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 | ||||
| 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.") .... | ||||||
| 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 |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | NORTH AMERICAN FETAL THERAPY NETWORK, INC. ("NAFTNET") HAS BEEN ORGANIZED TO FACILITATE THE RESEARCH OF THERAPY FOR FETUSES. THE MEMBERS AND AFFILIATES OF NAFTNET WILL BE HOSPITALS AND OTHER ORGANIZATIONS WITH FETAL TREATMENT IN NORTH AMERICA HAVING ACTIVE CLINICAL PROGRAMS CENTERS IN FETAL THERAPY. THE PRIMARY FUNCTIONS OF NAFTNET ARE TO PROVIDE A COOPERATIVE CLINICAL RESEARCH NETWORK TO STUDY THE NATURAL HISTORY OF FETAL DISEASE; EVALUATE THERAPEUTIC PRENATAL INTERVENTIONS TO IMPROVE OUTCOMES AND TO MAKE DATA ON FETAL THERAPIES FROM THE MEMBERS AND AFFILIATES AVAILABLE TO RESEARCHERS APPROVED BY NAFTNET. IN ADDITION NAFTNET WILL FUNCTION AS AN EDUCATIONAL RESOURCE FOR PATIENTS AND AND HEALTHCARE PROVIDERS AND TRAIN FUTURE LEADERS IN AND BASIC SCIENCE RESEARCH IN THE FIELD OF FETAL INTERVENTION. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | THE STEERING COMMITTEE ELECTS THE BOARD OF DIRECTORS (EXECUTIVE COMMITTEE MEMBERS). |
| OFFICERS WHO CANNOT BE REACHED | FORM 990, PAGE 6, PART VI, LINE 9 | FRANCOIS I. LUKS MD, PHD 2 DUDLEY ST, STE 180 PROVIDENCE, RI 02905 RICHARD W. O'SHAUGHNESSY, MD 2050 KENNY ROAD COLUMBUE, OH 43221 WILLIAM J. POLZIN, MD 375 DIXMYTH AVE CINCINNATI, OH 45220-2489 RICHARD BROWN, MD 687 PINE AVENUE MONTREAL, QC H3A 1A1 MICHAEL ZARETSKY, MD 5323 HARRY HINES BLVD DALLAS, TX 75390 TIMOTHY M. CROMBLEHOLME, MD 13123 E 16TH AVENUE AURORA, CO 80045 LOUISE WILKINS-HAUG, MD, PHD 75 FRANCIS STREET BOSTON, MA 02115 CHRISTOPHER HARMAN, MD 22 SOUTH GREENE ST BALTIMORE, MD 21201 MARK P. JOHNSON, MD 34TH ST & CIVIC CENTER BLVD PHILADELPHIA, PA 19104-4399 |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | SUBMITTED TO TRUSTEE WHO REVIEWED THE INFORMATION. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ALL MEMBERS MUST REVIEW AND SIGN THE POLICY ANNUALLY. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
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