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. See separate instructions. 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
THE VASCULAR INTERVENTIONAL PROJECT INC CENTER FOR VASCULAR AWARENESS INC
Employer identification number
20-1764046
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
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).
f
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
..................................................
g
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
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)
(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.") ....
1,047,641
1,093,382
686,024
910,392
1,069,334
4,806,773
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
1,047,641
1,093,382
686,024
910,392
1,069,334
4,806,773
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)..
3,857,811
6
Public support. Subtract line 5 from line 4.
948,962
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
1,047,641
1,093,382
686,024
910,392
1,069,334
4,806,773
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).
4,806,773
12
Gross receipts from related activities, etc. (see instructions)
..................
12
1,849,271
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.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
19.740 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
24.190 %
16a
33 1/3% support test—2013.
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
.......................
b
33 1/3% support test—2012.
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
.....................
17a
10%-facts-and-circumstances test—2013.
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
.....................................................
b
10%-facts-and-circumstances test—2012.
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
................................................
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
.....................................................
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)
(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
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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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.)..
14
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.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
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
........
b
33 1/3% support tests—2012.
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
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
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
CENTER FOR VASCULAR AWARENESS, INC.EIN: 20-1764046FORM 990 SCHEDULE A PUBLIC CHARITY STATUS AND PUBLIC SUPPORT_____________________________________PART IV FACTS AND CIRCUMSTANCES TEST_____________________________________ THE CENTER FOR VASCULAR AWARENESS, INC. (CVA) QUALIFIES AS A PUBLIC CHARITY UNDER THE FACTS AND CIRCUMSTANCES PUBLIC SUPPORT TEST. ALTHOUGH CVA DOES NOT MEET THE 33 1/3% TEST, IT RECEIVES A SUBSTANTIAL PERCENTAGE OF SUPPORT FROM THE GENERAL PUBLIC AND IS ORGANIZED TO ATTRACT NEW AND ADDITIONAL PUBLIC SUPPORT ON A CONTINUOUS BASIS. FURTHERMORE, CVA DRAWS SUPPORT