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) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 485,452 | 1,466,896 | 2,170,466 | 2,089,972 | 3,834,079 | 10,046,865 |
| 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.. | 485,452 | 1,466,896 | 2,170,466 | 2,089,972 | 3,834,079 | 10,046,865 |
| 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).. | 8,884,950 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 1,161,915 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 485,452 | 1,466,896 | 2,170,466 | 2,089,972 | 3,834,079 | 10,046,865 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 11,194 | 12,591 | 25,365 | 13,678 | 14,476 | 77,304 |
| 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.. | ||||||
| 11 | Total support (Add lines 7 through 10). | 10,124,169 | |||||






| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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.) | 0 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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 |
|---|
| PT II LINE 17A: IN ACCORDANCE WITH A BOARD OF DIRECTORS-ENDORSED PLAN (AND; PT II LINE 17A: ASSOCIATED OPERATIONAL PROCEDURES) THE HAEA CONTINUOUSLY; PT II LINE 17A: SOLICITS BROAD PUBLIC SUPPORT FOR ITS LIFE SAVING MISSION. GIVEN; PT II LINE 17A: THE FACT THAT HAE IS A MICRO-ORPHAN DISEASE WITH AN; PT II LINE 17A: EXTREMELY SMALL NUMBER OF PATIENTS RESIDING IN THE UNITED STATES,; PT II LINE 17A: THE TARGET POPULATION FOR SOLICITING FINANCIAL SUPPORT IS; PT II LINE 17A: EXCEPTIONALLY SMALL. NOTWITHSTANDING THIS INHERENT LIMITATION,; PT II LINE 17A: THE HAEA RECEIVES A SURPRISINGLY LARGE PERCENTAGE OF ITS; PT II LINE 17A: FUNDING FROM PUBLIC SOURCES. IT IS IMPORTANT TO NOTE THAT THE; PT II LINE 17A: HAEA'S DIVERSE AND SOPHISTICATED BOARD OF DIRECTORS IS; PT II LINE 17A: CONSTANTLY SEARCHING FOR INNOVATIVE APPROACHES TO INCREASING; PT II LINE 17A: GENERAL PUBLIC SUPPORT FOR THE HAEA'S VITAL, LIFE SAVING; PT II LINE 17A: MISSION. INDEED, DEATH ASSOCIATED WITH AN HAE ATTACK IS; PT II LINE 17A: COMPLETELY PREVENTABLE, AND THE HAEA PROVIDES THE PATIENT; PT II LINE 17A: COMMUNITY WITH 24 HOUR AVAILABILITY. AS A RESULT, A TRAINED HAEA; PT II LINE 17A: STAFF MEMBER IS ALWAYS AVAILABLE TO INTERVENE DURING EMERGENCIES; PT II LINE 17A: AND PROVIDE PATIENTS AND PHYSICIANS WITH THE INFORMATION; PT II LINE 17A: REQUIRED TO PREVENT DEATH AND ENSURE A POSITIVE OUTCOME. THE HAEA; PT II LINE 17A: ALSO RELIES HEAVILY ON PUBLIC SUPPORT IN DEVELOPING ITS; PT II LINE 17A: SCIENTIFIC PATIENT REGISTRY. THE REGISTRY IS DESIGNED TO PROVIDE; PT II LINE 17A: RESEARCHERS WITH THE DATA NEEDED TO UNLOCK SOME OF THE; PT II LINE 17A: MEDICAL MYSTERIES THAT WILL LEAD TO BETTER TREATMENTS; PT II LINE 17A: AND ULTIMATELY A CURE FOR THE DISEASE.; PT II LINE 17A: DESPITE THE SMALL NUMBER OF PATIENTS IN THE HAE POPULATION, THE; PT II LINE 17A: HAEA HAS BECOME A HIGHLY EFFECTIVE RARE DISEASE PATIENT; PT II LINE 17A: ADVOCACY ORGANIZATION THAT IS DIRECTLY RESPONSIBLE FOR SAVING; PT II LINE 17A: COUNTLESS LIVES YEAR IN AND YEAR OUT. THE