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? |
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|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| (1)
CURATIVE CARE NETWORK INC |
390806286 | 501 (C) 3 | Yes | Yes | Yes | 715,122 | |||
| Total | 715,122 | ||||||||
| 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 | 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.. | ||||||
| 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).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| 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). | ||||||






| 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.) | ||||||
| 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 |
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| Explanation |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| PART V CURATIVE CARE NETWORK INC. IS THE COMMON PAYMASTER FOR CURATIVE FOUNDATION INC. PAYROLL THEREFORE W-2 INFORMATION IS ISSUED UNDER THE NAME OF CURATIVE CARE NETWORK INC. PART VI LINE 11 - BOARD ADDRESSES DONALD H. BENSON - 2046 LITTLE LAKE ROAD WASHINGTON ISLAND WI 54846 PETER W. BRUCE - 111 E. KILBOURN SUITE 1400 MILWAUKEE WI 53202 KENTON W. FRITZ - 3697 S. 123RD STREET GREENFIELD WI 53228 RANDALL S. LAMBRECHT PH.D. - 1020 N. 12TH STREET MILWAUKEE WI 53233 ELIZABETH M. LIERK - 672 CRESCENT COURT WAUWATOSA WI 53213 JOHN A. STOCKING - 111 E. WISCONSIN AVE. SUITE 1500 MILWAUKEE WI 53202 RICHARD WOODS - 757 N. BROADWAY SUITE 700 MILWAUKEE WI 53202 CAROL K. WYTHES - 1075 DEAN ROAD MILWAUKEE WI 53217 C. FREDERICK GEILFUSS - 777 E. WISCONSIN AVENUE MILWAUKEE WI 53202 THOMAS W. KOSLER - N16 W23233 STONE RIDGE DRIVE SUITE 150 WAUKESHA WI 53188 ROBERT MORGAN - 3386 S. 69TH STREET MILWAUKEE WI 53219 ROBERT O. SCHLYTTER - 4811 S. 76TH STREET SUITE 211 GREENFIELD WI 53220 CARMEN M. WITT - 8348 N. INDIAN CREEK PKWY. FOX POINT WI 53217 WILLIAM J. STARR - 10223 NORTH RANGE LINE COURT MEQUON WI 53092 CAROLYN BOLTON - 7300 W. DEAN ROAD APT. 3160 MILWAUKEE WI 53223 CRAIG E. COURSIN - P. O. BOX 7 OCOMONOWOC WI 53066 F. R. DENGEL - 6448 N. LAKE DRIVE MILWAUKEE WI 53217 GWEN T. JACKSON - 4619 N. 71ST STREET MILWAUKEE WI 53218 JULIE W. PETRI - 9822 NORTH VALLEY HILL DRIVE 33W MEQUON WI 53092 FREDERICK W. PAIRENT PH.D. - 744 GRAND AVENUE THIENSVILLE WI 53092 JAY R. RADMER - 3155 N. 124TH STREET BROOKFIELD WI 53005 STEVEN P. SWANSON - 720 E. WISCONSIN AVENUE MILWAUKEE WI 53202 LYNETTE M. ZIGMAN - 777 E. WISCONSIN AVENUE MILWAUKEE WI 53202 PART VI - SECTION B LINE 12C CURATIVE FOUNDATION INC.'S CONFLICT OF INTEREST STATEMENT AND POLICY IS REVIEWED WITH AND SIGNED BY ALL STAFF AND BOARD MEMBERS ANNUALLY. PART VI - SECTION C LINE 19 GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION ARE AVAILABLE UPON REQUEST FROM THE DIRECTOR OF COMMUNITY RELATIONS. INFORMATION IS ALSO AVAILABLE ON THE ORGANIZATION WEBSITE WWW.CURATIVE.ORG - AND IN THE ANNUAL REPORT WHICH IS MAILED TO DONORS STAKEHOLDERS AND OTHER MEMBERS OF THE PUBLIC AND IS POSTED ON THE WEBSITE. |
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