or gifts were not tax deductile? 6 7 Organizations that ay receive deductile contriutions under section 170(c). a Did the organization receive a payent in excess of $75 ade partly as a contriution and partly for goods and services provided to the payor? 7a f "Yes," did the organization notify the donor of the value of the goods or services provided? 7 c Did the organization sell, exchange, or otherwise dispose of tangile personal property for which it was required to file For 8282? 7c d f "Yes," indicate the nuer of Fors 8282 filed during the year 7d e Did the organization receive any funds, directly or indirectly, to pay preius on a personal enefit contract? 7e f Did the organization, during the year, pay preius, directly or indirectly, on a personal enefit contract? 7f g f the organization received a contriution of qualified intellectual property, did the organization file For 8899 as required? 7g h f the organization received a contriution of cars, oats, airplanes, or other vehicles, did the organization file a For 1098-C? 7h 8 Sponsoring organizations aintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund aintained y a sponsoring organization, have excess usiness holdings at any tie during the year? 8 9 Sponsoring organizations aintaining donor advised funds. a Did the organization ake any taxale distriutions under section 4966? 9a Did the organization ake a distriution to a donor, donor advisor, or related person? 9 10 Section 501(c)(7) organizations. Enter: a nitiation fees and capital contriutions included on Part V, line 12 10a Gross receipts, included on For 990, Part V, line 12, for pulic use of clu facilities Section 501(c)(12) organizations. Enter: a Gross incoe fro eers or shareholders 11a Gross incoe fro other sources (Do not net aounts due or paid to other sources against aounts due or received fro the.) a Section 4947(a)(1) non-exept charitale trusts. s the organization filing For 990 in lieu of For 1041? 12a f "Yes," enter the aount of tax-exept interest received or accrued during the year Section 501(c)(29) qualified nonprofit health insurance issuers. a s the organization licensed to issue qualified health plans in ore than one state? 13a Note. See the instructions for additional inforation the organization ust report on Schedule O. Enter the aount of reserves the organization is required to aintain y the states in which the organization is licensed to issue qualified health plans 13 c Enter the aount of reserves on hand 13c 14 a Did the organization receive any payents for indoor tanning services during the tax year? 14a f "Yes," has it filed a For 720 to report these payents? f "No," provide an explanation in Schedule O 14 0E c Yes No For 990 (2010) 52355U 1385 V SGK300 PAGE 6

6 Part V Governance, Manageent, and Disclosure For each "Yes" response to lines 2 through 7 elow, and for a "No" response to line 8a, 8, or 10 elow, descrie the circustances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response to any question in this Part V Section A. Governing Body and Manageent For 990 (2010) Page 6 1a 2 3 Enter the nuer of voting eers of the governing ody at the end of the tax year Enter the nuer of voting eers included in line 1a, aove, who are independent Did any officer, director, trustee, or key eployee have a faily relationship or a usiness relationship with any other officer, director, trustee, or key eployee? Did the organization delegate control over anageent duties custoarily perfored y or under the direct supervision of officers, directors or trustees, or key eployees to a anageent copany or other person? 4 Did the organization ake any significant changes to its governing docuents since the prior For 990 was filed? 4 5 Did the organization ecoe aware during the year of a significant diversion of the organization's assets? 5 6 Does the organization have eers or stockholders? 6 7a Does the organization have eers, stockholders, or other persons who ay elect one or ore eers of the governing ody? 7a Are any decisions of the governing ody suject to approval y eers, stockholders, or other persons? 