TY 2012 Form 990

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	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	93,716	63,750	17,853	12,113
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	18,862	14,147	2,829	1,886
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	1,874	1,406	281	187
10	Payroll taxes ...........	8,063	6,047	1,209	807
11	Fees for services (non-employees):
a	Management ......	4,341		4,341
b	Legal .........	5,800		5,800
c	Accounting ...........	3,910		3,910
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	0
12	Advertising and promotion ....	0
13	Office expenses .......	0
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	1,756	1,756
17	Travel ............	10,848	10,848
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	10,273	7,705	1,541	1,027
23	Insurance ..............	3,859	2,894	579	386
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	AUDIO VISUAL	4,050	4,050
b	WEB MANAGEMENT	6,911	5,183	1,037	691
c	DRUMS AND SUPPLIES	23,186	23,186
d	INSTRUCTOR PAYMENTS	25,934	25,934
e	All other expenses	17,675	12,848	3,375	1,452
25	Total functional expenses. Add lines 1 through 24e	241,058	179,754	42,755	18,549
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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	134,031	1	141,597
2	Savings and temporary cash investments .........		2	0
3	Pledges and grants receivable, net ...........	32,000	3	0
4	Accounts receivable, net .............		4	75
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	0
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	0
7	Notes and loans receivable, net .............		7	0
8	Inventories for sale or use ..............		8	0
9	Prepaid expenses and deferred charges ..........		9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	60,529
b	Less: accumulated depreciation .....	10b	24,034	29,020	10c	36,495
11	Investments—publicly traded securities ..........		11	0
12	Investments—other securities. See Part IV, line 11 .....		12	0
13	Investments—program-related. See Part IV, line 11 .....		13	0
14	Intangible assets ...............		14	0
15	Other assets. See Part IV, line 11 ...........		15	5,001
16	Total assets. Add lines 1 through 15 (must equal line 34)......	195,051	16	183,168
	17	Accounts payable and accrued expenses .........	5,754	17	8,051
18	Grants payable .................		18
19	Deferred revenue ................		19
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 ..		23
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....................		25
26	Total liabilities. Add lines 17 through 25.........	5,754	26	8,051
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	171,587	27	175,117
28	Temporarily restricted net assets ...........	17,710	28
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	189,297	33	175,117
34	Total liabilities and net assets/fund balances ........	195,051	34	183,168

- TIN:

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.

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

ARTS AND HEALING INITIATIVE

Employer identification number

26-1485541

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


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

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)		(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.") ....	20,945	29,421	15,412	242,152	205,400	513,330
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......						0
3	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
4	Total. Add lines 1 through 3	20,945	29,421	15,412	242,152	205,400	513,330
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)..						447,183
6	Public support. Subtract line 5 from line 4.						66,147

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..	20,945	29,421	15,412	242,152	205,400	513,330
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...		8	5	8		21
9	Net income from unrelated business activities, whether or not the business is regularly carried on..						0
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..						0
11	Total support (Add lines 7 through 10).						513,351

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

12.890 %

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

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)		(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	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

