Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
|||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 7,147,335 | 5,546,535 | 5,604,809 | 4,262,738 | 3,642,289 | 26,203,706 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | 7,147,335 | 5,546,535 | 5,604,809 | 4,262,738 | 3,642,289 | 26,203,706 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 3,706,803 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 22,496,903 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 7,147,335 | 5,546,535 | 5,604,809 | 4,262,738 | 3,642,289 | 26,203,706 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 105,107 | 101,116 | 64,718 | 95,184 | 91,488 | 457,613 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | 30,029 | 81,428 | 88,714 | 159,996 | 162,657 | 522,824 |
| 11 | Total support (Add lines 7 through 10). | 27,184,143 | |||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO ALL VOTING MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCING THE CONFLICT OF INTEREST POLICY INCLUDES ANNUAL REVIEW AND DISCLOSURE BY ALL KEY VOLUNTEERS AND STAFF. THE BOARD OF DIRECTORS THEN REVIEW FOR ANY POTENTIAL CONFLICTS. | |
| FORM 990, PART VI,SECTION B,LINE 15 THE PRESIDENT/CEO'S ANNUAL PERFORMANCE EVALUATION IS COMPLETED BY THE BOARD CHAIR. IN THE YEARS WHERE AN INCREASE TO COMPENSATION IS MERITED, THE BOARD CHAIR AND 2-3 EXECUTIVE COMMITTEE MEMBERS WOULD REVIEW THE COMPENSATION AND DEBATE ON AN APPROPRIATE INCREASE TO THE COMPENSATION. ANY ADJUSTMENTS ARE APPROVED IN WRITING BY THE BOARD CHAIR AND THE OTHER BOARD MEMBERS. THIS DOCUMENTATION IS MAINTAINED IN THE HUMAN RESOURCES FILE OF THE ORGANIZATION. FOR SENIOR MANAGEMENT TEAM MEMBERS, A SALARY COMPARISON STUDY WAS UTILIZED AT THE TIME OF HIRE TO ESTABLISH REASONABLE COMPENSATION FOR THE THREE MOST RECENT HIRES. THE ORGANIZATION PLANS TO FORMALLY DOCUMENT AND IMPROVE THE COMPENSATION REVIEW PROCESS TO INCLUDE COMPARABLE COMPENSATION DATA OF SIMILAR ORGANIZATIONS AND ADDITIONAL DOCUMENTATION OF THE DELIBERATION PROCESS COMPLETED BY THE EXECUTIVE COMMITTEE MEMBERS. | ||
| FORM 990, PART VI, SECTION C, LINE 19 | OUR ANNUAL REPORT AND FORM 990 ARE AVAILABLE ON OUR WEBSITE. THESE, ALONG WITH OTHER DOCUMENTS, SUCH AS GOVERNING DOCUMENTS AND POLICIES, ARE AVAILABLE UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 263,230. CHANGE IN MARKET VALUE OF BENEFICIAL INTEREST IN TRUSTS 345,937. TOTAL TO FORM 990, PART XI, LINE 5: 609,167. |
| TOTAL NUMBER OF EMPLOYEES | FORM 990, PART I, LINE 5 AND PART V, LINE 2A | THE ORGANIZATION ACTS AS COMMON PAYMASTER FOR THE NATIONAL SOCIETY TO PREVENT BLINDNESS AFFILIATES AND ISSUED A TOTAL OF 168 W-2S FOR ALL AFFILIATED ORGANIZATIONS. OF THE TOTAL 168 W-2S, 35 WERE ISSUED FOR EMPLOYEES OF THE NATIONAL SOCIETY TO PREVENT BLINDNESS. |
| Software ID: | |
| Software Version: |
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Affiliated Group Business Name:
NATIONAL SOCIETY TO PREVENT BLINDNESS
Address. Either US or Foreign Type:
211 W WACKER DRIVE 1700
CHICAGO, IL60606 EIN:
36-3667121
Electing Organization Checkbox:
Total Grassroots Lobbying:
54,136
Total Direct Lobbying:
225,157
Total Lobbying Expenditures:
279,293
Other Exempt Purpose Expenditures:
5,708,866
Total Exempt Purpose Expenditures:
5,988,159
Lobbying Nontaxable Amount:
449,408
Grassroots Nontaxable Amount:
112,352
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS OHIO
Address. Either US or Foreign Type:
1500 W 3RD AVE
COLUMBUS, OH43212 EIN:
31-6063433
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
27,050
Total Lobbying Expenditures:
27,050
Other Exempt Purpose Expenditures:
1,634,162
Total Exempt Purpose Expenditures:
1,661,212
Lobbying Nontaxable Amount:
233,061
Grassroots Nontaxable Amount:
58,265
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS VIRGINIA
Address. Either US or Foreign Type:
11618 BUSY ST
RICHMOND, VA23236 EIN:
23-7033230
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
24,050
Total Lobbying Expenditures:
24,050
Other Exempt Purpose Expenditures:
824,324
Total Exempt Purpose Expenditures:
848,374
Lobbying Nontaxable Amount:
152,256
Grassroots Nontaxable Amount:
38,064
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS FLORIDA
Address. Either US or Foreign Type:
8401 BENJAMIN ROAD STE G
TAMPA, FL33634 EIN:
59-6181662
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
618,403
Total Exempt Purpose Expenditures:
618,403
Lobbying Nontaxable Amount:
117,760
Grassroots Nontaxable Amount:
29,440
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS IOWA
Address. Either US or Foreign Type:
1111 NINTH ST
DES MOINES, IA50314 EIN:
42-6083207
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
8,500
Total Lobbying Expenditures:
8,500
Other Exempt Purpose Expenditures:
214,963
Total Exempt Purpose Expenditures:
223,463
Lobbying Nontaxable Amount:
44,693
Grassroots Nontaxable Amount:
11,173
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS NORTH CAROLINA
Address. Either US or Foreign Type:
4011 WESTCHASE BLVD
RALEIGH, NC27607 EIN:
56-6088141
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
22,550
Total Lobbying Expenditures:
22,550
Other Exempt Purpose Expenditures:
1,245,875
Total Exempt Purpose Expenditures:
1,268,425
Lobbying Nontaxable Amount:
201,843
Grassroots Nontaxable Amount:
50,461
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS INDIANA
Address. Either US or Foreign Type:
70 EAST 91ST ST
INDIANAPOLIS, IN46240 EIN:
35-6040676
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
299,286
Total Exempt Purpose Expenditures:
299,286
Lobbying Nontaxable Amount:
59,857
Grassroots Nontaxable Amount:
14,964
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS GEORGIA
Address. Either US or Foreign Type:
739 WEST PEACHTREE ST NW STE 200
ATLANTA, GA30308 EIN:
58-6050305
Electing Organization Checkbox:
Total Grassroots Lobbying:
1,500
Total Direct Lobbying:
495
Total Lobbying Expenditures:
1,995
Other Exempt Purpose Expenditures:
762,272
Total Exempt Purpose Expenditures:
764,267
Lobbying Nontaxable Amount:
139,640
Grassroots Nontaxable Amount:
34,910
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|