7 8 Did the organization conteporaneously docuent the eetings held or written actions undertaken during the year y the following: a The governing ody? 8a Each coittee with authority to act on ehalf of the governing ody? 8 9 s there any officer, director, trustee, or key eployee listed in Part V, Section A, who cannot e reached at the organization's ailing address? f "Yes," provide the naes and addresses in Schedule O 9 Section B. Policies (This Section B requests inforation aout policies not required y the nternal Revenue Code.) 10 a 11 a 12 a c a 16 a Does the organization have local chapters, ranches, or affiliates? f "Yes," does the organization have written policies and procedures governing the activities of such chapters, affiliates, and ranches to ensure their operations are consistent with those of the organization? Has the organization provided a copy of this For 990 to all eers of its governing ody efore filing the for? Descrie in Schedule O the process, if any, used y the organization to review this For 990. Does the organization have a written conflict of interest policy? f "No," go to line 13 Are officers, directors or trustees, and key eployees required to disclose annually interests that could give rise to conflicts? Does the organization regularly and consistently onitor and enforce copliance with the policy? f "Yes," descrie in Schedule O how this is done Does the organization have a written whistlelower policy? Does the organization have a written docuent retention and destruction policy? Did the process for deterining copensation of the following persons include a review and approval y independent persons, coparaility data, and conteporaneous sustantiation of the delieration and decision? The organization's CEO, Executive Director, or top anageent official Other officers or key eployees of the organization f "Yes" to line 15a or 15, descrie the process in Schedule O. (See instructions.) Did the organization invest in, contriute assets to, or participate in a joint venture or siilar arrangeent with a taxale entity during the year? f "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangeents under applicale federal tax law, and taken steps to safeguard the organization's exept status with respect to such arrangeents? 16 Section C. Disclosure 17 List the states with which a copy of this For 990 is required to e filed KY, 18 Section 6104 requires an organization to ake its Fors 1023 (or 1024 if applicale), 990, and 990-T (501(c)(3)s only) availale for pulic inspection. ndicate how you ake these availale. Check all that apply. Own wesite Another's wesite Upon request 19 Descrie in Schedule O whether (and if so, how), the organization akes its governing docuents, conflict of interest policy, and financial stateents availale to the pulic. 20 State the nae, physical address, and telephone nuer of the person who possesses the ooks and records of the organization: MARK NADOLNY, CFO 5005 LBJ FREEWAY, SUTE 250 DALLAS, T For 990 (2010) 0E U 1385 V SGK300 PAGE 7 1a a 10 11a 12a 12 12c a 15 16a Yes Yes No No

7 Copensation of Officers, Directors, Trustees, Key Eployees, Highest Copensated Eployees, and ndependent Contractors Check if Schedule O contains a response to any question in this Part V For 990 (2010) Page 7 Part V Section A. Officers, Directors, Trustees, Key Eployees, and Highest Copensated Eployees 1a Coplete this tale for all persons required to e listed. Report copensation 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 aount of copensation. Enter -0- in coluns (D), (E), and (F) if no copensation was paid. List all of the organization's current key eployees, if any. See instructions for definition of "key eployee." List the organization's five current highest copensated eployees (other than an officer, director, trustee, or key eployee) who received reportale copensation (Box 5 of For W-2 and/or Box 7 of For 1099-MSC) of ore than $100,000 fro the organization and any related organizations. % % List all of the organization's forer officers, key eployees, and highest copensated eployees who received ore than $100,000 of reportale copensation fro the organization and any related organizations. List all of the organization's forer directors or trustees that received, in the capacity as a forer director or trustee of the organization, ore than $10,000 of reportale copensation fro the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key eployees; highest