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
Part II, Line 17a--The Arts and Healing Initiative (AHI) has almost 13% of its support from the general public in 2012. AHI has received contributions from over 20 individuals and several foundations. AHI maintains a program for the solicitation of funds from the general public. The AHI website has a section for users to make donations. Additionally, contributed facilities in kind goods have been donated to AHI for program use. The number of donors continues to grow. In 2013 AHI continue to expand it donor base.The following is a narrative on the life history, accomplishments and promise of AHI:The Arts and Healing Initiative (AHI) is a unique nonprofit organization that has made tremendous headway in facilitating the use of the arts for mind/body wellness and healing in the community, as a vehicle for empowerment and transformation. It's 501(c) (3) status was obtained in November 2007.AHI's unique partnership with UCLA is highly strategic because it enables AHI to operate with a dual identity as UCLArts and Healing, which gives added credibility to its work. Such partnerships with UCLA are rare to achieve. It is made possible by the longtime affiliation that AHI's founding director has had with the university. She is currently on the Steering Committee of the UCLA Collaborative Centers for Integrative Medicine, of which UCLArts and Healing is an organizational member.In partnership with UCLA, we have offered innovative and affordable programs to the general public, without ever turning away anyone without the ability to pay. These programs, aimed at building networks among health and mental health professionals, artists, educators, and others provides us with an ongoing source of partnerships, such as those reflected below.We have: (a more detailed breakdown of our program partnerships can be found at the bottom of this letter)developed a training program for Boys and Girls Club staff using rhythm, movement, and theater-based based tools to facilitate positive engagement throughout the day that will be made available to every club in the nation.collaborated with the YWCA Santa Monica/Westside to develop "A Girl's Voice" a daylong program to empower elementary and middle school girls to deal with the social-emotional pressures that they face.brought process-oriented arts programs to schools serving at risk youth in South Los Angeles, Pasadena, and Santa Clarita Valley where all 6th and 7th grade students (over 7,000) received programming in partnership with Santa Clarita Performing Arts Center K-12 Arts Education Outreach.developed a sustainable program of creative arts therapies for mentally ill adults and youth at Step Up on Second and Daniel's Place.expanded the Kaiser Permanente Educational Theatre program to include an eight week program of social and emotional skill building through drumming.organized a panel of representatives from the national organizations of the creative arts therapies at a major international integrative medicine conference.launched a new website that features video clips demonstrating our work and the related work of others, and that allows posting and searching for organizational, practitioner, conference, literature, training, and listserv resourcespublished two studies on the use of drumming in peer-reviewed integrative medicine journals (the major original one is here: http://www.hindawi.com/journals/ecam/2011/250708/ - this level of program evaluation is rarely done by nonprofits) and in December 2012 published "Out of the Box: Positive Development and Social Change through the Arts" through the Berkman Center for Internet and Society at Harvard, as part of its as part of its Kinder and Braver World Series. Written for the lay public, this piece talks about AHI's flagship evidence-based project Beat the Odds: Social and Emotional Skill Building Delivered in a Framework of Drumming as a case study to share with others how to maximize social-emotional benefits and youth access for those interested in developing arts programs. http://cyber.law.harvard.edu/node/8092As part of our strategic outreach endeavor we are offering a free UCLA conference in April 2013 entitled, "On the Edge of Chaos: Finding Flow and Resilience through Creativity and the Arts, which will feature (1) keynote speaker, Dr. Mihaly Csikszentmihalyi, one of the worlds leading researchers of positive psychology and the architect of flow; (2) research presentations and panels on creativity, stress, and self-regulation (including neurobiology, physiological functions, and emotional processes); (3) California State University, Northridge dance and opera performances on autism, trauma, mourning and loss; (4) panel presentations on creative arts therapy applications for people affected by trauma, mental illness, and autism; and (5) 1-hour break out experiential creative arts therapy workshops led by leading art, expressive poetry, drama therapy, music, and dance/movement therapists. This program is attracting the general public and professionals from all over Los Angeles County and beyond.This fall, we plan to launch a new certificate program and UCLA undergraduate course in maximizing social-emotional benefits of arts education, in partnership with the Visual and Performing Arts Education program within the UCLA School of the Arts and Architecture.To get this movement off the ground, our focus has been on the development of programs, partnerships, and substance. In so doing, ping ho worked pro bono for 7 years. We have been grateful for the support of several private individuals who have given life to this movement, as established institutions, such as foundations, are not quick to embrace cutting edge work or research that is out of the realm of their understanding. For example, arts foundations and the arts education community tend to lean on support of product/performance-based work. Our work seeks to educate them as well regarding the importance of focusing on the process of creative expression not only for benefiting society but also to build value for their work and support for the future. And many foundations will fund only direct services, and not programs to enhance the capacity of other institutions which we believe to be more sustainable. All this is to demonstrate our value to society and to explain why we have not had or made the time to seek diverse sources of funding. We have had to prove ourselves first before making the case for funding. Our initial donors gave generously, which bought us time to accomplish what we have done. However, this has put some of our key donors perilously near the 2% level. We have just begun working with a grant writing consultant in order to raise funds from other sources, but it will take time to diversify. We also plan to obtain support from new private donors as well. The bottom line is that we must continue to obtain support from our existing donors in order to keep our growing operation running and we need more time in order to diversify our income sources. Thankfully, we have the wherewithal now to focus on raising funds as an objective.UCLArts and Healing Current Projects a sample in More DetailUCLArts and Healing has been partnering with the UCLA student-run Creative Minds Project (CMP) to serve adults affected by mental illness at Step Up on Second (adults) and Daniel's Place (youth), a Santa Monica-based organization. UCLArts and Healing has recruited mentors and graduate student interns/trainees to deliver free services in art, dance/movement, drama, and poetry therapies and also in drumming. The CMP is also recruiting UCLA freshmen and sophomores as volunteers to assist with program delivery. This project is supported by a Donald A. Strauss Foundation scholarship awarded to UCLA senior, Kendra Knudsen, through a statewide competition among academic campuses. See UCLA Today article citing UCLArts and Healing as the project partner: newsroom.ucla.edu/portal/ucla/prestigious-strauss-scholarships-234127.aspxUCLArts and Healing is on Phase Four in developing a summer training program for Boys and Girls Club of Santa Monica staff, to facilitate positive engagement and cooperation in club members throughout the day - even during transition times - using movement, rhythm, and theater-based techniques. Many of the summer staff have had no previous experience working with kids, let alone in a Boys and Girls Club. Once complete, our goal is to make this training available to every club in the nation. In collaboration with Santa Clarita Valley Performing Arts Center - K-12 Arts Education Outreach Program and each of four Santa Clarita Valley School Districts, UCLArts and Healing trained College of Canyons Teach students to assist in the delivery of a Beat the Odds (Social and Emotional Skill Building Delivered in a Framework of Drumming) experience for every 6th and 7th grader in Santa Clarita Valley. (7000+ students). The entire 8-week Beat the Odds program is now being delivered sustainabl

