Form990-EZ
Click to see attachment
Department of the Treasury
Internal Revenue Service
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except private foundation)
bullet Do not enter Social Security numbers on this form as it may be made public. By law, the
IRS generally cannot redact the information on the form.
bullet Information about Form 990-EZ and its instructions is at www.irs.gov/form990.
OMB No. 1545-1150
2013
Open to Public
Inspection
A
For the 2013 calendar year, or tax year beginning 01-01-2013, and ending 12-31-2013
B
Check if applicable:
C Name of organization
GEORGIA DIABETES COALITION INC
 
Number and street (or P. O. box, if mail is not delivered to street address)100 Edgewood Ave NE
1004Room/suite
City or town, state or province, country, and ZIP or foreign postal code Atlanta, GA303033026
D Employer identification number

26-1101570
E Telephone number

(678) 310-4432
F Group Exemption
Number. . bullet  
G Accounting Method: Other (specify) bullet   H Check bulletI Website:bulletwww.georgiadiabetescoalition.orgJ Tax-exempt status(check only one)?Click to see attachment(   ) bullet(insert no.) or
K Form of organization:  
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ . . . . . . . . . bullet $ 70,006
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)Check if the organization used Schedule O to respond to any question in this Part I...................
VerticalRevenue 1 Contributions, gifts, grants, and similar amounts received............... 1 69,144
2 Program service revenue including government fees and contracts ............ 2 0
3 Membership dues and assessments...................... 3 862
4 Investment income........................... 4 0
5a Gross amount from sale of assets other than inventory........ 5a 0
b Less: cost or other basis and sales expenses........... 5b 0
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ...... 5c 0
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000) . 6a 0
b Gross income from fundraising events (not including $ 0 of contributions
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000) 6b 0
c Less: direct expenses from gaming and fundraising events....... 6c 0
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) 6d 0
7a Gross sales of inventory, less returns and allowances........ 7a 0
b Less: cost of goods sold................. 7b 0
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) ......... 7c 0
8 Other revenue (describe in Schedule O) ..................... 8 0
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8.............. Bullet 9 70,006
VerticalExpenses 10 Grants and similar amounts paid (list in Schedule O) ................. 10 0
11 Benefits paid to or for members........................ 11 0
12 Salaries, other compensation, and employee benefits................ 12 0
13 Professional fees and other payments to independent contractors............ 13 39,906
14 Occupancy, rent, utilities, and maintenance................... 14 0
15 Printing, publications, postage, and shipping................... 15 239
16 Other expenses (describe in Schedule O) .................... 16 11,349
17 Total expenses. Add lines 10 through 16 ................. Bullet 17 51,494
VerticalNetAssets 18 Excess or (deficit) for the year (Subtract line 17 from line 9)............ 18 18,512
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end-of-year figure reported on prior year’s return)................ 19 48,647
20 Other changes in net assets or fund balances (explain in Schedule O) .......... 20 0
21 Net assets or fund balances at end of year. Combine lines 18 through 20.........Bullet 21 67,159
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 10642I Form 990-EZ (2013)
Form 990-EZ (2013)
Page 2
Part IIBalance Sheets (see the instructions for Part II)Check if the organization used Schedule O to respond to any question in this Part II.................