copensated eployees; and forer such persons. Check this ox if neither the organization nor any related organization copensated any current officer, director, or trustee. (A) (B) (C) (D) (E) (F) Nae and Title Average hours per week (descrie hours for related organizations in Schedule O) Position (check all that apply) ndividual trustee or director nstitutional trustee Officer Key eployee Highest copensated eployee Forer Reportale copensation fro the organization (W-2/1099-MSC) Reportale copensation fro related organizations (W-2/1099-MSC) Estiated aount of other copensation fro the organization and related organizations (1) ANNE GORHAM PRESDENT (2) PAM S NYSTROM BOARD MEMBER (3) CATHRYN GBSON SECRETARY (4) WAYNE THOMPSON BOARD MEMBER (5) ANDREA MULLNS TREASURER (6) NANCY ELLOTT BOARD MEMBER (7) BLLE DOLLNS VCE PRESDENT (8) STUART HURT BOARD MEMBER (9) MORGAN DALTON BOARD MEMBER (10) (11) (12) (13) (14) (15) (16) 0E For 990 (2010) 52355U 1385 V SGK300 PAGE 8

8 Section A. Officers, Directors, Trustees, Key Eployees, and Highest Copensated Eployees (continued) For 990 (2010) Page 8 Part V (17) (A) (B) (C) (D) (E) (F) Nae and title Average hours per week (descrie hours for related organizations in Schedule O) Position (check all that apply) ndividual trustee or director nstitutional trustee Officer Key eployee Highest copensated eployee Forer Reportale copensation fro the organization (W-2/1099-MSC) Reportale copensation fro related organizations (W-2/1099-MSC) Estiated aount of other copensation fro the organization and related organizations (18) (19) (20) (21) (22) (23) (24) (25) (26) (27) (28) 1 Su-total c Total fro continuation sheets to Part V, Section A d Total (add lines 1 and 1c) Total nuer of individuals (including ut not liited to those listed aove) who received ore than $100,000 in reportale copensation fro the organization 0 3 Did the organization list any forer officer, director or trustee, key eployee, or highest copensated eployee on line 1a? f "Yes," coplete Schedule J for such individual 3 4 For any individual listed on line 1a, is the su of reportale copensation and other copensation fro the organization and related organizations greater than $150,000? f "Yes," coplete Schedule J for such individual 4 5 Did any person listed on line 1a receive or accrue copensation fro any unrelated organization or individual for services rendered to the organization? f "Yes," coplete Schedule J for such person 5 Section B. ndependent Contractors 1 Coplete this tale for your five highest copensated independent contractors that received ore than $100,000 of copensation fro the organization. (A) Nae and usiness address (B) Description of services Yes (C) Copensation No 2 Total nuer of independent contractors (including ut not liited to those listed aove) who received ore than $100,000 in copensation fro the organization 0 For 990 (2010) 0E U 1385 V SGK300 PAGE 9

9 For 990 (2010) Page 9 Part V Contriutions, gifts, grants and other siilar aounts Progra Service Revenue Other Revenue 1a c d e Stateent of Revenue f All other contriutions, gifts, grants, and siilar aounts not included aove 1f 79,914. g Noncash contriutions included in lines 1a-1f: $ 28,805. h Total. Add lines 1a-1f Business Code 2a c d e f g 6a c d 7a and sales expenses c Gain or (loss) d Net gain or (loss) 8a 11a c Federated capaigns Meership dues Fundraising events Related organizations Governent grants (contriutions) All other progra service revenue Total. Add lines 2a-2f d All other revenue e Total. Add lines 11a-11d 12 Total revenue. See instructions 1a 1 1c 1d 1e nvestent incoe (including dividends, interest, and other siilar aounts) ncoe fro investent of tax-exept ond proceeds Royalties Gross Rents (i) Real (ii) Personal Less: rental expenses Rental incoe or (loss) Net rental incoe or (loss) Gross aount fro sales of (i) Securities (ii) Other assets other than inventory Less: cost or other asis Gross incoe fro fundraising events (not including $ 494,394. of contriutions reported on line 1c). See Part V, line 18 a 126,824. Less: direct expenses 52,867. c Net incoe or (loss) fro fundraising events 9a Gross incoe fro gaing activities. See Part V, line 19 a 21,262. Less: direct expenses c Net incoe or (loss) fro gaing activities 10a Gross sales of inventory, less returns and allowances a 218. Less: cost of goods sold 3,780. c Net incoe or (loss) fro sales of inventory Miscellaneous Revenue Business Code AFFLATE FORM 990 NOT FLED WTH RS 494,394. (A) Total revenue 574, (B) Related or exept function revenue (C) Unrelated usiness revenue (D) Revenue excluded fro tax under sections 512, 513, or 514 3,519. 3, , , , , , ,562. NTERCOMPANY REV ,500. 2,500. 2, , , ,238. For 990 (2010) 0E U 1385 V SGK300 PAGE 10

