Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
BLOOD BANK OF SAN BERNARDINO AND
RIVERSIDE COUNTIES
Doing Business As
LIFESTREAM & DESERT BLOOD SERVICES
 
Number and street (or P.O. box if mail is not delivered to street address)
PO BOX 1429
 
Room/suite
City or town, state or country, and ZIP + 4
SAN BERNARDINO, CA924021429
D Employer identification number

95-1708743
E Telephone number

G Gross receipts $ 56,122,510
F Name and address of principal officer:
FREDERICK B AXELROD
PO BOX 1429
SAN BERNARDINO,CA924021429
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.LSTREAM.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1951
M State of legal domicile: CA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: MISSION STATEMENT OF THE BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES: "WE HELP SAVE LIVES BY CONNECTING DONORS AND PATIENTS THROUGH THE GIFT OF BLOOD."
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 12
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 11
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 457
6 Total number of volunteers (estimate if necessary) ............. 6 127
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 31,196 49,694
9 Program service revenue (Part VIII, line 2g) ......... 53,028,685 54,546,610
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 509,417 543,063
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 420,320 941,059
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 53,989,618 56,080,426
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 21,755,941 24,482,384
16a Professional fundraising fees (Part IX, column (A), line 11e).....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 33,488,619 30,727,310
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 55,244,560 55,209,694
19 Revenue less expenses. Subtract line 18 from line 12....... -1,254,942 870,732
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 33,527,575 32,810,164
21 Total liabilities (Part X, line 26)............. 18,141,335 16,562,598
22 Net assets or fund balances. Subtract line 21 from line 20..... 15,386,240 16,247,566
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: MISSION STATEMENT OF THE BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES: "WE HELP SAVE LIVES BY CONNECTING DONORS AND PATIENTS THROUGH THE GIFT OF BLOOD."
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 50,924,058 including grants of $   ) (Revenue $ 54,546,610 )
IN FY 12-13 IN FULFILLMENT OF ITS STATED PURPOSE TO COLLECT AND DELIVER BLOOD AND BLOOD PRODUCTS IN THE COUNTIES OF SAN BERNARDINO, RIVERSIDE, ORANGE, LOS ANGELES AND IMPERIAL, LIFESTREAM THROUGH ITS DEDICATED STAFF OF MORE THAN 450 EMPLOYEES AND VOLUNTEERS PROVIDED BLOOD RELATED SERVICES TO HOSPITALS AND OTHER PROVIDERS OF HEALTH CARE. LIFESTREAM OPERATES 24 HOURS A DAY, 365 DAYS A YEAR TO ENSURE THAT ITS PRODUCTS ARE AVAILABLE TO HOSPITALS AND PATIENTS WHO NEED THEM. DIRECTLY BENEFITING WERE THE PATIENTS OF MORE THAN 80 MEDICAL FACILITIES. NEARLY 208,190 BLOOD COMPONENTS FOR TRANSFUSION WERE PROCESSED AND DELIVERED. APPROXIMATELY 170,140 INDIVIDUALS DONATED MORE THAN 123,865 RED BLOOD CELLS AND 17,680 APHERESIS COLLECTIONS THAT PROVIDED PLATELETS, PLASMA AND RED BLOOD CELLS. BLOOD WAS COLLECTED AT FIVE FIXED COLLECTION SITES IN SAN BERNARDINO, RIVERSIDE, ONTARIO, VICTORVILLE, AND LA QUINTA. MULTIPLE BLOOD DRIVES WERE HELD DAILY AT LOCAL COMPANIES, CHURCHES, GOVERNMENT AGENCIES, HIGH SCHOOLS, COLLEGES, AND CIVIC ORGANIZATIONS. LIFESTREAM WORKS WITH MORE THAN 1,000 DONOR CLUBS - FROM COMMUNITIES, BUSINESSES, CHURCHES, SCHOOLS, SERVICE CLUBS AND GOVERNMENT AGENCIES THAT HOST BLOOD DRIVES AND ENCOURAGE THEIR MEMBERS TO GIVE THE GIFT OF LIFE. LIFESTREAM ALSO SUPPLIED SPECIALTY PRODUCTS SUCH AS RED CELLS AND PLASMA FOR PEDIATRIC PATIENTS, HIGH DOSE WHITE BLOOD CELLS TO TREAT PATIENTS WITH INFECTIONS, LARGE VOLUME APHERESIS PLASMA FOR BURN, TRAUMA AND TRANSPLANT PATIENTS AND POOLED CRYOPRECIPITATE AND FACTOR CONCENTRATES FOR PATIENTS WITH BLEEDING DISORDERS. AUTOLOGOUS AND DIRECTED DONATION SERVICES WERE MADE AVAILABLE TO PATIENTS AND THEIR FAMILIES WHO DESIRED TO DONATE BLOOD IN ADVANCE OF ANTICIPATED NEED. IN ADDITION TO BLOOD COLLECTION, LIFESTREAM'S COMPONENT LABORATORY PREPARED SPECIALIZED COMPONENTS INCLUDING PACKED RED CELLS, FRESH FROZEN PLASMA, PLATELETS, CRYOPRECIPITATE AND WASHED, LEUKOCYTE-POOR AND FROZEN RED BLOOD CELLS. AS THE ONLY AABB (AMERICAN ASSOCIATION OF BLOOD BANKS) ACCREDITED IMMUNOHEMATOLOGY LAB IN THE TWO COUNTIES, LIFESTREAM IS EXPERT AT SOLVING COMPLEX PROBLEMS INVOLVING RARE BLOOD TYPES AND OTHER SOPHISTICATED BLOOD CENTER SERVICES. THE COMPREHENSIVE AUTOMATED COLLECTION PROGRAM KNOWN AS APHERESIS, ALLOWED DONORS THE OPPORTUNITY TO PROVIDE SPECIFIC BLOOD COMPONENTS SUCH AS RED CELLS, PLASMA, PLATELETS AND WHITE BLOOD CELLS TO SERIOUSLY ILL PATIENTS. LIFESTREAM ALSO OVERSAW OUTSOURCED INFECTIOUS DISEASE TESTING OF DONATED BLOOD, DISTRIBUTED BLOOD COMPONENTS FOR TRANSFUSION AND MANAGEMENT OF BLOOD COMPONENTS INVENTORY. WHEN NECESSARY BLOOD COMPONENTS WERE IMPORTED FROM OTHER BLOOD CENTERS TO ENSURE THE TIMELY FULFILLMENT OF REGIONAL TRANSFUSION NEEDS. LIFESTREAM ADHERES TO ALL FEDERAL AND INDUSTRY MANDATES AND REGULATIONS RELATED TO BLOOD COLLECTIONS, AND HAS CONSISTENTLY MET THE STRICT REQUIREMENTS OF VARIOUS REGULATORY AGENCIES. LIFESTREAM IS AN ACTIVE PARTICIPANT AND REGISTERED DONOR CENTER WITH THE NATIONAL MARROW DONOR PROGRAM (NMDP). THIS PROGRAM HELPS PEOPLE WHO NEED A LIFESAVING MARROW OR BLOOD CELL TRANSPLANT. AS A MEMBER OF THE NMDP, LIFESTREAM RECRUITS, REGISTERS, AND EDUCATES MARROW DONORS AND COORDINATES THE DONATION PROCESS WHEN A LOCAL MATCH IS FOUND. MORE THAN 31,742 PEOPLE HAVE JOINED THE REGISTRY THROUGH LIFESTREAM, OF THESE, 203 DONATIONS MATCHED PATIENTS IN DIRE NEED OF A MARROW TRANSPLANT. BETWEEN JULY 2012 AND JUNE 2013, 10 OF OUR DONORS MATCHED PATIENTS AND GAVE THE GIFT OF LIFE THROUGH THEIR BLOOD STEM CELLS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