(A) Beginning of year(B) End of year
22Cash, savings, and investments................
48,647
22
67,159
23Land and buildings....................
0
23
0
24Other assets (describe in Schedule O) ..........
0
24
0
25Total assets......................
48,647
25
67,159
26
Total liabilities (describe in Schedule O) .............
0
26
0
27Net assets or fund balances (line 27 of column (B) must agree with line 21)..
48,647
27
67,159
Part IIIStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . Expenses
(Required for section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts; optional for others.)
What is the organization's primary exempt purpose? The purpose of the Coalition shall be to improve the quality of life of all people in Georgia affected by Diabetes through the reduction of health risks related to diabetes.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 Outreach Activity Update GDC is partnering with ADA to help get the word out about resources available around the state. We are in the process of training coordinators to develop local events and conduct diabetes seminars using the ADA Project Power. This will provide a consistency for delivering diabetes information monthly. GDC is also partnering with ADA and Pfizer on June 20th to host a press conference recognizing Diabetic Peripheral Neuropathy Alert Day at the capitol to raise awareness of the dangers of DPN. Rep Cooper, Ramsey, Howard, Watson and Marin are authors of House Resolution 851. The press conference will be held at Atlanta Medical Center at 11am with remote sites in Savannah and Albany Diabetes Centers. GDC board members are welcome and encouraged to participate. More details to come. GDC has been instrumental in working with coordinators in 13 communities and growing. We currently work with coordinators in the following cities: Atlanta, Augusta, Claxton, Columbus, Dalton, Dublin, LaGrange, Millen, Newnan, Savannah, Savannah State University, Sparta and Waycross, GA. As a result of these relationships GDC has become a major player in distributing educational information. Through speaking opportunities, internet, social media sites, and e-newsletter blast GDC, we are continuing to improve our visibility. We continue to list member events and share thru our newsletter and website with members, fellow colleagues, organizations and partners. During May, my travels included work in Millen and Savannah, plus a phone interview with Johanna Sakimura of Everyday Health Magazine and radio interview with Stir It Up-Talk Radio WHCJ Savannah State University hosted by Jacqueline Awe. I also attended a Taking Control of Your Diabetes Conference which provided good information and networking in preparation for our conference in October. Community Leader's Breakfast GDC was successful in hosting a Community Leader's Breakfast in Millen, GA. Over 30 persons attended the breakfast and signed a pledge, representing more than 20 organizations from the Jenkins county community. We are planning another Community Leader's Breakfast in Augusta on June 29th at the Kroc Center from 8am-9:30am. Novo Nordisk is one of the sponsors for this event. We were also successful in hosting a statewide fundraiser in April 2013 with Zaxby's for Diabetes Alert Day raising $1482.00. We are in the planning phase for another Breakfast in Savannah, GA possibly in July. More details to come. Tri-Regional Faith & Community Health Summit/Denim & Diamond Community Awards Reception The Denim & Diamonds Community Awards Reception is our annual recognition and appreciation event hosted by the Georgia Diabetes Coalition (GDC). This year it will also serve as the Welcome Reception for the Tri-Regional Faith & Community Health Summit. The reception type event will recognize national, state and local community members, volunteers, organizations, and sponsors that are collaborating to increase health awareness and implement local programs. To help raise awareness and kick off the Reception and Summit, we are working with Mary Cooper, Novo Nordisk to secure Kendall Simmons, a former NFL player as a celebrity spokesperson and draw for the evening. Special award presentations to members including the Tri-Regional Faith & Community Health Summit Award will close out the evening of networking and entertainment. We are partnering with Region IV of the Department of Health and Human Services to broaden our reach. The 3 day event is scheduled for October 3-5, 2013 and is anticipated to attract more than 1000 participants. Summits will occur in three locations Atlanta, GA, Kansas City, KS and Dallas, TX with the Region IV summit taking place in Atlanta, GA. These events will draw participants from 17 states comprising 45 percent of the total congregations most negatively impacted by the leading health indicators in the United States, as well as countless community-based organizations. Other participating states included in Region IV are Alabama, Florida, Kentucky, Mississippi, North Carolina, South Carolina and Tennessee. These regions suffer from high rates of obesity, infant mortality, diabetes, and cardiovascular disease and are heavily impacted by the social determinants of health. Our goal is to educate, engage, and empower community and faith-based organizations with the tools and resources they need to develop and sustain effective coalitions, health ministries and community health outreach programs. The host site for the Summit is Saint Philip AME Church, Atlanta, GA We need assistance with: -Identifying potential sponsoring companies and contacts from which we can request funding. -Developing award criteria and system for requesting nominations including forms -Reviewing program from last year and making changes for this year -Members to conduct Share Café's at Summit (Diabetes, Eye, Kidney)
(Grants $ 22,500) If this amount includes foreign grants, check here ...MediumBullet		 28a 2,546
29 Expand Active Partnerships/Grow Membership GDC is partnering with AHEC centers and public health districts to promote and publicize their activities and classes through our network by reposting dates to our newsletter and website or forwarding copies of their newsletters to our email date base list. We also work with local support groups in different cities to promote their activities and events via our newsletters and website calendar. This provides consistency in delivering diabetes information monthly. Our membership committee has implemented a membership drive which has resulted in recruiting more members. Through participation in the annual GA Give Day, we have increased donations as well as visibility. The next GA Gives Day is November 13, 2103. Visit our website for more info. Coordinate Statewide Diabetes Activities GDC is a partner with DPCP to help distribute information and resources available around the state. We re-post information about training seminars and workshops as well as Diabetes Self Management classes that are being conducted statewide and online. Through restructuring our website