10 For 990 (2010) Page 10 Part Stateent of Functional Expenses Section 501(c)(3) and 501(c)(4) organizations ust coplete all coluns. All other organizations ust coplete colun (A) ut are not required to coplete coluns (B), (C), and (D). Do not include aounts reported on lines 6, 7, 8, 9, and 10 of Part V. 1 2 Grants and other assistance to governents and organizations in the U.S. See Part V, line 21 Grants and other assistance to individuals in the U.S. See Part V, line 22 3 Grants and other assistance to governents, organizations, and individuals outside the U.S. See Part V, lines 15 and 16 4 Benefits paid to or for eers 5 Copensation of current officers, directors, trustees, and key eployees 6 Copensation not included aove, to disqualified persons (as defined under section 4958(f)(1)) and persons descried in section 4958(c)(3)(B) 7 Other salaries and wages 8 Pension plan contriutions (include section 401(k) and section 403() eployer contriutions) Other eployee enefits a c d e f g a c d e f Payroll taxes Fees for services (non-eployees): Manageent Legal Accounting Loying Professional fundraising services. See Part V, line 17 nvestent anageent fees Other Advertising and prootion Office expenses nforation technology Royalties Occupancy Travel Payents of travel or entertainent expenses for any federal, state, or local pulic officials Conferences, conventions, and eetings nterest Payents to affiliates Depreciation, depletion, and aortization nsurance Other expenses. teize expenses not covered aove (List iscellaneous expenses in line 24f. f line 24f aount exceeds 10% of line 25, colun (A) aount, list line 24f expenses on Schedule O.) All other expenses Total functional expenses. Add lines 1 through 24f 26 Joint Costs. Check here if following SOP 98-2 (ASC ). Coplete this line only if the organization reported in colun (B) joint costs fro a coined educational capaign and fundraising solicitation 0E (A) (B) (C) (D) Total expenses Progra service Manageent and Fundraising expenses general expenses expenses 394, , , , , , ,329. 3,329. 5,105. 1,958. 1,622. 1, ,500. 2, ,266. 2,581. 3, ,382. 8, , , , ,498. 9, , ,059. 4, , , CONSULTNG & PROF SVCS 2,155. 2,155. RACE PRODUCTON 21, , ,323. GFTS AND RECOGNTON 25,652. 5, ,600. ALL OTHER EPENSES 4, , , , , , , , ,852. For 990 (2010) 52355U 1385 V SGK300 PAGE 11

11 For 990 (2010) Page 11 Part Assets Liailities Net Assets or Fund Balances Balance Sheet Cash - non-interest-earing Savings and teporary cash investents Pledges and grants receivale, net Accounts receivale, net Receivales fro current and forer officers, directors, trustees, key eployees, and highest copensated eployees. Coplete Part of Schedule L Receivales fro other disqualified persons (as defined under section 4958(f)(1)), persons descried in section 4958(c)(3)(B), and contriuting eployers and sponsoring organizations of section 501(c)(9) voluntary eployees' eneficiary organizations (see instructions) Notes and loans receivale, net nventories for sale or use Prepaid expenses and deferred charges a Land, uildings, and equipent: cost or other asis. Coplete Part V of Schedule D 10a Less: accuulated depreciation 10 nvestents - pulicly traded securities nvestents - other securities. See Part V, line 11 nvestents - progra-related. See Part V, line 11 ntangile assets Other assets. See Part V, line 11 Total assets. Add lines 1 through 15 (ust equal line 34) Accounts payale and accrued expenses Grants payale Deferred revenue Tax-exept ond liailities Escrow or custodial account liaility. Coplete Part V of Schedule D Payales to current and forer officers, directors, trustees, key eployees, highest copensated eployees, and disqualified persons. Coplete Part of Schedule L Secured ortgages and notes payale to unrelated third parties Unsecured notes and