Facts And Circumstances Test

Part II, Line 17a--The Arts and Healing Initiative (AHI) has almost 13% of its support from the general public in 2012. AHI has received contributions from over 20 individuals and several foundations. AHI maintains a program for the solicitation of funds from the general public. The AHI website has a section for users to make donations. Additionally, contributed facilities in kind goods have been donated to AHI for program use. The number of donors continues to grow. In 2013 AHI continue to expand it donor base.The following is a narrative on the life history, accomplishments and promise of AHI:The Arts and Healing Initiative (AHI) is a unique nonprofit organization that has made tremendous headway in facilitating the use of the arts for mind/body wellness and healing in the community, as a vehicle for empowerment and transformation. It's 501(c) (3) status was obtained in November 2007.AHI's unique partnership with UCLA is highly strategic because it enables AHI to operate with a dual identity as UCLArts and Healing, which gives added credibility to its work. Such partnerships with UCLA are rare to achieve. It is made possible by the longtime affiliation that AHI's founding director has had with the university. She is currently on the Steering Committee of the UCLA Collaborative Centers for Integrative Medicine, of which UCLArts and Healing is an organizational member.In partnership with UCLA, we have offered innovative and affordable programs to the general public, without ever turning away anyone without the ability to pay. These programs, aimed at building networks among health and mental health professionals, artists, educators, and others provides us with an ongoing source of partnerships, such as those reflected below.We have: (a more detailed breakdown of our program partnerships can be found at the bottom of this letter)developed a training program for Boys and Girls Club staff using rhythm, movement, and theater-based based tools to facilitate positive engagement throughout the day that will be made available to every club in the nation.collaborated with the YWCA Santa Monica/Westside to develop "A Girl's Voice" a daylong program to empower elementary and middle school girls to deal with the social-emotional pressures that they face.brought process-oriented arts programs to schools serving at risk youth in South Los Angeles, Pasadena, and Santa Clarita Valley where all 6th and 7th grade students (over 7,000) received programming in partnership with Santa Clarita Performing Arts Center K-12 Arts Education Outreach.developed a sustainable program of creative arts therapies for mentally ill adults and youth at Step Up on Second and Daniel's Place.expanded the Kaiser Permanente Educational Theatre program to include an eight week program of social and emotional skill building through drumming.organized a panel of representatives from the national organizations of the creative arts therapies at a major international integrative medicine conference.launched a new website that features video clips demonstrating our work and the related work of others, and that allows posting and searching for organizational, practitioner, conference, literature, training, and listserv resourcespublished two studies on the use of drumming in peer-reviewed integrative medicine journals (the major original one is here: http://www.hindawi.com/journals/ecam/2011/250708/ - this level of program evaluation is rarely done by nonprofits) and in December 2012 published "Out of the Box: Positive Development and Social Change through the Arts" through the Berkman Center for Internet and Society at Harvard, as part of its as part of its Kinder and Braver World Series. Written for the lay public, this piece talks about AHI's flagship evidence-based project Beat the Odds: Social and Emotional Skill Building Delivered in a Framework of Drumming as a case study to share with others how to maximize social-emotional benefits and youth access for those interested in developing arts programs. http://cyber.law.harvard.edu/node/8092As part of our strategic outreach endeavor we are offering a free UCLA conference in April 2013 entitled, "On the Edge of Chaos: Finding Flow and Resilience through Creativity and the Arts, which will feature (1) keynote speaker, Dr. Mihaly Csikszentmihalyi, one of the worlds leading researchers of positive psychology and the architect of flow; (2) research presentations and panels on creativity, stress, and