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.
| (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 | |||||||||
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.") .... | 4,262,738 | 3,642,289 | 3,791,100 | 2,270,711 | 3,399,888 | 17,366,726 |
| 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 | 4,262,738 | 3,642,289 | 3,791,100 | 2,270,711 | 3,399,888 | 17,366,726 |
| 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).. | 2,624,733 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 14,741,993 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 4,262,738 | 3,642,289 | 3,791,100 | 2,270,711 | 3,399,888 | 17,366,726 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 95,184 | 91,488 | 81,412 | 82,042 | 76,283 | 426,409 |
| 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.).. | 159,996 | 162,657 | 34,469 | 45,079 | 84,882 | 487,083 |
| 11 | Total support (Add lines 7 through 10). | 18,280,218 | |||||






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.) | ||||||
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.).. | ||||||




| Facts And Circumstances Test |
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| Explanation |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. MANAGEMENT REVIEWS THE COMPLETED FORM 990 AND PROVIDES A FULL COPY TO ALL VOTING MEMBERS OF THE GOVERNING BODY PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCING THE CONFLICT OF INTEREST POLICY INCLUDES ANNUAL REVIEW AND DISCLOSURE BY ALL KEY VOLUNTEERS AND STAFF. THE BOARD OF DIRECTORS THEN REVIEW FOR ANY POTENTIAL CONFLICTS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PRESIDENT/CEO'S ANNUAL PERFORMANCE EVALUATION IS COMPLETED BY THE BOARD CHAIR. IN THE YEARS WHERE AN INCREASE TO COMPENSATION IS MERITED, THE BOARD CHAIR AND 2-3 EXECUTIVE COMMITTEE MEMBERS WOULD REVIEW THE COMPENSATION AND DEBATE ON AN APPROPRIATE INCREASE TO THE COMPENSATION. ANY ADJUSTMENTS ARE APPROVED IN WRITING BY THE BOARD CHAIR AND THE OTHER BOARD MEMBERS. THIS DOCUMENTATION IS MAINTAINED IN THE HUMAN RESOURCES FILE OF THE ORGANIZATION. THE ORGANIZATION HAS A PROCESS IN PLACE TO FORMALLY REVIEW AND DOCUMENT THE CEO'S COMPENSATION. THIS PROCESS INCLUDES COMPARABLE COMPENSATION DATA OF SIMILAR ORGANIZATIONS. THIS DATA IS REVIEWED AND DISCUSSED BY THE FINANCE COMMITTEE. THIS COMMITTEE WOULD APPROVE THE APPROPRIATENESS OF THE COMPENSATION AND PRESENT TO THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED MEETING. THIS PROCESS IS TO BE COMPLETED ANNUALLY. FOR SENIOR MANAGEMENT TEAM MEMBERS, A SALARY COMPARISON STUDY IS UTILIZED AT THE TIME OF HIRE TO ESTABLISH REASONABLE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | OUR ANNUAL REPORT AND FORM 990 ARE AVAILABLE ON OUR WEBSITE. THESE, ALONG WITH OTHER DOCUMENTS, SUCH AS GOVERNING DOCUMENTS AND POLICIES, ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN MARKET VALUE OF BENEFICIAL INTEREST IN TRUSTS 285,440. |
| FORM 990, PART I, LINE 5 AND PART V, LINE 2A: | TOTAL NUMBER OF EMPLOYEES THE ORGANIZATION ACTS AS A COMMON PAYMASTER FOR THE NATIONAL SOCIETY TO PREVENT BLINDNESS AFFILIATES AND ISSUED A TOTAL OF 148 W-2S FOR ALL AFFILIATED ORGANIZATIONS. OF THE TOTAL 148 W-2S, 25 WERE ISSUED FOR EMPLOYEES OF THE NATIONAL SOCIETY TO PREVENT BLINDNESS. |
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Affiliated Group Business Name:
NATIONAL SOCIETY TO PREVENT BLINDNESS Address. Either US or Foreign Type:
211 W WACKER DRIVE 1700
CHICAGO,
IL
60606
EIN:
36-3667121 Electing Organization Checkbox:
Total Grassroots Lobbying:
3,767
Total Direct Lobbying:
129,821
Total Lobbying Expenditures:
133,588
Other Exempt Purpose Expenditures:
3,923,397
Total Exempt Purpose Expenditures:
4,056,985
Lobbying Nontaxable Amount:
352,849
Grassroots Nontaxable Amount:
88,212
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS OHIO Address. Either US or Foreign Type:
1500 W 3RD AVE
COLUMBUS,
OH
43212
EIN:
31-6063433 Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
27,050
Total Lobbying Expenditures:
27,050
Other Exempt Purpose Expenditures:
1,789,312
Total Exempt Purpose Expenditures:
1,816,362
Lobbying Nontaxable Amount:
240,818
Grassroots Nontaxable Amount:
60,205
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS MID-ATLANTIC Address. Either US or Foreign Type:
11618 BUSY ST
RICHMOND,
VA
23236
EIN:
23-7033230 Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
3,000
Total Lobbying Expenditures:
3,000
Other Exempt Purpose Expenditures:
633,894
Total Exempt Purpose Expenditures:
636,894
Lobbying Nontaxable Amount:
120,534
Grassroots Nontaxable Amount:
30,134
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS FLORIDA Address. Either US or Foreign Type:
8401 BENJAMIN ROAD STE G
TAMPA,
FL
33634
EIN:
59-6181662 Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
590,197
Total Exempt Purpose Expenditures:
590,197
Lobbying Nontaxable Amount:
113,530
Grassroots Nontaxable Amount:
28,383
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS IOWA Address. Either US or Foreign Type:
1111 NINTH ST
DES MOINES,
IA
50314
EIN:
42-6083207 Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
8,500
Total Lobbying Expenditures:
8,500
Other Exempt Purpose Expenditures:
204,365
Total Exempt Purpose Expenditures:
212,865
Lobbying Nontaxable Amount:
42,573
Grassroots Nontaxable Amount:
10,643
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
PREVENT BLINDNESS NORTH CAROLINA Address. Either US or Foreign Type:
4011 WESTCHASE BLVD
RALEIGH,
NC
27607
EIN:
56-6088141 Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
19,225
Total Lobbying Expenditures:
19,225
Other Exempt Purpose Expenditures:
1,195,198
Total Exempt Purpose Expenditures:
1,214,423
Lobbying Nontaxable Amount:
196,442
Grassroots Nontaxable Amount:
49,111
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
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Affiliated Group Business Name:
PREVENT BLINDNESS GEORGIA Address. Either US or Foreign Type:
739 WEST PEACHTREE ST NW STE 200
ATLANTA,
GA
30308
EIN:
58-6050305 Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
918,692
Total Exempt Purpose Expenditures:
918,692
Lobbying Nontaxable Amount:
162,804
Grassroots Nontaxable Amount:
40,701
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|