EDUCATION ACTIVITIES THE SAFETY AND ADEQUACY OF THE COMMUNITY BLOOD SUPPLY IS THE FIRST PRIORITY FOR LIFESTREAM. HOWEVER, LIFESTREAM ALSO MAKES EVERY EFFORT TO ANTICIPATE AND RESPOND TO CUSTOMER NEEDS AND TO PROVIDE INFORMATION AND EDUCATION ABOUT BLOOD BANKING, CRITICAL NEED FOR BLOOD DONORS, AND NEW DEVELOPMENTS IN TRANSFUSION MEDICINE TO THE COMMUNITIES IT SERVES. LIFESTREAM INITIATED AN ACADEMIC INTERNSHIP PROGRAM TO PROMOTE ACADEMIC, CAREER AND PERSONAL DEVELOPMENT FOR STUDENTS ATTENDING LOCAL EDUCATIONAL INSTITUTIONS. IT IS OUR INTENTION TO BECOME A VALUED PARTNER IN THE ACADEMIC COMMUNITY. THE TYPICAL EXPERIENCE LASTS FROM THREE TO SIX MONTHS. THE ACADEMIC INTERNSHIPS ARE DIFFERENT FROM SHORT-TERM JOBS OR VOLUNTEER WORK IN THAT THEY HAVE A WRITTEN LEARNING AGREEMENT WHICH IS STRUCTURED AND MONITORED BY THE ORGANIZATION. LIFESTREAM OFFERS A SERIES OF CONTINUING EDUCATION PROGRAMS IN THE FORM OF AUDIO CONFERENCES PRESENTED BY AMERICAN ASSOCIATION OF BLOOD BANKS (AABB) AND AMERICAN SOCIETY FOR CLINICAL PATHOLOGY (ASCP). THESE AUDIO CONFERENCES ARE LINKED TO A TELEPHONIC NEWTWORK ACROSS THE NATION. DURING FY 12-13,14 AABB AUDIO CONFERENCES WITH MORE THAN 75 PARTICIPANTS WERE ARRANGED USING LIFESTREAM'S CONFERENCE ROOMS. THE AABB AUDIO CONFERENCES PROVIDE THE BLOOD BANKING AND TRANSFUSION COMMUNITY WITH UP-TO-DATE INFORMATION ON CURRENT STANDARDS, ACCREDITATION REQUIREMENTS, MEDICAL AND SCIENTIFIC ADVANCES, AS WELL AS ADMINISTRATIVE AND MANAGMENT PRACTICES. THE ASCP TELE-CONFERENCES PROVIDE INFORMATION ON ISSUES IMPACTING PATHOLOGY AND LABORATORY MEDICINE, DIAGNOSTIC AND INTERPRETIVE DEVELOPMENTS, TECHNOLOGICAL ADVANCES, EVOLVING GOVERNMENT REGULATIONS AND MORE. CONTINUING EDUCATION UNITS ARE PROVIDED TO THE PARTICIPANTS IN FULFILLMENT OF REQUIREMENTS FOR LICENSING RENEWALS AND OTHER PROFESSIONAL IMPROVEMENT PROGRAMS. LIFESTREAM HAS A TRANSFUSION TECHNICAL ADVISORY COMMITTEE THAT MEETS QUARTERLY. PHYSICIANS RESPONSIBLE FOR TRANSFUSION MEDICINE FROM HOSPITALS ARE INVITED TO SHARE IDEAS AND CONCERNS REGARDING SERVICES BEING PROVIDED BY LIFESTREAM. DISCUSSIONS ARE FOCUSED ON EMERGING HEALTH CARE TOPICS AND DAY-TO-DAY OPERATIONAL ISSUES. THESE MEETINGS PROVIDE THE ORGANIZATION A "CUSTOMER'S VIEW" OF HOW WE ARE PERFORMING AND OPPORTUNITIES FOR IMPROVEMENT. DISCUSSION OF EMERGING ISSUES, NEW MEDICAL TESTING TO PREVENT POTENTIAL LIFE THREATENING DISEASES FROM TRANSFUSION, APPROPRIATE USE OF BLOOD PRODUCTS AND OTHER IMPORTANT DISCUSSIONS AND IDEAS TAKE PLACE AT THESE MEETINGS.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
COMMUNITY OUTREACH: LIFESTREAM PARTNERS WITH VARIOUS NONPROFIT AND SUPPORT GROUPS BY MAKING ITS CONFERENCE ROOMS AVAILABLE TO COMMUNITY ORGANIZATIONS FOR MEETINGS AND PRESENTATIONS. LIFESTREAM PARTICIPATES IN HEALTH FAIRS WHEN REQUESTED. IT ALSO RECRUITS EMPLOYEES AND VOLUNTEERS BY REGULARLY PARTICIPATING IN CAREER FAIRS. LIFESTREAM IS A MEMBER OF MANY COMMUNITY CHAMBERS OF COMMERCE AND REGULARLY PARTICIPATES AND EDUCATES ON BLOOD DONATIONS AND THE NEEDS OF THE COMMUNITY. LIFESTREAM'S MEDICAL DIRECTORS PROVIDED LECTURES FOR GRAND ROUNDS AT VARIOUS HOSPITALS AND TO THE COUNTY MEDICAL SOCIETIES ON TOPICS RELATED TO BLOOD PRODUCTS, TRANSFUSIONS, DISEASE PREVENTION, APPROPRIATE USE OF BLOOD PRODUCTS AND TRANSFUSIONS TO SAVE PATIENTS LIVES. LIFESTREAM HAS DEVELOPED "A PATIENT'S GUIDE TO BLOOD TRANSFUSIONS", "HIGH SCHOOL DONORS CAN MAKE A DIFFERENCE" AND "HEALTHY EATING FOR HEALTHY BLOOD". PAMPHLETS IN ENGLISH AND SPANISH TO BE DISTRIBUTED THROUGHOUT THE COMMUNITY TO EDUCATE THE PUBLIC ON TRANSFUSIONS AND DONATIONS. LIFESTREAM'S MANAGEMENT STAFF CONTRIBUTED TO THE BLOOD BANKING INDUSTRY ON A VARIETY OF LEVELS, DONATING THEIR TIME AND TALENTS. THESE EMPLOYEES PARTICIPATED IN REGIONAL AND NATIONAL BLOOD BANKING ORGANIZATIONS AS PROGRAM PRESENTERS AND COMMITTEE/BOARD MEMBERS. THESE ORGANIZATIONS INCLUDE THE AABB, AMERICA'S BLOOD CENTERS (ABC) AND CALIFORNIA BLOOD BANK SOCIETY (CBBS).
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
VOLUNTEERS: LIFESTREAM DEPENDS ON THE VALUABLE HELP PROVIDED BY VOLUNTEERS. MORE THAN 127 MEN AND WOMEN GAVE THOUSANDS OF HOURS OF VOLUNTEER TIME TO LIFESTREAM DURING FY 2013. THEY ASSISTED AT LIFESTREAM'S LOCATIONS, AS ELL AS HIGH SCHOOLS AND COMMUNITY BLOOD DRIVES. THEY PERFORMED A VARIETY OF CLERICAL DUTIES AND SERVED REFRESHMENTS IN THE CANTEENS. LIFESTREAM HOSTS AN ANNUAL VOLUNTEER RECOGNITION PROGRAM.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet50,924,058
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
45
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
457
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
12
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
 
