Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet 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.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3410 KORI ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
JACKSONVILLE, FL32257
D Employer identification number

20-3588745
E Telephone number

G Gross receipts $ 4,071,204
F Name and address of principal officer:
ROBIN PETERS
3410 KORI ROAD
JACKSONVILLE,FL32257
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.FIREHOUSESUBS.COM/FOUNDATION
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 2005
M State of legal domicile: FL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE DISASTER SERVICES AND TO SUPPORT PUBLIC ENTITIES BY DONATING SERVICES AND EQUIPMENT
2 Check this box MediumBullet
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 2013 (Part V, line 2a) ...... 5 4
6 Total number of volunteers (estimate if necessary) ............. 6 164
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 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,882,308 4,000,764
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 0 0
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) -33,395 -5,197
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,848,913 3,995,567
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,838,812 2,261,131
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 236,861 282,149
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet233,195    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 275,361 284,545
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,351,034 2,827,825
19 Revenue less expenses. Subtract line 18 from line 12....... 497,879 1,167,742
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,035,852 2,272,058
21 Total liabilities (Part X, line 26)............. 306,344 374,808
22 Net assets or fund balances. Subtract line 21 from line 20..... 729,508 1,897,250
Part II
Signature Block
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 MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: NONE
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 2,188,395 including grants of $ 1,965,843 ) (Revenue $   )
LIFE SAVING EQUIPMENT DONATIONS:EQUIPMENT DONATIONS IMPACT MILLIONS OF FAMILIES AND INDIVIDUALS IN COMMUNITIES THROUGHOUT THE COUNTRY. IN 2013 ALONE 160 PUBLIC SAFETY ORGANIZATIONS WERE AWARDED FUNDING. THE FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION'S REACH CONTINUES TO GROW COVERING 41 STATES AND PUERTO RICO. FROM EDUCATION TOOLS, WHICH HELP PREVENT A CRISIS, TO STATE OF THE EQUIPMENT IN EMERGENCY SITUATIONS, THESE TOOLS CAN BE THE DIFFERENCE BETWEEN SUCCESSFUL OR FATAL OUTCOMES.
4b (Code:   ) (Expenses $ 231,247 including grants of $ 207,813 ) (Revenue $   )
PREVENTION AND EDUCATION:PREVENTION EDUCATION TOOLS ALLOW FIRST RESPONDERS AND PUBLIC SAFETY ORGANIZATIONS TO REACH OUT TO SCHOOLS, CIVIC ORGANIZATIONS AS WELL AS SENIOR CITIZEN FACILITIES. RAISING AWARENESS AND OFFERING EDUCATION OPPORTUNITIES HAVE HELPED CITIZENS BETTER UNDERSTAND HOW TO PREVENT THE TRAGEDY OF ACCIDENTAL DEATHS DUE TO CARBON MONOXIDE POISONING, SMOKE DETECTOR MAINTENANCE AND IN-HOME HAZARDS. FIRE EXTINGUISHER TRAINING AND SAFETY PROGRAMS EMPOWER MEMBERS OF THE COMMUNITY TO BE BETTER PREPARED IN RECOGNIZING THE POTENTIAL FOR A DANGEROUS SITUATION TO OCCUR AND HAVING THE ABILITY TO MINIMIZE THE HAZARD.
4c (Code:   ) (Expenses $ 71,422 including grants of $ 66,819 ) (Revenue $   )
DISASTER RELIEF:THE ABILITY TO REACT SWIFTLY TO NATURAL AND/OR MAN-MADE DISASTERS HAS BEEN A KEY AREA OF GROWTH IN FUNDING FOR THE FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION. WITH A NETWORK OF FIREHOUSE SUBS RESTAURANTS THROUGHOUT THE COUNTRY, THE FOUNDATION IS ABLE TO SUPPORT IMMEDIATE DISASTER RELIEF BY USING COUNTLESS RESOURCES FOR FOOD PREPARATION AND DELIVERY. THE RESTAURANTS OFFER A LOCATION FOR FUNDRAISING WHICH WILL HELP WITH THE PURCHASE OF CRITICAL EQUIPMENT FOR FIRST RESPONDERS, ALLOWING THEM THE RESOURCES TO PROVIDE THE HIGHEST LEVEL OF SEARCH AND RESCUE OPERATIONS AVAILABLE. THE DOLLARS DONATED TO DISASTER RELIEF DOESN'T BEGIN TO PAINT THE FULL PICTURE OF HOW MANY LIVES ARE TOUCHED DURING THESE EVENTS. FROM VICTIMS, VOLUNTEERS AND OTHER NONPROFIT ORGANIZATIONS, THE FOUNDATION IS ABLE TO POSITIVELY IMPACT LIFE-SAVING CAPABILITIES AND COLLABORATE WITH LIKE ORGANIZATIONS AT THE SCENE.
(Code:   ) (Expenses $ 10,553 including grants of $ 8,253 ) (Revenue $   )
SCHOLARSHIPS FIREFIGHTERS AND LAW ENFORCEMENT:TO PROVIDE SCHOLARSHIPS FOR FIREFIGHTERS AND LAW ENFORCEMENT OFFICERS FOR CONTINUAL EDUCATION.
(Code:   ) (Expenses $ 12,403 including grants of $ 12,403 ) (Revenue $   )
U.S. MILITARY:2013 SAW THE ESTABLISHMENT AND FACILITATION OF OUR NEW MILITARY GUIDELINE. VETERANS FROM WORLD WAR II, ALL THE WAY TO IRAQ AND AFGHANISTAN HAVE HAD THE OPPORTUNITY TO REQUEST AND RECEIVE ITEMS TO INCREASE THEIR QUALITY OF LIFE AFTER CATASTROPHIC INJURY. ACTION TRACK CHAIRS AS WELL AS ADAPTIVE TOOLS FOR AMPUTEES HAVE HAD A PROFOUND IMPACT ON THESE HEROES WHO HAVE SACRIFICED TO GUARANTEE OUR FREEDOM. ADDITIONAL SUPPORT INCLUDES COLLABORATIONS WITH OTHER MILITARY NONPROFITS, SUCH AS WOUNDED WARRIOR PROJECT, ALLOWING THE FOUNDATION TO PARTNER WITH LIKE ORGANIZATIONS, INCREASING THE SCOPE OF OUR IMPACT.
4d Other program services (Describe in Schedule O.)
(Expenses $ 22,956 including grants of $ 20,656 ) (Revenue $   )
4e Total program service expensesMediumBullet2,514,020
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. 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........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................
34
 