FROM AN ARRAY OF SUPPORTERS, IS GOVERNED BY A VARIETY OF INDIVIDUALS IN THE MEDICAL PROFESSION, PROVIDES EDUCATIONAL SERVICES TO THE PUBLIC AND PARTNERS WITH A LARGE GROUP OF ORGANIZATIONS. CVA CURRENTLY RECEIVES 24.19% OF ITS FUNDING FROM PUBLIC SUPPORT AND HAS CONTINUAL EFFORTS TO INCREASE THIS PERCENTAGE. AT 24.19%, CVA HAS OBTAINED MORE THAN 70% OF THE REQUISITE PUBLIC SUPPORT TO AVOID THE FACTS AND CIRCUMSTANCES TEST. CVA IS ALSO HOSTING CONTINUAL EFFORTS TO INCREASE ITS PERCENTAGE OF PUBLIC SUPPORT. EACH YEAR, CVA HOSTS TWO VITAL PUBLIC FUNDRAISING EVENTS THAT DRAW DONATIONS FROM A BROAD SWATH OF INDIVIDUALS THROUGHOUT THE ALBANY AREA. CVA SUPPLEMENTS CONTRIBUTIONS FROM THESE EVENTS BY CONTINUALLY SOLICITING DONATIONS ON ITS WEBPAGE. FURTHERMORE, CVAS CEO REGULARLY SOLICITS DONATIONS FROM AND WORKS TO BUILD RELATIONSHIPS WITH ASSORTED MEDICAL ORGANIZATIONS AND MEDICAL MANUFACTURERS. THE CEO HAS SPECIFICALLY TARGETED MANUFACTURERS THAT HAVE NOT PREVIOUSLY DONATED TO THE COMPANY. CVAS BOARD IS COMPOSED OF PERSONS WITH A RANGE OF BACKGROUNDS. THE BOARD IS CURRENTLY COMPOSED OF THREE MEMBERS: ONE DOCTOR, ONE NURSE AND ONE ATTORNEY. THE DOCTOR IS A TRAUMA SURGEON IN SCHENECTADY, NY AND IS A MEMBER OF EIGHT PROFESSIONAL SOCIETIES ACTIVE IN THE TRI-STATE AREA. IN ADDITION TO HIS WORK AS A TRAUMA SURGEON, THE DOCTOR SERVES AS A TEACHING ASSOCIATE FOR THE STATE UNIVERSITY OF NEW YORK. THE NURSE IS EMPLOYED AS A PHARMACY NURSE MANAGER AT A HOSPITAL IN ALBANY, NY AND, IN ADDITION TO HER AFFILIATION WITH CVA, IS A MEMBER OF THE SOCIETY FOR VASCULAR NURSING. THE ATTORNEY IS CURRENTLY PARTNER AT A LAW FIRM IN JERICHO, NY AND IS A MEMBER OF FIVE COMMUNITY ORGANIZATIONS INCLUDING NEW YORK CARES AND THE LEUKEMIA & LYMPHOMA SOCIETY. CVA PROVIDES A WIDE VARIETY OF EDUCATIONAL SERVICES TO THE MEDICAL COMMUNITY AND BROADER PUBLIC THROUGH PUBLIC EDUCATIONAL EVENTS AND VARIOUS PUBLICATIONS. CVA REGULARLY HOSTS THE VASCULAR ROUNDTABLES AT WHICH VASCULAR SURGEONS AND HEALTHCARE PROVIDERS FROM AROUND THE COUNTRY PRESENT ON IMPORTANT VASCULAR ISSUES. THESE ROUNDTABLES PROVIDE AN IMPORTANT SERVICE TO THE MEDICAL COMMUNITY BY PROVIDING A FORUM FOR DOCTORS TO GATHER AND DISCUSS VARIOUS METHODS OF CONFRONTING THESE IMPORTANT ISSUES. TO COORDINATE THESE SYMPOSIA, CVA PARTNERS WITH VARIOUS GROUPS. SPECIFICALLY, CVA PARTICIPATES WITH DVT COALITION, PAD COALITION, FIND AAANSWERS, CCSVI ALLIANCE, AND THE NATIONAL MS SOCIETY. CVA ALSO PUBLISHES A VASCULAR HEALTH JOURNAL TARGETED TOWARD PROMOTING PUBLIC AWARENESS OF THE VASCULAR CONCERNS PRESENTED AT THE VARIOUS ROUNDTABLES AND IS IN THE PROCESS OF DEVELOPING A PUBLIC OUTREACH PROGRAM. IN ADDITION TO THE SYMPOSIA PROGRAMMING, CVA PARTNERS WITH A VARIETY OF ORGANIZATIONS TO PROVIDE ADDITIONAL SERVES TO THE ALBANY COMMUNITY. CVA COLLABORATES WITH THE VIVA PHYSICIANS EDUCATION ORGANIZATION TO GRANT VASCULAR EDUCATION SCHOLARSHIPS TO THE WINNER OF THE VIVA FACE-OFF. THIS IS AN EVENT THAT OCCURS EVERY YEAR, AT WHICH VASCULAR SURGEONS PRESENT ORIGINAL RESEARCH OR INTERESTING CASES RELATING TO VASCULAR AND CARDIOVASCULAR SURGERY. THE GOAL OF THESE PRESENTATIONS IS TO PROMOTE AWARENESS OF NOVEL TECHNIQUES AND NEW TECHNOLOGY THAT AIDS IN THE PERFORMANCE OF VASCULAR SURGERY. IN SUM, CVA SATISFIES THE FACTS AND CIRCUMSTANCES TEST IN THE TREASURY REGULATIONS. ITS PERCENTAGE OF PUBLIC SUPPORT IS SUBSTANTIALLY HIGHER THAN THE REQUISITE 10%, THEREBY REDUCING THE BURDEN ON THE OTHER FACTORS. TREAS. REG. 1.170A-9(F)(3)(III)(A). CVAS SUPPORT COMES FROM A BROAD GROUP OF INDIVIDUALS AND ORGANIZATIONS AND THE ORGANIZATION HAS IMPLEMENTED CONTINUAL EFFORTS TO SOLICIT NEW CONTRIBUTIONS. TREAS. REG. 1.170A-9(F)(3)(III)(B), TREAS. REG. 1.170A-9(F)(3)(II). CVAS BOARD OF DIRECTORS IS COMPOSED OF A THREE INDIVIDUALS FROM A RANGE OF BACKGROUNDS WITH INVOLVEMENT IN DIFFERENT COMMUNITIES AND ORGANIZATIONS. TREAS. REG. 1.170A-9(F)(3)(III)(C). FURTHERMORE, CVA PROVIDES EDUCATION SERVICES IN ASSOCIATION WITH MANY DIFFERENT ORGANIZATIONS. TREAS. REG. 1.170A-9(F)(3)(III)(D)(3)(II). AS IT SATISFIES THE FACTS AND CIRCUMSTANCES PUBLIC SUPPORT TEST, CVA QUALIFIES AS A PUBLIC CHARITY.
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
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.
Attach to Form 990 or 990-EZ.
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
THE VASCULAR INTERVENTIONAL PROJECT INC CENTER FOR VASCULAR AWARENESS INC
Employer identification number
20-1764046
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 3
MANAGEMENT AND FINANCIAL ACTIVITIES ARE PERFORMED BY AN INDEPENDENT CONTRACTOR THAT ALSO PERFORM SIMILAR SERVICES TO THE SAME MEDICAL PRACTICE OF WHICH THE PRESIDENT IS AFFILIATED WITH.
FORM 990, PART VI, SECTION B, LINE 11
FORM 990 IS REVIEWED BY THE BOARD PRIOR TO SUBMISSION AND COPIES ARE DISTRIBUTED TO BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12C
CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE PRESIDENT OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15A
COMPENSATION PAID TO THE CENTER'S PRESIDENT IS PAID A RATE OF $250/HR BASED UPON THE CENTER'S REVIEW OF COMPARABLE NOT-FOR-PROFIT EXECUTIVE COMPENSATION AND COMPENSATION ANALYSIS FROM ONLINE SOURCES. THE AMOUNT IS APPROVED BY THE BOARD ON AN ANNUAL BASIS. IN 2013 THE CENTER CONTRACTED WITH AN INDEPENDENT COMPANY TO PERFORM A COMPENSATION ANALYSIS FOR THE PRESIDENT. THE RESULTS OF THE ANALYSIS CONFIRMED THE PRESENT AMOUNT USED TO COMPENSATE THE PRESIDENT.
FORM 990, PART VI, SECTION C, LINE 19
INFORMATION RELATED TO THE ORGANIZATION IS AVAILABLE ON THE ENTITY WEBSITE AND UPON REQUEST TO ADMINISTRATIVE OFFICES.
FORM 990, PART VII
COMPENSATION PAID TO OFFICERS AND DIRECTORS PURSUANT TO THE BYLAWS OF THE ENTITY, NO COMPENSATION IS MADE FOR THE DUTIES OF A DIRECTOR OR OFFICERS OF THE ENTITY. COMPENSATION REFLECTED IN THIS SECTION IS FOR SERVICES RENDERED OUTSIDE OF A DIRECTOR OR OFFICER.
FORM 990, PART IX, LINE 24E
ROUNDTABLE: PROGRAM SERVICE EXPENSES 90,997. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,997. GALA AND GOLF OUTING EXPENSES - INDIRECT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 25,898. TOTAL EXPENSES 25,898. EVENT SPONSORSHIP: PROGRAM SERVICE EXPENSES 15,152. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,152. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,159. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,159.
FORM 990, PART XII, LINE 2C:
THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.