No
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletBLOOD BANK OF SAN BERNARDINO ANDRIVERSIDE COUNTIES384 W ORANGE SHOW ROADSAN BERNARDINOCA92408 (909) 885-6503
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) MARION BLACK........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(2) PAUL BOYNTON MD........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(3) MICHAEL JENSEN........................................................................
CHAIRMAN
 1.00
.......................   		X   X       0 0 0
(4) EDWIN MAUEL........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(5) WAFA MICHAEL MD........................................................................
VICE CHAIRMA
 1.00
.......................   		X   X       0 0 0
(6) CATHERINE ODELL MD........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(7) ANDREW CORR MD........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(8) ERIC FRYKMAN MD........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(9) BILL POWERS........................................................................
TREASURER
 1.00
.......................   		X   X       0 0 0
(10) RAYMOND PROSPERO........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(11) JIM PETERSON........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(12) FREDERICK AXELROD MD........................................................................
CEO/PRES/SEC
 40.00
.......................   		    X       537,450 0 59,026
(13) SCOTT MILLER........................................................................
VICE PRESIDE
 40.00
.......................   		    X       199,751 0 65,336
(14) DIANE EKLUND........................................................................
VICE PRESIDE
 40.00
.......................   		        X   248,235 0 49,558
(15) ROBERT ALBEE........................................................................
VICE PRESIDE
 40.00
.......................   		        X   183,152 0 44,683
(16) CINDY CLOSE........................................................................
VICE PRESIDE
 40.00
.......................   		        X   164,825 0 5,203
(17) GARY THORN........................................................................
VICE PRESIDE
 40.00
.......................   		        X   142,803 0 25,947
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) JULIANNA QUARLES........................................................................
VICE PRESIDE
 40.00
.......................   		        X   125,167 0 42,799
