with a resource page, we are able to provide important hyper links to CDC, NIH, ADA, DAA, DPCP and DPH web pages. Awareness Campaign/Marketing The 20/20 Campaign is a digital media campaign conducted by the Georgia Diabetes Coalition and American Diabetes Association to "brand" the 20th of each month as diabetes awareness day. We provide monthly messages and patient education materials to hospitals, employers, churches, pharmacists and diabetes educators around the four most common diabetic complications; blindness, amputations, kidney failure and stroke. Through 20/20 Campaign partners our messages are forwarded to an extended network via email, face book, twitter, newsletters, and church bulletins. Electronic copies of patient education material is also provided for print out and distribution by the recipients as they best see fit. More than 50 partners have signed up to date. Other aspects of the program include working with businesses, organizations and other industry partners to set up educational events on the 20th of each month. This will allow us an opportunity to promote agencies, members and others that are delivering programs to combat these diseases. Partners can promote the 20/20 Campaign and assist in the development of Coalition members throughout the state. The first 20/20 Campaign launched with a media event recognizing Diabetic Peripheral Neuropathy (DPN) Alert Day on June 20, 2013. Rep. Sharon Cooper presented a House Resolution to raise awareness of the dangers of DPN. The media event was held at Atlanta Medical Center. Additional remote sites included Savannah and Albany. Attendance was great at all events and as of today we have enrolled about 40 partners. Special thanks to ADA and Pfizer for assisting with the campaign. By re-branding and optimizing our website, newsletter and 20/20 campaign, we have increased our newsletter visual appeal, sign-ups, face book likes and twitter followings. Become a Recognized Educational Resource GDC has been successful in distributing brochures, information and health related give aways to more than 500+ individuals, organizations and event organizers. We have been instrumental by posting and distributing educational information via CD's, YouTube and tool kits. By partnering with ADA and DAA we anticipate expanding our ability to offer free diabetes education classes to more than 10 communities statewide using the Project Power and Healthy Habits Youth Program. We anticipate reaching more than 1000 persons in the non-metro part of the State. Through our Team Leaders this will deliver free diabetes education monthly. GDC has been instrumental in working with coordinators in 14 communities and growing. We currently work with coordinators in the following cities: Atlanta, Augusta, Baxley, Claxton, Columbus, Dalton, Dublin, LaGrange, Millen, Newnan, Savannah, Savannah State University, Sparta and Waycross, GA. As a result of these relationships GDC has become a major player in distributing educational information. Through speaking opportunities, internet, social media sites, and e-newsletter blast, we are continuing to improve our visibility and anticipate working with over 20 communities before the end of 2014. Strengthen Relationships with CDC and State Diabetes/Monitor Surveillance Data The Georgia Diabetes Coalition celebrated another successful annual "Denim & Diamonds" Community Awards Reception with over 150 guests at the Emory Conference Center Hotel. The evening commenced with an energetic pre-reception networking session and photos with guests arriving in their best pair of Denims and best piece of Diamond or shimmering accessory. Georgia Diabetes Coalition also served as co-host for the Tri-Regional Faith & Community Health Summit with HHS Region IV. The 3 day event was held on October 3-5, 2013 with more than 500 registered participants. This year's Denim & Diamonds Reception also served as the welcome reception for the Tri-Regional Faith & Community Health Summit. Other participating states included in Region IV are Alabama, Florida, Kentucky, Mississippi, North Carolina, South Carolina and Tennessee. These regions suffer from high rates of obesity, infant mortality, diabetes, and cardiovascular disease and are heavily impacted by the social determinants of health. Our goal was to educate, engage, and empower community and faith-based organizations with the tools and resources they need to develop and sustain effective coalitions, health ministries and community health outreach programs. Special thanks to the host location for the Summit, Saint Philip AME Church, Atlanta, GA. Dr. Hogan with the Health Ministry and Rev. McDonald with the Youth Ministry as well as the staff were very accommodating and made us feel welcome. The Denim & Diamonds Community Awards Reception recognized more than forty (40) national, state and local community members, volunteers, organizations, and sponsors that collaborated to increase health awareness and implement local programs. DPCP volunteers and Tri-Regional Faith and Community Health Summit attendees came to the reception to participate in the Tri Regional Community Health Excellence awards given during the awards ceremony. Special Honoree Dr. Guillermo Umpierrez from Grady hospital was supported by dozens of his co-workers who attended and expressed admiration for the doctor. He was recognized for his direct work in the diabetes community. Another CDC honoree were unable to attend due to extenuating circumstances.
(Grants $ 22,500) If this amount includes foreign grants, check here ...MediumBullet		 29a 2,546
30
(Grants $   ) If this amount includes foreign grants, check here ...MediumBullet 		30a
31 Other program services (describe in Schedule O)
(Grants $   ) If this amount includes foreign grants, check here...MediumBullet		 31a
32 Total program service expenses (add lines 28a through 31a).......... bullet 32 5,092
Part IV
List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated — see the instructions for Part IV)Check if the organization used Schedule O to respond to any question in this Part IV............
(a) Name and title (b) Average
hours per week
devoted to position		 (c)Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-) 		(d) Health benefits, contributions to employee benefit plans,
and deferred compensation		 (e) Estimated amount
of other compensation
John RileyActing Executive Director 25 39,906 0 0
Greg Bolden PhDChair 2 0 0 0
Mary CooperVice Chair 1 0 0 0
Brenda LankfordSecretary 1 0 0 0
Carol DavisTreasurer 1 0 0 0
Charlotte HayesPast Chair 1 0 0 0
Raquel IwelomenMember at Large 1yr 1 0 0 0
Darby AdolphsenMember at Large 2yr 1 0 0 0
Form 990-EZ (2013)
Form 990-EZ (2013)
Page 3
Part V
Other Information
(Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V.) Check if the organization used Schedule O to respond to any question in this Part V.......
Yes
No
33
Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a detailed description of each activity in Schedule O ...................
33
 