self-regulation (including neurobiology, physiological functions, and emotional processes); (3) California State University, Northridge dance and opera performances on autism, trauma, mourning and loss; (4) panel presentations on creative arts therapy applications for people affected by trauma, mental illness, and autism; and (5) 1-hour break out experiential creative arts therapy workshops led by leading art, expressive poetry, drama therapy, music, and dance/movement therapists. This program is attracting the general public and professionals from all over Los Angeles County and beyond.This fall, we plan to launch a new certificate program and UCLA undergraduate course in maximizing social-emotional benefits of arts education, in partnership with the Visual and Performing Arts Education program within the UCLA School of the Arts and Architecture.To get this movement off the ground, our focus has been on the development of programs, partnerships, and substance. In so doing, ping ho worked pro bono for 7 years. We have been grateful for the support of several private individuals who have given life to this movement, as established institutions, such as foundations, are not quick to embrace cutting edge work or research that is out of the realm of their understanding. For example, arts foundations and the arts education community tend to lean on support of product/performance-based work. Our work seeks to educate them as well regarding the importance of focusing on the process of creative expression not only for benefiting society but also to build value for their work and support for the future. And many foundations will fund only direct services, and not programs to enhance the capacity of other institutions which we believe to be more sustainable. All this is to demonstrate our value to society and to explain why we have not had or made the time to seek diverse sources of funding. We have had to prove ourselves first before making the case for funding. Our initial donors gave generously, which bought us time to accomplish what we have done. However, this has put some of our key donors perilously near the 2% level. We have just begun working with a grant writing consultant in order to raise funds from other sources, but it will take time to diversify. We also plan to obtain support from new private donors as well. The bottom line is that we must continue to obtain support from our existing donors in order to keep our growing operation running and we need more time in order to diversify our income sources. Thankfully, we have the wherewithal now to focus on raising funds as an objective.UCLArts and Healing Current Projects a sample in More DetailUCLArts and Healing has been partnering with the UCLA student-run Creative Minds Project (CMP) to serve adults affected by mental illness at Step Up on Second (adults) and Daniel's Place (youth), a Santa Monica-based organization. UCLArts and Healing has recruited mentors and graduate student interns/trainees to deliver free services in art, dance/movement, drama, and poetry therapies and also in drumming. The CMP is also recruiting UCLA freshmen and sophomores as volunteers to assist with program delivery. This project is supported by a Donald A. Strauss Foundation scholarship awarded to UCLA senior, Kendra Knudsen, through a statewide competition among academic campuses. See UCLA Today article citing UCLArts and Healing as the project partner: newsroom.ucla.edu/portal/ucla/prestigious-strauss-scholarships-234127.aspxUCLArts and Healing is on Phase Four in developing a summer training program for Boys and Girls Club of Santa Monica staff, to facilitate positive engagement and cooperation in club members throughout the day - even during transition times - using movement, rhythm, and theater-based techniques. Many of the summer staff have had no previous experience working with kids, let alone in a Boys and Girls Club. Once complete, our goal is to make this training available to every club in the nation. In collaboration with Santa Clarita Valley Performing Arts Center - K-12 Arts Education Outreach Program and each of four Santa Clarita Valley School Districts, UCLArts and Healing trained College of Canyons Teach students to assist in the delivery of a Beat the Odds (Social and Emotional Skill Building Delivered in a Framework of Drumming) experience for every 6th and 7th grader in Santa Clarita Valley. (7000+ students). The entire 8-week Beat the Odds program is now being delivered sustainabl