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 1,601,383   292,552
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet16
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MITCHELL SILBERBERG & KNUPP11377 W OLYMPIC BLVDLOS ANGELESCA90064 LEGAL 240,981
MERCHANTS LLC1190 MONTEREY PASS ROADMONTEREY PARKCA91754 JANITORIAL 197,504
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet2
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		49,694
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 49,694
Program Service Revenue Business Code
2a PROGRAM SERVICE REVENUE 621500 54,546,610 54,546,610    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 54,546,610
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 404,064     404,064
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 2,170 178,913
b Less: cost or other basis and sales expenses 2,048 40,036
c Gain or (loss) 122 138,877
d Net gain or (loss)..........MediumBullet 138,999 138,877   122
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a MISCELLANEOUS 621500 941,059 941,059    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 941,059
12 Total revenue. See Instructions......MediumBullet 56,080,426 55,626,546   404,186
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21    
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 861,564 196,837 664,727  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 18,674,422 16,855,291 1,819,131  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 592,621 494,615 98,006  
9 Other employee benefits ....... 2,954,331 2,725,623 228,708  
10 Payroll taxes ........... 1,399,446 1,245,815 153,631  
11 Fees for services (non-employees):        
a Management ...... 313,023 282,138 30,885  
b Legal ......... 174,568 90,196 84,372  
c Accounting ........... 65,000   65,000  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 66,049   66,049  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 709,921 640,585 69,336  
12 Advertising and promotion .... 241,264 212,734 28,530  
13 Office expenses ....... 886,833 789,377 97,456  
14 Information technology ...... 505,905 402,014 103,891  
15 Royalties ..        
16 Occupancy ........... 186,032 169,921 16,111  
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 48,760 32,888 15,872  
20 Interest ........... 465,821 465,821    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 1,379,928 1,073,206 306,722  
23 Insurance .............. 443,346 373,744 69,602  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PURCHASED BLOOD 7,221,721 7,221,721    
b MEDICAL/CULINARY SUPPLIES 7,025,125 7,021,721 3,404  
c LABORATORY TEST 6,736,294 6,735,663 631  
d DONOR/COMMUNITY/VOLUNTEER 1,219,695 1,206,470 13,225  
e All other expenses 3,038,025 2,687,678 350,347  
25 Total functional expenses. Add lines 1 through 24e 55,209,694 50,924,058 4,285,636 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 1,050 1 975
2 Savings and temporary cash investments ......... 2,083,456 2 1,435,676
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 5,455,314 4 5,832,633
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 949,233 8 1,061,448
9 Prepaid expenses and deferred charges .......... 205,489 9 189,836
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 25,892,546
b Less: accumulated depreciation ..... 10b 11,012,340 16,063,144 10c 14,880,206
11 Investments—publicly traded securities .......... 8,717,964 11 9,272,593
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 51,925 15 136,797
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 33,527,575 16 32,810,164
Liabilities 17 Accounts payable and accrued expenses ......... 5,565,234 17 4,548,239
18 Grants payable .................   18  
19 Deferred revenue ................ 45,983 19 1,000
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 11,514,585 23 11,103,335
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 1,015,533 25 910,024
26 Total liabilities. Add lines 17 through 25......... 18,141,335 26 16,562,598
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 15,386,240 27 16,247,566
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 15,386,240 33 16,247,566
34 Total liabilities and net assets/fund balances ........ 33,527,575 34 32,810,164
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
56,080,426
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
55,209,694
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
870,732
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
15,386,240
5
Net unrealized gains (losses) on investments ...............
5
-9,406
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
 