No
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, 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," complete Schedule R, Part V, line 2...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
5
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
4
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
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)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
7
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
7
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
AL , AZ , AR , CA , CO , FL , GA , IN , IL , IA , KS , KY , LA , MD , MA , MI , MN , MS , NE , NV , NJ , NM , NY , NC , OH , OK , PA , SC , TN , TX , UT , VA , WV , WI , PR , MO
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletROBIN PETERS3410 KORI ROADJACKSONVILLEFL32257 (904) 886-8300
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) SHERI KOHLER........................................................................
TREASURER
25.00
.......................  
X   X       0 0 0
(2) CHRIS SORENSEN........................................................................
SECRETARY
1.00
.......................  
X   X       0 0 0
(3) JIM BROSCIOUS........................................................................
DIRECTOR
1.00
.......................  
X           0 0 0
(4) JOE MOORE........................................................................
DIRECTOR
1.00
.......................  
X           0 0 0
(5) BILL CARR........................................................................
DIRECTOR
1.00
.......................  
X           0 0 0
(6) JOHN LONG........................................................................
DIRECTOR
1.00
.......................  
X           0 0 0
(7) MIKE WILLIAMS........................................................................
DIRECTOR
1.00
.......................  
X           0 0 0
(8) ROBIN SORENSEN........................................................................
PRESIDENT
5.00
.......................  
    X       0 0 0
(9) ROBIN PETERS........................................................................
EXECUTIVE DIRECTOR
40.00
.......................  
    X       137,205 0 27,522
(10) MEGHAN VARGAS........................................................................
OFFICER
39.20
.......................  
    X       47,031 0 7,848
(11) JACQUELYN GUBBINS........................................................................
OFFICER
38.80
.......................  
    X       37,210 0 6,650












Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 221,446 0 42,020
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(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 $100,000 of compensation from the organization MediumBullet0
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 29,459
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
3,971,305
g Noncash contributions included in lines
1a-1f:$
2,072
h Total. Add lines 1a-1f.......MediumBullet 4,000,764
 Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet  
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet        
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(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)..........MediumBullet        
8a Gross income from fundraising events (not including
$ 29,459
of contributions reported on line 1c). See Part IV, line 18 ..
a 70,440
b Less: direct expenses ...b 75,637
c Net income or (loss) from fundraising events..MediumBullet -5,197   -5,197
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...MediumBullet        
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..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See Instructions......MediumBullet 3,995,567 0 0 -5,197
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 2,261,131 2,261,131
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 263,467 197,600 26,347 39,520
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 18,682 10,200 3,263 5,219
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 2,694   2,694  
c Accounting ........... 20,490   20,490  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 945   945  
12 Advertising and promotion .... 99,231 2,313 195 96,723
13 Office expenses ....... 115,229 6,468 19,629 89,132
14 Information technology ......        
15 Royalties ..        
16 Occupancy ...........        
17 Travel ............ 42,391 36,308 3,482 2,601
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings ....        
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 1,626   1,626  
23 Insurance .............. 1,939   1,939  
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
b
c
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 2,827,825 2,514,020 80,610 233,195
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 801,299 1 1,974,168
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ........... 223,441 3 267,991
4 Accounts receivable, net .............   4  
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  
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  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 4,201 8 12,293
9 Prepaid expenses and deferred charges .......... 6,911 9 4,582
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 14,650
b Less: accumulated depreciation ..... 10b 1,626 0 10c 13,024
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,035,852 16 2,272,058
Liabilities 17 Accounts payable and accrued expenses ......... 215,054 17 277,816
18 Grants payable ................. 91,290 18 96,992
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......... 306,344 26 374,808
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 722,405 27 1,642,984
28 Temporarily restricted net assets ........... 7,103 28 254,266
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 729,508 33 1,897,250
34 Total liabilities and net assets/fund balances ........ 1,035,852 34 2,272,058
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
3,995,567
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,827,825
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,167,742
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
729,508
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,897,250
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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
FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION INC
 
Employer identification number

20-3588745
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.") .... 747,593 1,109,951 1,695,495 2,882,308 4,000,764 10,436,111
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 3 747,593 1,109,951 1,695,495 2,882,308 4,000,764 10,436,111
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).. 256,577
6 Public support. Subtract line 5 from line 4. 10,179,534
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.. 747,593 1,109,951 1,695,495 2,882,308 4,000,764 10,436,111
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 44         44
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). 10,436,155
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
97.540 %
15
15
97.560 %
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.") .            
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) right arrow (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
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:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION INC
 
Employer identification number

20-3588745
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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
Special Rules
......................... 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 its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION INC
 
Employer identification number

20-3588745
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, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION INC
 
Employer identification number

20-3588745
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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION INC
 
Employer identification number

20-3588745
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 (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION INC
 
Employer identification number

20-3588745
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .......................................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
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 ........ 500,000        
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 ...... 500,000        
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet100.000 %
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................   14,650 1,626 13,024
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 13,024
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. 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.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. 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.)Small Bullet  
2. Liability for uncertain tax positions 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) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 4,002,967
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 7,400
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 7,400
3 Subtract line 2e from line 1..................... 3 3,995,567
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 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 3,995,567
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 2,835,225
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a 7,400
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e 7,400
3 Subtract line 2e from line 1..................... 3 2,827,825
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 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 2,827,825
Part XIII
Supplemental Information
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.
Return Reference Explanation
PART V, LINE 4: IN 2013 THE BOARD ESTABLISHED A QUASI-ENDOWMENT. IT IS THE INTENTION TO HAVE THESE FUNDS TREATED AS AN ENDOWMENT, WITH THE PRINCIPAL REMAINING INTACT AND ONLY THE EARNINGS SPENT ON THE ORGANIZATIONS EXEMPT PURPOSE.
PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE FOUNDATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2013 OR 2012. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2010, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (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
FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION INC
 
