Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NATIONAL COALITION FOR CANCER SURVIVORSHIP
Employer identification number
85-0357897
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(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
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
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.") ....
2,858,844
3,052,943
3,485,419
3,726,442
3,389,767
16,513,415
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..
2,858,844
3,052,943
3,485,419
3,726,442
3,389,767
16,513,415
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)..
8,767,588
6
Public Support. Subtract line 5 from line 4.
7,745,827
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
2,858,844
3,052,943
3,485,419
3,726,442
3,389,767
16,513,415
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
106,123
116,936
83,630
56,959
53,507
417,155
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..
1,555
35,005
36,560
11
Total support (Add lines 7 through 10).
16,967,130
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
2,415,077
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
45.650 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
44.290 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
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.)
Section B. Total Support
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.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NATIONAL COALITION FOR CANCER SURVIVORSHIP
Employer identification number
85-0357897
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 7A
ANY INDIVIDUAL MAY NOMINATE HIMSELF, HERSELF, OR ANOTHER MEMBER IN WRITING BY SUBMITTING THE NOMINATION TO THE CENTRAL OFFICE OR TO ANY MEMBER OF THE GOVERNANCE COMMITTE NO LESS THAN NINETY (90) DAYS PRIOR TO THE OPENING OF THE ANNUAL BOD MEETING. THE GOVERNANCE COMMITTEE SHALL SUBMIT IN WRITING AT LEAST THIRTY (30) DAYS PRIOR TO THE ANNUAL BOD MEETING THE NAMES OF PERSONS TO BE NOMINATED AS MEMBERS OF THE BOD AND AS OFFICERS OF THE CORPORATION. THE BOD SHALL ELECT OFFICERS AND THE DIRECTORS BY MAJORITY VOTE. EACH DIRECTOR SHALL BE ELECTED TO A TERM OF THREE (3) YEARS.
FORM 990, PART VI, SECTION B, LINE 11
THE FEDERAL FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. AFTER MANAGEMENT'S REVIEW AND APPROVAL OF THE FORM 990, THE 990 IS REVIEWED BY THE TREASURER AND/OR THE FINANCE COMMITTEE. ONCE THE TREASURER AND/OR THE FINANCE COMMITTEE APPROVES THE FORM 990 IT IS FILED WITH THE IRS. THE FORM 990 IS ALSO PRESENTED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY ANNUALLY PROVIDING A COPY OF THE POLICY TO EACH INDIVIDUAL AND BY MAKING IT MANDATORY FOR ALL OFFICERS, DIRECTORS, EMPLOYEES OR COMMITTEE MEMBERS TO COMPLETE AND SIGN BOTH AN ANNUAL DISCLOSURE AND AN ACKNOWLEDGEMENT OF RECEIPT OF THE CONFLICT OF INTEREST POLICY. ALL COMPLETED ACKNOWLEDGEMENTS AND DISCLOSURE FORMS, ALONG WITH ALL OTHER CONFLICT INFORMATION, ARE REVIEWED BY THE ORGANIZATION'S PRESIDENT AND CHAIR.
FORM 990, PART VI, SECTION B, LINE 15A
COMPENSATION FOR THE ORGANIZATION'S CEO IS DETERMINED BY THE ORGANIZATION'S EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE ASSISTS THE BOARD IN SETTING THE CEO'S COMPENSATION AND TO REVIEW AND MAKE RECOMMENDATIONS REGARDING COMPENSATION PLANS, POLICIES, AND PROGRAMS OF THE ORGANIZATION. THE ORGANIZATION'S COMPENSATION PACKAGES ARE SET AND GOVERNED BY ITS EXECUTIVE COMMITTEE, WHICH INITIALLY APPROVES THEM AND HAS DISCRETION TO CHANGE THEM. THE COMMITTEE DOES UTILIZE INDEPENDENT SOURCES AND OTHER TIMELY AND COMPARABLE DATA TO REACH ITS RECOMMENDATIONS.
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE CONFLICT OF INTERST POLICY AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE ORGANIZATION'S WEBSITE.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 142,719. DONATED SERVICES AND USE OF FACILITIES: 9,255. TOTAL TO FORM 990, PART XI, LINE 5: 151,974.
FORM 990, PART XII, LINE 2C
THE PROCESS FOR THE OVERSIGHT OF THE ORGANIZATIONS AUDITED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PREVIOUS FORM 990 FILING. A DESCRIPTION OF THE PROCESS IS AS FOLLOWS: OVERSIGHT OF THE FINANCIAL STATEMENTS: THE ORGANIZATION'S DRAFT FINANCIAL STATEMENTS ARE REVIEWED IN DETAIL BY MANAGEMENT WITH THE AUDITORS. ONCE MANAGEMENT APPROVES THE DRAFT FINANCIAL STATEMENTS THE STATEMENTS ARE PRESENTED TO THE FINANCE COMMITTEE. THE FINANCE COMMITTEE REVIEWS THE STATEMENTS AND THEN HAS EITHER A MEETING OR A CONFERENCE CALL WITH THE AUDITOR TO REVIEW THE STATEMENTS IN DETAIL. AT THIS TIME THE FINANCE COMMITTEE WILL INQUIRE OF THE OUTSIDE AUDITOR AS TO ANY ACCOUNTING ISSUES, FOOTNOTE DISCLOSURES AND/OR OTHER ITEMS THAT IMPACT THE FINANCIAL STATEMENTS. AFTER THIS MEETING/ CALL THE FINANCE COMMITTEE APPROVES THE AUDIT. THE AUDIT IS THEN PRESENTED TO THE ENTIRE BOARD OF DIRECTORS. SELECTION OF THE INDEPENDENT AUDITOR: MANAGEMENT OF THE ORGANIZATION RECOMMENDS THE CHOICE OF AUDITORS ON AN ANNUAL BASIS. THE CHOICE IS THEN APPROVED BY THE TREASURER AND/OR THE BOARD OF DIRECTORS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.