loans payale to unrelated third parties Other liailities. Coplete Part of Schedule D Total liailities. Add lines 17 through 25 Organizations that follow SFAS 117, check here and coplete lines 27 through 29, and lines 33 and 34. Unrestricted net assets Teporarily restricted net assets Peranently restricted net assets Organizations that do not follow SFAS 117, check here coplete lines 30 through 34. Capital stock or trust principal, or current funds Paid-in or capital surplus, or land, uilding, or equipent fund Retained earnings, endowent, accuulated incoe, or other funds Total net assets or fund alances Total liailities and net assets/fund alances 3,744. (A) Beginning of year (B) End of year 678, , , , , ,786. 1,565. 3,369. 1, c , , , , , , , and 15, , , , , , , , , , , ,652. For 990 (2010) 0E U 1385 V SGK300 PAGE 12

12 For 990 (2010) Page 12 Part Reconciliation of Net Assets Check if Schedule O contains a response to any question in this Part 1 Total revenue (ust equal Part V, colun (A), line 12) 1 671, Total expenses (ust equal Part, colun (A), line 25) 2 725, Revenue less expenses. Sutract line 2 fro line , Net assets or fund alances at eginning of year (ust equal Part, line 33, colun (A)) 4 188, Other changes in net assets or fund alances (explain in Schedule O) 5 18, Net assets or fund alances at end of year. Coine lines 3, 4, and 5 (ust equal Part, line 33, colun (B)) 6 1 Part 2a c d 3a Financial Stateents and Reporting Check if Schedule O contains a response to any question in this Part Accounting ethod used to prepare the For 990: Cash Accrual Other f the organization changed its ethod of accounting fro a prior year or checked "Other," explain in Schedule O. Were the organization's financial stateents copiled or reviewed y an independent accountant? Were the organization's financial stateents audited y an independent accountant? f "Yes" to line 2a or 2, does the organization have a coittee that assues responsiility for oversight of the audit, review, or copilation of its financial stateents 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. f "Yes" to line 2a or 2, check a ox elow to indicate whether the financial stateents for the year were issued on a separate asis, consolidated asis, or oth: Separate asis Consolidated asis Both consolidated and separate asis 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-133? 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. 2a 2 2c 3a 3 153,265. Yes No For 990 (2010) 0E U 1385 V SGK300 PAGE 13

13 SCHEDULE A (For 990 or 990-EZ) Departent of the Treasury nternal Revenue Service Pulic Charity Status and Pulic Support Coplete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexept charitale trust. Attach to For 990 or For 990-EZ. See separate instructions. OMB No À¾µ Open to Pulic nspection Nae of the organization LENGTON AFFLATE OF THE Eployer identification nuer SUSAN G. KOMEN BREAST CANCER FOUNDATON, NC. Part Reason for Pulic Charity Status (All organizations ust coplete this part.) See instructions. The organization is not a private foundation ecause it is: (For lines 1 through 11, check only one ox.) 1 2 A church, convention of churches, or association of churches descried in A school descried in section 170()(1)(A)(ii). (Attach Schedule E.) section 170()(1)(A)(i). 3 A hospital or a cooperative hospital service organization descried in section 170()(1)(A)(iii). 4 A edical research organization operated in conjunction with a hospital descried in section 170()(1)(A)(iii). Enter the hospital's nae, city, and state: 5 An organization operated for the enefit of a college or university owned or operated y a governental unit descried in section 170()(1)(A)(iv). (Coplete Part.) (A) e f g h A federal, state, or local governent or governental unit descried in section 170()(1)(A)(v). An organization that norally receives a sustantial part of its support fro a governental unit or fro the general pulic descried in section 170()(1)(A)(vi). (Coplete Part.) A counity trust descried in section 170()(1)(A)(vi). (Coplete Part.) An organization that norally receives: (1) ore than 33 1/3 % of its support fro contriutions, eership fees, and gross receipts fro activities related to its exept functions - suject to certain exceptions, and (2) no ore than 33 