Employer identification number

20-3588745
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

TENNIS TOURNAMENT
(event type)
(b) Event #2

GOLF TOURNAMENT
(event type)
(c) Other events

 
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 52,511 47,388   99,899
2 Less: Contributions . . 25,046 4,413   29,459
3 Gross income (line 1
minus line 2) . . .
27,465 42,975   70,440
VerticalDirectExpenses 4 Cash prizes . . . 11,894 25   11,919
5 Noncash prizes . .        
6 Rent/facility costs . . 15,107 9,910   25,017
7 Food and beverages . 11,229 1,152   12,381
8 Entertainment . . .        
9 Other direct expenses . 20,456 5,864   26,320
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 75,637
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -5,197
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION INC
 
Employer identification number
20-3588745
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) TRIANGLE FACETORY FIRE PROJECT
2032 SAN MARCO BLVD
JACKSONVILLE,FL32207
59-0718493 GOVERNMENT   5,000   TITLE SPONSOR FOR THE TRIANGLE FACTORY FIRE PROJECT. PROVIDING FIRE SAFETY E OPERATIONAL SUPPORT
(2) GREENVILLE FIRERESCUEEMS DEPARTMENT
500 S GREENE ST
GREENVILLE,NC27835
56-6000229 GOVERNMENT   5,132   200 SMOKE ALARMS TO INSTALL IN RESIDENTIAL HOMES. SPECIFICALLY, WE WOULD APP OPERATIONAL SUPPORT
(3) WARREN COUNTY COMMON PLEAS COURT ADULT PROBATION
500 JUSTICE DR
LEBANON,OH45036
31-6000058 GOVERNMENT   5,136   (4) DEFIBRILLATORS, (4) BACKUP ELECTRODE PADS OPERATIONAL SUPPORT
(4) MCFARLAND FIREEMS DEPARTMENT
5915 MILWAUKEE STREET
MCFARLAND,WI53558
39-6008211 GOVERNMENT   5,173   (2) SINGLE CHANNEL CARBON MONOXIDE DETECTORS, (2) FOUR CHANNEL GAS MONITORS OPERATIONAL SUPPORT
(5) TEMPLE TERRACE FIRE DEPARTMENT
124 BULLARD PARKWAY
TEMPLE TERRACE,FL33617
59-6000439 GOVERNMENT   5,370   RESIDENTIAL KNOX BOX (30) OPERATIONAL SUPPORT
(6) SUMTER COUNTY FIRE DEPARTMENT
210 RUCKER STREET
AMERICUS,GA31719
58-6000888 GOVERNMENT   5,935   1 - VETTER KIT COMPLETE 53 TON 4 AIR BAG SYSTEM FOR LIFTING, 145 PSI, 1 - V2 OPERATIONAL SUPPORT
(7) EL CAJON FIRE DEPARTMENT
100 E LEXINGTON
EL CAJON,CA92020
95-6000703 GOVERNMENT   6,005   (2) MULTIRAE LITE TOXIC GAS DETECTORS AND REQUIRED CALIBRATION EQUIPMENT (OPERATIONAL SUPPORT
(8) PENNDEL FIRE COMPANY
220 CENTRE STREET
PENNDEL,PA19047
23-1713791 501(C)(3)   6,200   FORCIBLE-ENTRY DOOR SIMULATOR OPERATIONAL SUPPORT
(9) LEE COUNTY SHERIFF'S OFFICE
14750 SIX MILE CYPRESS PKWY
FORT MYERS,FL33912
59-6000705 GOVERNMENT   6,550   SEGWAY PERSONAL TRANSPORTER OPERATIONAL SUPPORT
(10) COUNCIL BLUFFS POLICE DEPARTMENT
227 SOUTH 6TH ST