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
16,247,566
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
BLOOD BANK OF SAN BERNARDINO AND
RIVERSIDE COUNTIES
Employer identification number

95-1708743
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
f
g
(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 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 monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
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........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
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 ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 62,574 34,597 41,097 31,196 49,694 219,158
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...... 46,869,359 48,841,674 50,479,875 53,028,685 54,546,610 253,766,203
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. 46,931,933 48,876,271 50,520,972 53,059,881 54,596,304 253,985,361
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.)           253,985,361
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6... 46,931,933 48,876,271 50,520,972 53,059,881 54,596,304 253,985,361
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 402,013 224,377 440,177 407,008 404,064 1,877,639
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 402,013 224,377 440,177 407,008 404,064 1,877,639
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.) .. 112,610 82,971 169,908 420,320 941,059 1,726,868
13 Total support. (Add lines 9, 10c, 11, and 12.).. 47,446,556 49,183,619 51,131,057 53,887,209 55,941,427 257,589,868
14
Section C. Computation of Public Support Percentage
15
15
98.600 %
16
16
98.690 %
Section D. Computation of Investment Income Percentage
17
17
1.000 %
18
18
1.000 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
BLOOD BANK OF SAN BERNARDINO AND
RIVERSIDE COUNTIES
Employer identification number

95-1708743
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
BLOOD BANK OF SAN BERNARDINO AND
RIVERSIDE COUNTIES 		Employer identification number

95-1708743
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
BLOOD BANK OF SAN BERNARDINO AND
RIVERSIDE COUNTIES 		Employer identification number

95-1708743
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
BLOOD BANK OF SAN BERNARDINO AND
RIVERSIDE COUNTIES 		Employer identification number

95-1708743
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
BLOOD BANK OF SAN BERNARDINO AND
RIVERSIDE COUNTIES
Employer identification number

95-1708743
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   2,582,743 2,582,743
b Buildings ................   11,848,261 3,417,113 8,431,148
c Leasehold improvements ............        
d Equipment ................   11,461,542 7,595,227 3,866,315
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 14,880,206
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
DEFERRED COMP PAYABLE 454,827
CAPITAL LEASE OBLIGATION 250,350
DUE TO AFFILIATE 204,847