No
34
Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy of the amended documents if they reflect a change to the organization’s name. Otherwise, explain the changeon Schedule O (see instructions) ..........................
34
 
No
35a
Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)? ............
35a
 
No
b
If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule O
35b
 
 
c
Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
35c
 
No
36
Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If “Yes," complete applicable parts of Schedule N ................
36
 
No
37a
Enter amount of political expenditures, direct or indirect, as described in the instructions. bullet
37a
0
b
Did the organization file Form 1120-POL for this year?...................
37b
 
No
38a
Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?..
38a
 
No
b
If “Yes," complete Schedule L, Part II and enter the total amount involved .
38b
 
39
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on line 9.......
39a
 
b
Gross receipts, included on line 9, for public use of club facilities.....
39b
 
40a
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 bullet0 ; section 4912 bullet0 ; section 4955 bullet0
b
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefittransaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? If “Yes," complete Schedule L, Part I ......
40b
 
No
c
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958...bullet0
d
Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization...........................bullet0
e
All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If "Yes," complete Form 8886-T ......................
40e
 
No
41List the states with which a copy of this return is filed. bulletGA
42aThe organization's books are in care of bulletCarol Davis Telephone no. bullet (404) 527-7154
Located at bullet100 Edgewood Ave NE1004Atlanta,GA ZIP + 4bullet30303
b
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)?
Yes
No
42b
 
No
If “Yes," enter the name of the foreign country: bullet
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
c
At any time during the calendar year, did the organization maintain an office outside the U.S.?
42c
 
No
If “Yes," enter the name of the foreign country: bullet
43.......bullet
and enter the amount of tax-exempt interest received or accrued during the tax year....bullet43
 
Yes
No
44a
Did the organization maintain any donor advised funds during the year? If "Yes," Form 990 must be completed instead of
Form 990-EZ................................
44a
 
No
b
Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completedinstead of Form 990-EZ.............................
44b
 
No
c
Did the organization receive any payments for indoor tanning services during the year?.........
44c
 
No
d
If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No," provide an
explanation in Schedule O ............................
44d
 
 
45a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?.........
45a
 
No
45b
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," Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions)......................
45b
 
No
Form 990-EZ (2013)
Form 990-EZ (2013)
Page 4
Yes
No
46
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition tocandidates for public office? If “Yes," complete Schedule C, Part I. ..............
46
 
No
Part VI
Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51 Check if the organization used Schedule O to respond to any question in this Part VI ................
Yes
No
47
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 .......................
47
 
No
48
Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..
48
 
No
49a
Did the organization make any transfers to an exempt non-charitable related organization?......
49a
 
No
b
If "Yes," was the related organization a section 527 organization?................
49b
 
 
50
Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and title of each employee (b) Average
hours per week
devoted to position		 (c) Reportable compensation
(Forms W-2/1099-MISC) 		(d) Health benefits, contributions to employee benefit plans, and deferred compensation (e) Estimated amount of other compensation
NONE
f
Total number of other employees paid over $100,000 .................bullet  

51
Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."
(a) Name and business address of each independent contractor (b) Type of service (c) Compensation
NONE
d
Total number of other independent contractors each receiving over $100,000..........bullet  
52
Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A ...............bullet
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 bullet

Firm's EIN bullet
Firm's address bullet



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
Form 990-EZ (2013)


Form 990-EZ, Special Condition Description:
Special Condition Description

Additional Data


Software ID: 13000241
Software Version: v1.00
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.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
GEORGIA DIABETES COALITION INC
 
Employer identification number

26-1101570
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 0 75,364 35,687 54,961 70,006 236,018
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. 0 75,364 35,687 54,961 70,006 236,018
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.) 236,018
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6... 0 75,364 35,687 54,961 70,006 236,018
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.).. 0 75,364 35,687 54,961 70,006 236,018
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. 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) 2013

Additional Data


Software ID: 13000241
Software Version: v1.00
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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
GEORGIA DIABETES COALITION INC
 
Employer identification number

26-1101570
Return Reference Explanation
Form 990-EZ, Part I, Line 16 Description;Amount^SUPPLIES;945|CONFERENCES;4659|MEETINGS;5695|LICENSE;50^Total;11349^
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000241
Software Version: v1.00