COUNCIL BLUFFS,IA51503
42-6004429 GOVERNMENT   6,631   EDUCATIONAL MATERIALS: 300 BICYCLE HELMETS, 300 SPORTS BOTTLES, 1,000 PENCIL OPERATIONAL SUPPORT
(11) SURFSIDE BEACH FIRE DEPARTMENT
810 1ST AVE NORTH
SURF SIDE BEACH,SC29575
57-0445175 GOVERNMENT   6,750   THERMAL IMAGING CAMERA OPERATIONAL SUPPORT
(12) PORTAGE FIRE DEPARTMENT
3401 SWANSON RD
PORTAGE,IN46368
35-6006948 GOVERNMENT   6,981   WE ARE REQUESTING ASSISTANCE IN PURCHASING A QUALITY FORCIBLE ENTRY TRAINER OPERATIONAL SUPPORT
(13) LEWISTOWN DISTRICT VOLUNTEER FIRE DEPARTMENT
11101 HESSONG BRIDGE RD
FREDERICK,MD21788
52-1069840 GOVERNMENT   6,990   THERMAL IMAGING CAMERA OPERATIONAL SUPPORT
(14) ARAPAHOE COUNTY SHERIFF'S OFFICE
13101 E BRONCOS PARKWAY
CENTENNIAL,CO80112
84-6000740 GOVERNMENT   7,000   2012 HONDA ATV OPERATIONAL SUPPORT
(15) ROEBUCK FIRE DISTRICT
2639 STONE STATION RD
ROEBUCK,SC29376
57-0766732 GOVERNMENT   7,147   REFLECTIVE COLOR HYDRANT MARKERS OPERATIONAL SUPPORT
(16) OCALA POLICE DEPARTMENT
402 S PINE AVENUE
OCALA,FL34471
59-6000392 GOVERNMENT   7,345   (2) PHILLIPS AED TRAINERS, HEARTSAVER FIRST AID/CPR/AED COURSE FOR 171 STUDE OPERATIONAL SUPPORT
(17) WILLIAMSON COUNTY SHERIFF'S OFFICE SWIFT WATER RESCUE TEAM
508 S ROCK STREET
GEORGETOWN,TX78626
74-6000978 GOVERNMENT   7,738   (14) HANDHELD GPS/RADIO UNITS, MAPPING SOFTWARE, BACKUP BATTERIES AND MICROS OPERATIONAL SUPPORT
(18) GRADY COUNTY SHERIFF'S DEPARTMENT
218 N 3RD
CHICKASHA,OK73018
73-6006369 GOVERNMENT   7,789   HEA ALARMS FOR 4 POLICE CARS AND TRAINING AIDES FOR OUR K9 PROGRAM OPERATIONAL SUPPORT
(19) HILLSBOROUGH COUNTY SHERIFF'S OFFICE
2008 E 8TH AVENUE
TAMPA,FL33605
59-6000665 GOVERNMENT   8,003   1) 24 PERSONAL LOCATOR UNITS (PLUS): PLU INCLUDES LOCATOR BRACELET, BATTERIE OPERATIONAL SUPPORT
(20) KING GEORGE COUNTY SCHOOL DIVISION
9100 ST ANTHONYS RD
KING GEORGE,VA22485
54-6001372 501(C)(3)   8,040   (5) AEDS, WALL MOUNT AND PEDIATRIC PADS OPERATIONAL SUPPORT
(21) LIVINGSTON FIRE DEPARTMENT
900 NORTH CHURCH ST
LIVINGSTON,TN38570
62-6000343 GOVERNMENT   8,214   THERMAL IMAGING CAMERA OPERATIONAL SUPPORT
(22) AMERICAN RED CROSS VOLUNTEER LIFE SAVING CORPS
2 OCEANFRONT
JACKSONVILLE BEACH,FL32250
53-0196605 501(C)(3)   8,282   (6) RESCUE PADDLE BOARDS, (4) UMBRELLAS, (15) BUOYS OPERATIONAL SUPPORT
(23) WAPELLA FIRE DEPT
315 MAIN ST
WAPELLA,IL61777
37-0911204 GOVERNMENT   8,295   MSA 6000 THERMAL IMAGING CAMERA OPERATIONAL SUPPORT
(24) ORANGE CITY FIRE DEPARTMENT
215 N HOLLY AVE
ORANGE CITY,FL32763
59-0946992 GOVERNMENT   8,536   (4) PARATEC TVS-100 STRUTS WITH 6" AND 12" BASE PLATE, AIR CHISEL KIT WITH I OPERATIONAL SUPPORT