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 910,024
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 56,037,478
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -9,406
b Donated services and use of facilities ......... 2b 32,507
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 23,101
3 Subtract line 2e from line 1..................... 3 56,014,377
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 66,049
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c 66,049
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 56,080,426
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 55,176,152
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a 32,507
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e 32,507
3 Subtract line 2e from line 1..................... 3 55,143,645
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 66,049
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c 66,049
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 55,209,694
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
BLOOD BANK OF SAN BERNARDINO AND
RIVERSIDE COUNTIES
Employer identification number

95-1708743
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)FREDERICK AXELROD MDCEOPRESSECYMEDDIR (i)
(ii)		 534,341
  		 
  		3,109
  		39,803
  		19,223
  		596,476
  		142,266
 
(2)SCOTT MILLERVICE PRESIDENTCFO (i)
(ii)		 199,751
  		 
  		 
  		22,874
  		42,462
  		265,087
  		 
 
(3)DIANE EKLUNDVICE PRESIDENT (i)
(ii)		 248,235
  		 
  		 
  		24,004
  		25,554
  		297,793
  		 
 
(4)ROBERT ALBEEVICE PRESIDENT (i)
(ii)		 183,152
  		 
  		 
  		18,991
  		25,692
  		227,835
  		 
 
(5)CINDY CLOSEVICE PRESIDENT (i)
(ii)		 164,825
  		 
  		 
  		4,945
  		258
  		170,028
  		 
 
(6)GARY THORNVICE PRESIDENT (i)
(ii)		 142,803
  		 
  		 
  		12,727
  		13,220
  		168,750
  		 
 
(7)JULIANNA QUARLESVICE PRESIDENT (i)
(ii)		 125,167
  		 
  		 
  		14,768
  		28,031
  		167,966
  		 
 
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 FREDERICK AXELROD, M.D. 0 142,266 0
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
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.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
BLOOD BANK OF SAN BERNARDINO AND
RIVERSIDE COUNTIES
Employer identification number