1/3% of its support fro gross investent incoe and unrelated usiness taxale incoe (less section 511 tax) fro usinesses acquired y the organization after June 30, See section 509(a)(2). (Coplete Part.) An organization organized and operated exclusively to test for pulic safety. See section 509(a)(4). An organization organized and operated exclusively for the enefit of, to perfor the functions of, or to carry out the purposes of one or ore pulicly supported organizations descried in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the ox that descries the type of supporting organization and coplete lines 11e through 11h. a Type Type c Type - Functionally integrated d Type - Other By checking this ox, certify that the organization is not controlled directly or indirectly y one or ore disqualified persons other than foundation anagers and other than one or ore pulicly supported organizations descried in section 509(a)(1) or section 509(a)(2). f the organization received a written deterination fro the RS that it is a Type, Type, or Type supporting organization, check this ox Since August 17, 2006, has the organization accepted any gift or contriution fro any of the following persons? (i) A person who directly or indirectly controls, either alone or together with persons descried in (ii) Yes No and (iii) elow, the governing ody of the supported organization? 11g(i) (ii) A faily eer of a person descried in (i) aove? 11g(ii) (iii) A 35% controlled entity of a person descried in (i) or (ii) aove? 11g(iii) Provide the following inforation aout the supported organization(s). (i) Nae of supported organization (ii) EN (iii) Type of organization (descried on lines 1-9 aove or RC section (see instructions)) (iv) s the organization in (v) Did you notify the organization (vi) s the organization in col. (i) listed in in col. (i) of col. (i) organized your governing docuent? your support? in the U.S.? Yes No Yes No Yes No (vii) Aount of support (B) (C) (D) (E) Total For Paperwork Reduction Act Notice, see the nstructions for For 990 or 990-EZ. Schedule A (For 990 or 990-EZ) E U 1385 V SGK300 PAGE 14

14 Part Support Schedule for Organizations Descried in Sections 170()(1)(A)(iv) and 170()(1)(A)(vi) (Coplete only if you checked the ox on line 5, 7, or 8 of Part or if the organization failed to qualify under Part. f the organization fails to qualify under the tests listed elow, please coplete Part.) Section A. Pulic Support Schedule A (For 990 or 990-EZ) 2010 Page 2 Calendar year (or fiscal year eginning in) 1 Gifts, grants, contriutions, and eership fees received. (Do not include any "unusual grants.") 2 Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf 3 The value of services or facilities furnished y a governental unit to the organization without charge 4 Total. Add lines 1 through 3 5 The portion of total contriutions y each person (other than a governental unit or pulicly supported organization) included on line 1 that exceeds 2% of the aount shown on line 11, colun (f) 6 Pulic support. Sutract line 5 fro line 4. Section B. Total Support 7 Aounts fro line 4 8 Gross incoe fro interest, dividends, payents received on securities loans, rents, royalties and incoe fro siilar sources Calendar year (or fiscal year eginning in) 9 Net incoe fro unrelated usiness activities, whether or not the usiness is regularly carried on (a) 2006 () 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total 438, , , , ,308. 2,896, , , , , ,308. 2,896,167. (a) 2006 () 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total 68,246. 2,827, , , , , ,308. 2,896, , ,131. 9,967. 7,046. 3, , Other incoe. Do not include gain or loss fro the sale of capital assets (Explain in Part V.) 11 Total support. Add lines 7 through 10 2,950, Gross receipts fro related activities, etc. (see instructions) , First five years. f the For 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this ox and stop here Section C. Coputation of Pulic Support Percentage 14 Pulic support percentage for 2010 (line 6, colun (f) divided y line 11, colun (f)) % 15 Pulic support percentage fro 2009 Schedule A, Part, line % 16a 33 1/3 % support test f the organization did not check the ox on line 13, and line 14 is 33 1/3 % or ore, check this ox and stop here. The organization