(25) OAK HILL FIRE DEPARTMENTTRAVIS COUNTY EMERGENCY SERVICES DISTRICT 3
4111 BARTON CREEK BLVD
AUSTIN,TX78735
74-2725719 GOVERNMENT   9,335   (3) AEDS, (4) BATTERY PACKS, (3) CABLES, (1) ELECTRODE CASE WITH 8 PAIRS, (3 OPERATIONAL SUPPORT
(26) LOUISVILLE DIVISION OF FIRE- METRO ARSON BUREAU
501 ASHLAND AVENUE
LOUISVILLE,KY40203
32-0049006 GOVERNMENT   9,609   (8) POINT BLANK BODY ARMOR KITS, (10) GLOCK HANDGUNS OPERATIONAL SUPPORT
(27) LARUE COUNTY EMS
924 SOUTH LINCOLN BLVD
HODGENVILLE,KY42748
61-6000822 GOVERNMENT   9,611   (4) ZOLL E-SERIES CARDIAC MONITOR BLUETOOTH UPGRADES AND (4) APPLE IPADS WIT OPERATIONAL SUPPORT
(28) PLEASANT VIEW VOLUNTEER FIRE DEPARTMENT
1119 MAIN STREET
PLEASANT VIEW,TN37146
62-1415221 GOVERNMENT   9,850   THERMAL IMAGE CAMERA, EVOLUTION 5800 TIC, 2X,F, QT, PALETTE AND TWO RECHARGE OPERATIONAL SUPPORT
(29) AED ALLIANCE INC
124 POINT PETER PLACE
ST MARYS,GA31558
27-4073632 501(C)(3)   9,951   (20) CARDIAC SCIENCE G3 AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) OPERATIONAL SUPPORT
(30) CITY OF FAIRFAX FIRE DEPARTMENT
4081 UNIVERSITY DRIVE SUITE 400
FAIRFAX,VA22030
54-6001266 GOVERNMENT   10,000   (2) TROXFIRE FORCIBLE ENTRY TRAINER OPERATIONAL SUPPORT
(31) GANTT FIRE SEWER AND POLICE DISTRICT
1331 WHITE HORSE ROAD
GREENVILLE,SC29605
57-6005604 GOVERNMENT   10,018   (4) AEDS OPERATIONAL SUPPORT
(32) TRAFALGAR VOLUNTEER FIRE DEPARTMENT
203 E PEARL STREET
TRAFALGAR,IN46181
35-1386124 GOVERNMENT   10,044   (4) CHAIN SAWS, (1) VENT SAW, (2) CUT-OFF MACHINES, (2) BLOWERS, (1) CORDLES OPERATIONAL SUPPORT
(33) OAK RIDGE FIRE DEPARTMENT
200 S TULANE AVE
OAK RIDGE,TN37830
62-6018662 GOVERNMENT   10,049   THERMAL IMAGING CAMERA OPERATIONAL SUPPORT
(34) SCIOTO VALLEY FIRE DISTRICT
100 N FRONT STREET
LARUE,OH43332
31-0945844 GOVERNMENT   10,080   FUNDING FOR THE DEPARTMENT TO RECEIVE EMS TRAINING TO ESTABLISH FIRST RESPON OPERATIONAL SUPPORT
(35) FAYETTEVILLE FIRE DEPARTMENT
113 W MOUNTAIN
FAYETTEVILLE,AR72701
71-6018462 GOVERNMENT   10,170   FORCIBLE ENTRY SIMULATOR--FEATURES INWARD AND OUTWARD SWINGING; BOLTLESS PIK OPERATIONAL SUPPORT
(36) NEW WINDSOR FIRE AND HOSE COMPANY #1
101 HIGH STREET
NEW WINDSOR,MD21776
23-7302941 501(C)(3)   10,276   FUNDING FOR (7) PHYSIO CONTROL LIFEPAK EXPRESS AEDS, CPR TRAINING SYSTEM, AN OPERATIONAL SUPPORT
(37) ROANE COUNTY SHERIFF'S OFFICE
230 N THIRD ST
KINGSTON,TN37763
62-6000806 GOVERNMENT   10,288   WE ARE REQUESTING (50) FIRST AID KITS. WE ARE ALSO REQUESTING (6) AED'S TO G OPERATIONAL SUPPORT
(38) JOHNS CREEK FIRE DEPARTMENT
12000 FINDLEY ROAD SUITE 400
JOHNS CREEK,GA30022
