PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC 75-8598 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 7E00.000 ) (Revenue $ ) Form 990 (07) PAGE
PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC 75-8598 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 7 8 9 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 5 6 7 8 9 0 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 5 6 7 8 9 Form 990 (07) 7E0.000 PAGE
PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC 75-8598 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 0.770- and 0.770-? 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 9 0 5 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 5 6 7 8 Form 990 (07) 7E00.000 PAGE
PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC 75-8598 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 7E00.000 6 7c 7e 7f 7g 7h 8 9a 9 a a a Form 990 (07) PAGE 5
PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC 75-8598 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 6 7 8 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 75 97-855-600 7E0.000 Form 990 (07) PAGE 6
PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC 75-8598 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.00.00.00.00.00.00.00.00.00.00.00.00.00.00 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 7E0.000 990 (07) PAGE 7
PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC 75-8598 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.00.00 55.00 55.00 55.00 55.00 55.00 55.00 55.00 55.00 55.00 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. 0,809. 66,6.,96. 80,56. 6,89. 95,097. 6,77. 8,88. 9,5. 85,56.,607. 70,. 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 7E055.000 Form 990 (07) PAGE 8
PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC 75-8598 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 55.00 55.00 55.00 55.00 55.00 55.00 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. 8,697. 58,8. 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 7E055.000 Form 990 (07) PAGE 9
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 900099,7,77.,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 75-8598 8,69,. 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 900099,9,9. OTHER NCOME 900099,5. 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 7E05.000 6,0 8,.,57,8. 76,77,969. 5,85,9. 6,0 9,65,08. Form 990 (07) PAGE 0
PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC Form 990 (07) Part Statement of Functional Expenses 75-8598 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.,09,69,0,508. 697,7,790,058.,075,6. 50,5.,7,. 679,56.,5. 5,56.,79. 0,766. 57,8. 5,005. 7,797. 65,95. 0,678.,79. 9,057. 55, 9,568. 6 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.,68,065. 965,09.,5,8,77,995. 5,80,9,9,8. 0,59. 0,76. 60,87. 575,0,5,6 7,809. 606,865. 775,87. 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. 99,608. 667,096. 8,76, 8,5,78. 86,996. 870,65. 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 958-70) m m m m m m m 7E05.000 Form 990 (07) PAGE
PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC 75-8598 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. 7 8 9 (A) Beginning of year (B) End of year,8,756. 0,9,,78,8,00,869. 5,70,50.,9,675. 5 0,6.,76,5. 6 7 8 9 09,655.,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. 0,77. 5 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 9,7,78. 6 77,05,059. 8,,668. 7,76,75. 8 5,00 9 86,58,57. 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 7 8 9 0 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) 7E05.000 PAGE
PUBLC NSPECTON COPY SUSAN G KOMEN BREAST CANCER FDN, NC 75-8598 Form 990 (07) Part 5 6 7 8 9 0 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 5 6 7 8 9 0 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) 7E05.000 PAGE
PUBLC NSPECTON COPY SCHEDULE A OMB. 55-007 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 www.irs.gov/form990 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 75-8598 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