95-1708743
Identifier Return Reference Explanation
ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION MISSION STATEMENT OF THE BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES: "WE HELP SAVE LIVES BY CONNECTING DONORS AND PATIENTS THROUGH THE GIFT OF BLOOD."
FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A PLASMA AND RED BLOOD CELLS. BLOOD WAS COLLECTED AT FIVE FIXED COLLECTION SITES IN SAN BERNARDINO, RIVERSIDE, ONTARIO, VICTORVILLE, AND LA QUINTA. MULTIPLE BLOOD DRIVES WERE HELD DAILY AT LOCAL COMPANIES, CHURCHES, GOVERNMENT AGENCIES, HIGH SCHOOLS, COLLEGES, AND CIVIC ORGANIZATIONS. LIFESTREAM WORKS WITH MORE THAN 1,000 DONOR CLUBS - FROM COMMUNITIES, BUSINESSES, CHURCHES, SCHOOLS, SERVICE CLUBS AND GOVERNMENT AGENCIES THAT HOST BLOOD DRIVES AND ENCOURAGE THEIR MEMBERS TO GIVE THE GIFT OF LIFE. LIFESTREAM ALSO SUPPLIED SPECIALTY PRODUCTS SUCH AS RED CELLS AND PLASMA FOR PEDIATRIC PATIENTS, HIGH DOSE WHITE BLOOD CELLS TO TREAT PATIENTS WITH INFECTIONS, LARGE VOLUME APHERESIS PLASMA FOR BURN, TRAUMA AND TRANSPLANT PATIENTS AND POOLED CRYOPRECIPITATE AND FACTOR CONCENTRATES FOR PATIENTS WITH BLEEDING DISORDERS. AUTOLOGOUS AND DIRECTED DONATION SERVICES WERE MADE AVAILABLE TO PATIENTS AND THEIR FAMILIES WHO DESIRED TO DONATE BLOOD IN ADVANCE OF ANTICIPATED NEED. IN ADDITION TO BLOOD COLLECTION, LIFESTREAM'S COMPONENT LABORATORY PREPARED SPECIALIZED COMPONENTS INCLUDING PACKED RED CELLS, FRESH FROZEN PLASMA, PLATELETS, CRYOPRECIPITATE AND WASHED, LEUKOCYTE-POOR AND FROZEN RED BLOOD CELLS. AS THE ONLY AABB (AMERICAN ASSOCIATION OF BLOOD BANKS) ACCREDITED IMMUNOHEMATOLOGY LAB IN THE TWO COUNTIES, LIFESTREAM IS EXPERT AT SOLVING COMPLEX PROBLEMS INVOLVING RARE BLOOD TYPES AND OTHER SOPHISTICATED BLOOD CENTER SERVICES. THE COMPREHENSIVE AUTOMATED COLLECTION PROGRAM KNOWN AS APHERESIS, ALLOWED DONORS THE OPPORTUNITY TO PROVIDE SPECIFIC BLOOD COMPONENTS SUCH AS RED CELLS, PLASMA, PLATELETS AND WHITE BLOOD CELLS TO SERIOUSLY ILL PATIENTS. LIFESTREAM ALSO OVERSAW OUTSOURCED INFECTIOUS DISEASE TESTING OF DONATED BLOOD, DISTRIBUTED BLOOD COMPONENTS FOR TRANSFUSION AND MANAGEMENT OF BLOOD COMPONENTS INVENTORY. WHEN NECESSARY BLOOD COMPONENTS WERE IMPORTED FROM OTHER BLOOD CENTERS TO ENSURE THE TIMELY FULFILLMENT OF REGIONAL TRANSFUSION NEEDS. LIFESTREAM ADHERES TO ALL FEDERAL AND INDUSTRY MANDATES AND REGULATIONS RELATED TO BLOOD COLLECTIONS, AND HAS CONSISTENTLY MET THE STRICT REQUIREMENTS OF VARIOUS REGULATORY AGENCIES. LIFESTREAM IS AN ACTIVE PARTICIPANT AND REGISTERED DONOR CENTER WITH THE NATIONAL MARROW DONOR PROGRAM (NMDP). THIS PROGRAM HELPS PEOPLE WHO NEED A LIFESAVING MARROW OR BLOOD CELL TRANSPLANT. AS A MEMBER OF THE NMDP, LIFESTREAM RECRUITS, REGISTERS, AND EDUCATES MARROW DONORS AND COORDINATES THE DONATION PROCESS WHEN A LOCAL MATCH IS FOUND. MORE THAN 31,742 PEOPLE HAVE JOINED THE REGISTRY THROUGH LIFESTREAM, OF THESE, 203 DONATIONS MATCHED PATIENTS IN DIRE NEED OF A MARROW TRANSPLANT. BETWEEN JULY 2012 AND JUNE 2013, 10 OF OUR DONORS MATCHED PATIENTS AND GAVE THE GIFT OF LIFE THROUGH THEIR BLOOD STEM CELLS.
SECOND ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4B WORK IN THAT THEY HAVE A WRITTEN LEARNING AGREEMENT WHICH IS STRUCTURED AND MONITORED BY THE ORGANIZATION. LIFESTREAM OFFERS A SERIES OF CONTINUING EDUCATION PROGRAMS IN THE FORM OF AUDIO CONFERENCES PRESENTED BY AMERICAN ASSOCIATION OF BLOOD BANKS (AABB) AND AMERICAN SOCIETY FOR CLINICAL PATHOLOGY (ASCP). THESE AUDIO CONFERENCES ARE LINKED TO A TELEPHONIC NEWTWORK ACROSS THE NATION. DURING FY 12-13,14 AABB AUDIO CONFERENCES WITH MORE THAN 75 PARTICIPANTS WERE ARRANGED USING LIFESTREAM'S CONFERENCE ROOMS. THE AABB AUDIO CONFERENCES PROVIDE THE BLOOD BANKING AND TRANSFUSION