qualifies as a pulicly supported organization 33 1/3 % support test f the organization did not check a ox on line 13 or 16a, and line 15 is 33 1/3 % or ore, check this ox and stop here. The organization qualifies as a pulicly supported organization 17a 10%-facts-and-circustances test f the organization did not check a ox on line 13, 16a or 16, and line 14 is 10% or ore, and if the organization eets the "facts-and-circustances" test, check this ox and stop here. Explain in Part V how the organization eets the "facts-and-circustances test. The organization qualifies as a pulicly supported organization 10%-facts-and-circustances test f the organization did not check a ox on line 13, 16a, 16, or 17a, and line 15 is 10% or ore, and if the organization eets the "facts-and-circustances" test, check this ox and stop here. Explain in Part V how the organzation eets the "facts-and-circustances" test. The organization qualifies as a pulicly supported organization 18 Private foundation. f the organization did not check a ox on line 13, 16a, 16, 17a, or 17, check this ox and see instructions Schedule A (For 990 or 990-EZ) E U 1385 V SGK300 PAGE 15

15 Support Schedule for Organizations Descried in Section 509(a)(2) (Coplete only if you checked the ox on line 9 of Part or if the organization failed to qualify under Part. f the organization fails to qualify under the tests listed elow, please coplete Part.) Schedule A (For 990 or 990-EZ) 2010 Page 3 Part Calendar year (or fiscal year eginning in) (a) 1 Gifts, grants, contriutions, and eership fees Section A. Pulic Support received. (Do not include any "unusual grants.") 2 Gross receipts fro adissions, erchandise sold or services perfored, or facilities furnished in any activity that is related to the organization's tax-exept purpose 3 Gross receipts fro activities that are not an unrelated trade or usiness under section Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf 5 The value of services or facilities furnished y a governental unit to the organization without charge 6 Total. Add lines 1 through 5 7a Aounts included on lines 1, 2, and 3 received fro disqualified persons Aounts included on lines 2 and () 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total received fro other than disqualified persons that exceed the greater of $5,000 or 1% of the aount on line 13 for the year c Add lines 7a and 7 8 Pulic support (Sutract line 7c fro line 6.) Section B. Total Support Calendar year (or fiscal year eginning in) 9 Aounts fro line 6 (a) 2006 () 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total 10 a Gross incoe fro interest, dividends, payents received on securities loans, rents, royalties and incoe fro siilar sources Unrelated usiness taxale incoe (less section 511 taxes) fro usinesses acquired after June 30, 1975 c Add lines 10a and Net incoe fro unrelated usiness activities not included in line 10, whether or not the usiness is regularly carried on 12 Other incoe. Do not include gain or loss fro the sale of capital assets (Explain in Part V.) 13 Total support. (Add lines 9, 10c, 11, and 12.) 14 First five years. f the For 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this ox and stop here Section C. Coputation of Pulic Support Percentage 15 Pulic support percentage for 2010 (line 8, colun (f) divided y line 13, colun (f)) 16 Pulic support percentage fro 2009 Schedule A, Part, line 15 Section D. Coputation of nvestent ncoe Percentage nvestent incoe percentage for 2010 (line 10c, colun (f) divided y line 13, colun (f)) nvestent incoe percentage fro 2009 Schedule A, Part, line a 33 1/3 % support tests f the organization did not check the ox on line 14, and line 15 is ore than 33 1/3 %, and line 17 is not ore than 33 1/3 %, check this ox and stop here. The organization qualifies as a pulicly supported organization 33 1/3 % support tests f the organization did not check a ox on line 14 or line 19a, and line 16 is ore than 33 1/3 %, and line 18 is not ore than 33 1/3 %, check this ox and stop here. The organization qualifies as a pulicly supported organization 20 Private foundation. f the organization did not check a ox on line 14, 19a, or 19, check this ox and see instructions 0E Schedule A (For 990 or 990-EZ) U 1385 V SGK300 PAGE % % % %