HAEA'S SUCCESS; PT II LINE 17A: IS DUE IN LARGE PART TO THE BOARD OF DIRECTORS' AND SENIOR; PT II LINE 17A: MANAGEMENT'S COMMITMENT TO FOCUSING AVAILABLE RESOURCES; PT II LINE 17A: ON ACTIVITIES AND PROGRAMS THAT ARE OF MAXIMUM BENEFIT TO THE HAE; PT II LINE 17A: PATIENT POPULATION. IN ADDITION TO PROVIDING PATIENTS; PT II LINE 17A: WITH 24 HOUR ASSISTANCE, THE HAEA ALSO, AMONG OTHER THINGS:; PT II LINE 17A: DESIGNS AND DISSEMINATES ONGOING PATIENT/PHYSICIAN EDUCATION; PT II LINE 17A: PROGRAMS THOUGH THE PRINT AND BROADCAST MEDIA; OFFERS ASSISTANCE; PT II LINE 17A: TO PATIENTS WHO NEED GUIDANCE ON NAVIGATING THE COMPLEXITIES OF; PT II LINE 17A: OBTAINING INSURANCE COVERAGE; AND SPONSORS PATIENT CONFERENCES; PT II LINE 17A: THAT FEATURE WORLD CLASS PHYSICIAN/RESEARCHERS WHO PROVIDE INSIGHT; PT II LINE 17A: INTO HOW PATIENTS CAN DEAL WITH POTENTIALLY FATAL EMERGENCY; PT II LINE 17A: SITUATIONS AND EMPOWER THEMSELVES TO CHOOSE A TREATMENT REGIMEN; PT II LINE 17A: THAT WILL INCREASE QUALITY OF LIFE.; |
| Explanation |
|---|
| Software ID: | 11000175 |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Pt VI, Line 11a | The President is assigned responsibility for review and approval | |
| Pt VI, Line 11a | of the Federal Form 990 with the support of the Financial Manager | |
| Pt VI, Line 11a | and Treasurer. The Board affirms the filing provided. | |
| Pt VI, Line 12c | The Board of Directors provide self-declarations of possible | |
| Pt VI, Line 12c | conflicts of interest as part of the annual meeting | |
| Pt VI, Line 12c | responsibilities. Key employees also provide an annual self- | |
| Pt VI, Line 12c | declaration. Potential conflicts identified are reviewed | |
| Pt VI, Line 12c | and approved if appropriate as a part of the Board of Directors' | |
| Pt VI, Line 12c | routine responsibilities. | |
| Pt VI, Line 15 | The President, with support of the Board of Directors, performs | |
| Pt VI, Line 15 | an informal review of salaries for comparable responsibilities | |
| Pt VI, Line 15 | of like-size and type organizations with recognition of the | |
| Pt VI, Line 15 | national and international influence of the services provided. | |
| Pt VI, Line 15 | Discussions and conclusions are documented as part of the | |
| Pt VI, Line 15 | recording of the minutes of the Board of Directors including | |
| Pt VI, Line 15 | their formal approval of the adjusted compensation and benefits. | |
| Pt VI, Line 19 | The Organization makes all federal information filings available | |
| Pt VI, Line 19 | upon request. Various companies make the federal filings | |
| Pt VI, Line 19 | available via the internet. | |
| Pt XII, Line 1 | In order to streamline the year-end reporting and federal | |
| Pt XII, Line 1 | information reporting process, the Organization considers it | |
| Pt XII, Line 1 | appropriate to provide cash-basis reporting for Federal | |
| Pt XII, Line 1 | Form 990 reporting purposes. | |
| Form 990, Part IX, Line 24f | PATIENT CONFERENCES 883709. 883709. 0. 0. |
| Software ID: | 11000175 |
| Software Version: |