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:	12000229
Software Version:	2012v2.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

ARTS AND HEALING INITIATIVE

Employer identification number

26-1485541

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 ARTS AND HEALING INITIATIVE

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	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (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 ARTS AND HEALING INITIATIVE

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
ARTS AND HEALING INITIATIVE

Employer identification number

26-1485541

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

(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

(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

(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

(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:	12000229
Software Version:	2012v2.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

ARTS AND HEALING INITIATIVE

Employer identification number

26-1485541

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? .......................................

Yes No

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.

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.

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

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:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

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 ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

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		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................
c	Leasehold improvements ............
d	Equipment ................
e	Other .................	60,529	24,034	36,495
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				36,495

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther 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.)

Part VIII

InvestmentsProgram 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.)

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.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
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

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
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
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
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
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
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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:	12000229
Software Version:	2012v2.0

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

ARTS AND HEALING INITIATIVE

Employer identification number

26-1485541

Identifier	Return Reference	Explanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	For the 990 - We make our IRS forms available on the Guidestar web site and upon request. We do not post IRS forms on our own web site.
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	Compensation shall be established by comparing compensation levels of like positions within other organizations - taking into consideration size of the organization, experience, and educational status.Compensation levels shall be approved by the Board members that are free of any potential conflict of interest. This shall be reviewed as part of the annual board meeting and approved in the minutes, accordingly.
Form 990, Part VI, Line 15a	Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	Compensation shall be established by comparing compensation levels of like positions within other organizations - taking into consideration size of the organization, experience, and educational status.Compensation levels shall be approved by the Board members that are free of any potential conflict of interest. This shall be reviewed as part of the annual board meeting and approved in the minutes, accordingly.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	EXECUTIVE DIRECTOR OBTAINS WRITTEN CONFLICT OF INTEREST POLICY FROM EACH BOARD MEMBER ANNUALLY.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	A PDF COPY EMAILED TO EACH BOARD MEMBER FOR REVIEW AND APPROVAL BEFORE FILING.
Form 990, Part VI, Line 2	Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	REMO AND AMI BELLI MARRIED

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:	12000229
Software Version:	2012v2.0

1	Briefly describe the organization’s mission or most significant activities: To facilitate the use of arts-based tools for mind-body healing in the community as a vehicle for empowerment and transformation.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	7
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	3
6	Total number of volunteers (estimate if necessary) .............	6	30
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

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	242,151	205,400
9	Program service revenue (Part VIII, line 2g) .........	38,492	21,478
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8	0
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)		0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	280,651	226,878
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)	30,699	122,515
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 18,549
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	73,449	118,543
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	104,148	241,058
19	Revenue less expenses. Subtract line 18 from line 12.......	176,503	-14,180
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	195,051	183,168
21	Total liabilities (Part X, line 26).............	5,754	8,051
22	Net assets or fund balances. Subtract line 21 from line 20.....	189,297	175,117