COMMUNITY WITH UP-TO-DATE INFORMATION ON CURRENT STANDARDS, ACCREDITATION REQUIREMENTS, MEDICAL AND SCIENTIFIC ADVANCES, AS WELL AS ADMINISTRATIVE AND MANAGMENT PRACTICES. THE ASCP TELE-CONFERENCES PROVIDE INFORMATION ON ISSUES IMPACTING PATHOLOGY AND LABORATORY MEDICINE, DIAGNOSTIC AND INTERPRETIVE DEVELOPMENTS, TECHNOLOGICAL ADVANCES, EVOLVING GOVERNMENT REGULATIONS AND MORE. CONTINUING EDUCATION UNITS ARE PROVIDED TO THE PARTICIPANTS IN FULFILLMENT OF REQUIREMENTS FOR LICENSING RENEWALS AND OTHER PROFESSIONAL IMPROVEMENT PROGRAMS. LIFESTREAM HAS A TRANSFUSION TECHNICAL ADVISORY COMMITTEE THAT MEETS QUARTERLY. PHYSICIANS RESPONSIBLE FOR TRANSFUSION MEDICINE FROM HOSPITALS ARE INVITED TO SHARE IDEAS AND CONCERNS REGARDING SERVICES BEING PROVIDED BY LIFESTREAM. DISCUSSIONS ARE FOCUSED ON EMERGING HEALTH CARE TOPICS AND DAY-TO-DAY OPERATIONAL ISSUES. THESE MEETINGS PROVIDE THE ORGANIZATION A "CUSTOMER'S VIEW" OF HOW WE ARE PERFORMING AND OPPORTUNITIES FOR IMPROVEMENT. DISCUSSION OF EMERGING ISSUES, NEW MEDICAL TESTING TO PREVENT POTENTIAL LIFE THREATENING DISEASES FROM TRANSFUSION, APPROPRIATE USE OF BLOOD PRODUCTS AND OTHER IMPORTANT DISCUSSIONS AND IDEAS TAKE PLACE AT THESE MEETINGS.
THIRD ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4C BLOOD PRODUCTS, TRANSFUSIONS, DISEASE PREVENTION, APPROPRIATE USE OF BLOOD PRODUCTS AND TRANSFUSIONS TO SAVE PATIENTS LIVES. LIFESTREAM HAS DEVELOPED "A PATIENT'S GUIDE TO BLOOD TRANSFUSIONS", "HIGH SCHOOL DONORS CAN MAKE A DIFFERENCE" AND "HEALTHY EATING FOR HEALTHY BLOOD". PAMPHLETS IN ENGLISH AND SPANISH TO BE DISTRIBUTED THROUGHOUT THE COMMUNITY TO EDUCATE THE PUBLIC ON TRANSFUSIONS AND DONATIONS. LIFESTREAM'S MANAGEMENT STAFF CONTRIBUTED TO THE BLOOD BANKING INDUSTRY ON A VARIETY OF LEVELS, DONATING THEIR TIME AND TALENTS. THESE EMPLOYEES PARTICIPATED IN REGIONAL AND NATIONAL BLOOD BANKING ORGANIZATIONS AS PROGRAM PRESENTERS AND COMMITTEE/BOARD MEMBERS. THESE ORGANIZATIONS INCLUDE THE AABB, AMERICA'S BLOOD CENTERS (ABC) AND CALIFORNIA BLOOD BANK SOCIETY (CBBS).
ALL OTHER ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D VOLUNTEERS: LIFESTREAM DEPENDS ON THE VALUABLE HELP PROVIDED BY VOLUNTEERS. MORE THAN 127 MEN AND WOMEN GAVE THOUSANDS OF HOURS OF VOLUNTEER TIME TO LIFESTREAM DURING FY 2013. THEY ASSISTED AT LIFESTREAM'S LOCATIONS, AS ELL AS HIGH SCHOOLS AND COMMUNITY BLOOD DRIVES. THEY PERFORMED A VARIETY OF CLERICAL DUTIES AND SERVED REFRESHMENTS IN THE CANTEENS. LIFESTREAM HOSTS AN ANNUAL VOLUNTEER RECOGNITION PROGRAM.
POLICIES AND PROCEDURES GOVERNING CHAPTERS FORM 990, PAGE 6, PART VI, LINE 10B WRITTEN POLICES AND PROCEDURES ARE MAINTAINED IN A COMPANY DATA BASE. ALL EMPLOYEES ARE TRAINED USING THESE POLICIES AND PROCEDURES. POLICIES ARE UPDATED WHEN A CHANGE IS REQUIRED OR ON AN ANNUAL BASIS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE CFO REVIEWS FORM 990 WITH THE CEO AND BOARD OF DIRECTORS PRIOR TO SIGNING AND FILING WITH THE GOVERNMENT AGENCIES.
COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A SALARIES ARE REVIEWED ON AN ANNUAL BASIS.
COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SALARIES ARE REVIEWED ON AN ANNUAL BASIS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S CORPORATE OFFICE DURING NORMAL BUSINESS HOURS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
BLOOD BANK OF SAN BERNARDINO AND
RIVERSIDE COUNTIES
Employer identification number

95-1708743
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) BLOOD BANK OF SAN BERNARDINO AND
RIVERSIDE COUNTIES FOUNDATION
PO BOX 1429

SAN BERNARDINO,CA92402
20-8911074 		INACTIVE CA 501C3 11A BLOOD BANK
OF SAN BERNARDINO & RIVERSIDE CNTIE
 
No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


Software ID:  
Software Version: