| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX PREPARATION | 13,200 | 1,320 | 1,320 | 11,880 |
| AUDIT SERVICES | 21,679 | 2,168 | 2,168 | 19,582 |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
NORFOLK&NORWICH UNIVERSITY aka SPINE-AID |
PO BOX 729 CAPIBILITY GREEN LUTON, LU1 3US UK |
2013-11-01 | 93,559 | PRODUCT DONATION FOR SUPPORTED MISSION TRIP TO ZAMBIA | 93,559 | NO | 02/06/2014 | 2014-02-06 | RECEIVED REGISTERED CHARITY NUMBER 1048170 FROM ADMINISTERED HOSPITAL. NO SIGNIFICANT ISSUES WERE NOTED. |
|
SALIMA SULEIMAN |
PO BOX 20906-00202 LENANA ROAD NAIROBI KE |
2013-05-21 | 413 | PATIENT ASSISTANCE GRANT for ORTHOPEDIC SHOES | 413 | NO | 05/21/2013 | 2013-05-21 | THE FOUNDATION PAID DIRECTLY FOR HER ORTHOPEDIC SHOES. NO SIGNIFICANT ISSUES WERE NOTED. |
|
JACK SPEEGLE |
PO BOX 141 ELKTON,TN38455 |
2013-07-01 | 22,708 | PATIENT ASSISTANCE GRANT FOR TRAVEL RELATED EXPENSES (FLIGHT, HOTEL, MEALS) FOR TRIPS FOR SURGERY | 22,708 | NO | 01/19/2014 | 2014-01-19 | THE FOUNDATION PAID DIRECTLY FOR TRAVEL RELATED EXPENSES. NO SIGNIFICANT ISSUES WERE NOTED. |
|
THE HUNT FOUNDATION |
444 SOUTH SAN VINCENTE BLVD SUITE LOS ANGELES,CA90048 |
2013-06-03 | 153,270 | SUPPORT MISSION TO ETHIOPIA | 153,270 | NO | 01/16/2014 | 2014-01-16 | REPORT REVIEWED, NO SIGNIFICANT ISSUES WERE NOTED. |
|
GLORIA BENDER |
500 EAST 1400 NORTH LOGAN,UT84341 |
270 | PRODUCT DONATION FOR PATIENT ASSISTANCE PROGRAM | 270 | NO | 11/22/2013 | 2013-11-22 | REPORT REVIEWED, NO SIGNIFICANT ISSUES WERE NOTED. |
| Identifier | Return Reference | Explanation |
|---|---|---|
| Information regarding Expenditure Responsibility Grants | Form 990, Part VII-B, Question, 5(c) | In accordance with IRC Regulation 53.4945-5(d) (2), the following information is provided regarding grants made or outstanding during the year to organizations not qualifying under IRC 509(a) (1), 509(a) (2), 509(a) (3) or 4940(d) (2). For each expenditure responsibility grant, the (1) name and address of the grantee, (2) date and amount of the grant, (3) purpose of the grant, (4) amounts expended by the grantee (based on the most recent report received from the grantee), (5) dates of any reports received from the grantee, (6) date and results of any verification of the grantee's reports undertake by or at the direction of NuVasive Cheetah Gives Back Foundation and (7) whether, to the knowledge of NuVasive SPINE Foundation, if the grantee has diverted any funds from the purpose of the grant. Note, to the best of our knowledge and belief, there were no diversions of grant funds by any grantee to any use not in furtherance of a purpose specified in the grant. |
| Summary of Direct Charitable Activities - Description of Activites | Form 990, Part IX-A | THE NUVASIVE SPINE FOUNDATION (THE FOUNDATION) is committed to providing innovative medical devices, surgical support, and necessary funds to those in need of life-saving spine surgery around the world. In many impoverished places across the globe there is very limited availability and access to specialized surgeons, including spine surgeons. THE FOUNDATION focuses on indigent patients with no access to or means to pay for the medical care they desperately need. For most of these people the only options are to live with the deformity, disease and intense pain associated with severe spinal disorders or tragically, die. THE FOUNDATION is a beacon of hope to those in the direst need of life-saving spine surgery. THE FOUNDATION has and will continue to provide that hope. Kenya Mission Trips - February/June/September/December 2013, the NuVasive Spine Foundation (NSF) completed 4 surgical mission trips to Kenyatta National Hospital (KNH) in Nairobi, Kenya. As the year closed, the NSF had treated more than 90 patients in need across Eastern Africa with exceeding expectations by treating more than 80 patients at KNH as well as providing lectures and training for medical students at KNH. Belize Mission Trip - January 2013 & August 2013. The NuVasive Spine Foundation (NSF) supported two surgical mission trips to Karl Heusner Memorial Hospital in Belize City, Belize. During each seven day mission trip, the mission team completed a total of 5 life-changing surgeries. Zimbabwe Mission Trip - May 13, 2013 - NSF completed of their first mission trip to Harare, Zimbabwe, the nation's capital and largest city. The mission team initiated a new sustainable spine program in Zimbabwe by partnering with Dr. J. Nozipo Maraire, a board-certified neurological surgeon and expert in spinal disorders. Dr. Maraire received training in the United States and recently relocated with her family to Zimbabwe, where she now practices medicine. On this mission trip, Dr. Maraire performed MAS TLIF, a minimally disruptive approach to traditional back surgery, on two patients both patients received life-changing surgery. The procedures were performed at St. Anne's Hospital and Parirenyatwa General Hospital, the largest medical center in Zimbabwe. The MAS TLIF procedure may reduce blood loss, lessen postoperative pain, and help the patient return to normal activity much faster than patients who undergo traditional "open" spine procedures. |
| Substantial Contributor Statement | Form 990-PF, Part VII-A, Line 10- Substantial Contributor | Name of Substantial Contributor: Nuvasive, Inc. Address of Substantial Contributor: 7475 Lusk Blvd., San Diego, CA 92121 |
| Category/ Item | Cost/Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|
| Category / Item | Cost / Other Basis | Accumulated Depreciation | Book Value | End of Year Fair Market Value |
|---|
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MISC LEGAL SERVICES | 2,110 | 2,110 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| OTHER ASSETS | 0 | 14,089 | 14,089 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| SURGICAL MISSION DIRECT EXP | 1,623,809 | 0 | 0 | 1,611,758 |
| BUSINESS REGISTRATION FEES | 895 | 0 | 0 | 895 |
| INSURANCE | 7,641 | 763 | 763 | 6,878 |
| OTHER COSTS | 764 | 76 | 76 | 170 |
| ACCOUNTING SOFTWARE | 479 | 48 | 48 | 431 |
| MARKETING EXPENSES | 5,588 | 0 | 5,588 | 0 |
| CREDIT CARD SERVICE CHARGE | 2,574 | 2,574 | 2,574 | 0 |
| BANK SERVICE CHARGE | 923 | 923 | 923 | 0 |
| SUPPLIES | 1,886 | 0 | 0 | 1,886 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| FUNDRAISING event REVENUE, NET | 192,398 | 0 | 192,398 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FUNDRAISING FEES | 1,078 | 0 | 0 | 1,078 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| CA FTB FILING FEE | 10 | 0 | 0 | 10 |
| CA ATNY GNL REGISTRATION FEES | 300 | 0 | 0 | 300 |