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 179,754 including grants of $ ) (Revenue $ 21,478 )
	Selected UCLArts and Healing Accomplishments in 2012 TOTAL SERVED IN 2012: 8485Boys and Girls Club. $25,000 grant from Pacific Youth Foundation. Trained 30 year-round and 50 summer staff. Filmed for future national training. Served 80 total.Los Angeles Unified School District - Quincy Jones Elementary. $25,000 grant from National Association of Music Merchants. Completed research projectBeat the Odds drumming delivered to three 4th-5th grade classrooms by School Intervention Coordinator. Served 51.Los Angeles Unified School District - Gompers Middle School in collaboration with Collective Voices Foundation. Development and implementation of 8 sessions of an adapted version of Beat the Odds for at risk adolescents. Served 24 students. International House of Blues Foundation (IHOBF). $2,500 grant from IHOBF for drums for Gompers Middle School in South Los Angeles.Road to Success Academy for Camps Scott and Scudder for incarcerated girls in collaboration with Collective Voices Foundation. Identification of pro bono services by competent providers for summer programs. Served 45 girls.Center for Independent Studies Alternative High School in Pasadena. Funding through Collective Voices Foundation, which recruited UCLArts and Healing to find instructors and develop curriculum. We developed a curriculum with a focus on rhythm through drums, movement, the written and spoken word. 6 instructors were recruited for the program. Served 20 kids.Rose City Continuation High School in Pasadena. Funding through Collective Voices Foundation. Arranged for delivery of drum circle during the lunch hour to help build community, in response to the desire of the student leadership council to offer programming during this time, when students are locked into a small patio area and sit in segregated groups. Served 35 students.Step Up on Second and Daniel's Place (youth) services for mental illness. Development of sustainable model using graduate students in the creative arts therapies and undergraduate assistants to deliver services. Mentorship of UCLA undergraduate, Kendra Knudsen, who (in a statewide competition) received $15,000 for this proposal and then another award for $2,000 which will go towards this project. Served 10 UCLA undergraduate volunteers. 20 Step Up on Second members. 15 Daniel's Place members.Santa Clarita Valley School Districts. Rock the Rhythm: Beat the Odds event for 7,000+ 6th and 7th grade students and their families that included drumming sessions at school to prepare for the participatory. Beat the Odds-related expenses partly paid for by $5,000 grant from the Rex Foundation. Served 7,180 youth.YWCA Santa Monica/Westside A Girl's Voice , a daylong program to prepare girls for middle school. Funding through YWCA. Our contribution to the program was drumming and dance for social-emotional skill building. And we brought in another agency, Virginia Ave. Project, to deliver poetry. Served 100 girls.YWCA Santa Monica/Westside monthly drum circle began in June on the west side. Orchestrated location, recruited facilitator, and purchased drums for the YWCA to make this possible. Orchestrated showcasing of the new drum circle at the 5th season celebration of the Broad Stage of the Santa Monica College Performing Arts Center. Also, ongoing collaboration on other programs as well. YWCA listing of UCLArts and Healing programs held at the Y, as a community partner. Served 180 (30 per month).Riverside and Chino Valley Unified School Districts. arranged last year for Beth Lewis to deliver drum circles for PTA presentations in Riverside and Chino School Districts through a friend of mine who had a statewide Hewlett Foundation grant to get more Latino families involved in their children's schools in several school districts, using the arts as a hook. So a bunch of elementary schools in these districts have received drumming presentations. Those would be prime districts that may be interested.Virginia Avenue Project for underserved youth in Santa Monica/Westside. Collaboration on a three-evening performance project integrating four art forms, involving many rehearsals. Served 5 students and 5 adult mentors.UCLA Pediatric Pain Program / Whole Child Foundation (Lonnie Zeltzer). Recruited drum circle facilitator to work pro bono with families and patients with painful Fabry Disease. Served 25.Leadership Training Workshop for Academic Consortium for Complementary and Alternative Health Care. Facilitated identification, interviewing, and selection of candidates for creative arts therapy facilitation of insight and learning during the workshop in October 2012. Served 50.Beat the Odds Trainings: Social and Emotional Skill Building Delivered in a Framework of Drumming. Delivered quarterly. Training participants or purchasers of the Beat the Odds curriculum have gone on to deliver programs in a variety of places, such as schools and family mental health centers. Served 83.UCLA Creative Minds Series. Funding through a UCLA Advocacy Grant through the Office of Office of the External Vice President. Kendra Knudsen, a fifth year senior at UCLA who I am mentoring, spearheaded this creative arts therapies series through a UCLA Advocacy Grant that she obtained. This Fall's series included five free public workshops at UCLA. Served 75.General Public Programs in the Arts as a Therapeutic Tool. Delivered a large menu of a wide variety of programs. These serve as outreach, to promote networking and training for implementation of arts-based activities for mind/body wellness in the community. Served 195.International Research Congress on Integrative Medicine and Health (sponsored by the Consortium of Academic Health Centers in Integrative Medicine). Acceptance and presentation of symposium panel on the State of the Art and Science in Creative Arts Therapies- with a focus on the Treatment of Trauma. Served 50. Various presentations: American Dance Therapy Conference, UCLA undergraduate seminar on Creativity: It's Biological Basis and Therapeutic Applications, Chicago School of Professional Psychology, UCLA Medicine 180 Summer Course on Integrative Medicine sponsored by the UCLA Center for East-West Medicine, Westside Mental Health Network, UCLA School of Public Health Course on Shamanism, Loyola Law School Center for Juvenile Law and Policy - Film Screening and Panel on Juvenile Justice and the Arts. Served 188.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses179,754

(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
(A) Name and Title
(1) DEVRA BRESLOW........................................................................ Director	1.00 .......................0.00	X		0	0	0
(2) REMO BELLI........................................................................ Director	20.00 .......................0.00	X		0	0	0
(3) AMI BELLI MD........................................................................ Director	2.00 .......................0.00	X		0	0	0
(4) JOHN WEEKS........................................................................ Chairman	1.00 .......................0.00	X	X	0	0	0
(5) LONNIE K ZELTZER MD........................................................................ Director	1.00 .......................0.00	X		0	0	0
(6) ELIE NICOLAI........................................................................ Director	1.00 .......................0.00	X		0	0	0
(7) LUCY S GONDA........................................................................ Director	10.00 .......................0.00	X		0	0	0
(8) FLORENCE PONTAOE........................................................................ SEC/TREASURE	8.00 .......................0.00		X	8,715	0	0
(9) PING HO........................................................................ Executive Direc	60.00 .......................0.00		X	85,000	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	93,715

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
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		205,400

g	Noncash contributions included in lines 1a-1f:$		2,438
h	Total. Add lines 1a-1f.......			205,400
			Business Code
2a	TUITION, DVD & MANUALS			21,478	21,478
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			21,478
3	Investment income (including dividends, interest, and other similar amounts).......			0
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........			0
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..			0
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...			0
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..			0
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			226,878	21,478


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			134,031	1	141,597
2	Savings and temporary cash investments .........				2	0
3	Pledges and grants receivable, net ...........			32,000	3	0
4	Accounts receivable, net .............				4	75
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	0
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	0
7	Notes and loans receivable, net .............				7	0
8	Inventories for sale or use ..............				8	0
9	Prepaid expenses and deferred charges ..........				9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	60,529
b	Less: accumulated depreciation .....	10b	24,034	29,020	10c	36,495
11	Investments—publicly traded securities ..........				11	0
12	Investments—other securities. See Part IV, line 11 .....				12	0
13	Investments—program-related. See Part IV, line 11 .....				13	0
14	Intangible assets ...............				14	0
15	Other assets. See Part IV, line 11 ...........				15	5,001
16	Total assets. Add lines 1 through 15 (must equal line 34)......			195,051	16	183,168
17	Accounts payable and accrued expenses .........			5,754	17	8,051
18	Grants payable .................				18
19	Deferred revenue ................				19
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 ..				23
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....................				25
26	Total liabilities. Add lines 17 through 25.........			5,754	26	8,051
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			171,587	27	175,117
28	Temporarily restricted net assets ...........			17,710	28
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			189,297	33	175,117
34	Total liabilities and net assets/fund balances ........			195,051	34	183,168