11-3793535 GOVERNMENT   10,769   BULLEX ITS EXTREME TRAINER'S PACKAGE OPERATIONAL SUPPORT
(39) FORT BEND COUNTY FIRE MARSHAL'S OFFICE
1521 EUGENE HEIMANN CIRCLE 114
RICHMOND,TX77469
74-6001969 GOVERNMENT   10,965   BULLEX FIRE EXTINGUISHER TRAINING SYSTEM OPERATIONAL SUPPORT
(40) HOBART FIRE DEPARTMENT
400 E 10TH ST
HOBART,IN46342
35-6001058 GOVERNMENT   10,995   1) MSA 5600 THERMAL IMAGING CAMERA AND ACCESSORIES. 10) MSA 30MIN AIR BOTTLE OPERATIONAL SUPPORT
(41) SUMMERTOWN COMMUNITY VOLUNTEER FIRE DEPARTMENT
PO BOX 231
SUMMERTOWN,TN38483
62-1582966 GOVERNMENT   11,141   BULLARD T3MAXBUNDLE WITH TRUCK CHARGER OPERATIONAL SUPPORT
(42) ADVANCE VOLUNTEER FIRE DEPARTMENT INC
106 EAST WALL STREET
ADVANCE,IN46102
35-2080399 GOVERNMENT   11,261   (3) PORTABLE RADIOS MOTOROLA APX6000 MODEL 800MHZ OPERATIONAL SUPPORT
(43) SPRINGFIELD FIRE DEPARTMENT
830 N BOONVILLE AVE
SPRINGFIELD,MO65802
44-6000268 GOVERNMENT   11,539   BULLSEYE LASER DRIVEN FIRE EXTINGUISHER TRAINING SYSTEM OPERATIONAL SUPPORT
(44) ELLIS CROSS COUNTRY FIRE DEPT
3420 OLD MOCKSVILLE RD
SALISBURY,NC28144
56-2079920 GOVERNMENT   11,805   BULLARD ECLIPSE LD BUNDLE OPERATIONAL SUPPORT
(45) MAURY COUNTY OFFICE OF EMERGENCY MANAGEMENT
302B W 7TH STREET
COLUMBIA,TN38401
62-6000744 501(C)(3)   11,815   (2) COMPLETE PUBLIC SAFETY DIVER'S GEAR SETS OPERATIONAL SUPPORT
(46) STAFFORD COUNTY FIRE AND RESCUE
1225 COURTHOUSE ROAD
STAFFORD,VA22554
54-6001626 GOVERNMENT   12,070   (1) AMKUS SPREADER, AMK-30CRT, 32' OPENING STD CPLG #300204462000, (1) AMKUS OPERATIONAL SUPPORT
(47) SUMTER FIRE DEPARTMENT
129 E HAMPTON AVE
SUMTER,SC29153
57-6000246 GOVERNMENT   12,094   (2) 10-TON PARATECH RESCUE LIFTS OPERATIONAL SUPPORT
(48) CAMPBELL COUNTY RESCUE SQUAD
155 RAINBOW FOREST DRIVE
LYNCHBURG,VA24502
54-6068579 GOVERNMENT   12,208   RESCUE 42 STRUT KIT OPERATIONAL SUPPORT
(49) ALLENFORCE
23512 W GRINTON DR
PLAINFIELD,IL60586
45-5119173 501(C)(3)   12,403   (1) OR MORE ACTION TRACK CHAIRS (ATC) OPERATIONAL SUPPORT
(50) VIRGINIA BEACH VOLUNTEER RESCUE SQUAD
740 VIRGINIA BEACH BLVD
VIRGINIA BEACH,VA23451
54-6047133 GOVERNMENT   12,490   (10) KED EXTRICATION DEVICES, (10) PEDI-PACS FOR PEDIATRIC TRANSPORT (30) HE OPERATIONAL SUPPORT
(51) ATLANTIC BEACH OCEAN RESCUE
850 SEMINOLE ROAD
ATLANTIC BEACH,FL32233
59-6000267 GOVERNMENT   12,502   SEA DOO GTI JET SKI, TRAILER, 3 YEAR MAINTENANCE SERVICE PLAN AND HIGH SURF OPERATIONAL SUPPORT
(52) CITY OF WINTER PARK FIRE RESCUE
343 W CANTON AVENUE
WINTER PARK,FL32789
59-6000454 GOVERNMENT   12,650   INFLATABLE FIRE SAFETY HOUSE OPERATIONAL SUPPORT
(53) CHELSEA FIRE AND RESCUE
160 CHESSER DRIVE
CITY OF CHELSEA,AL35043
63-1150471 GOVERNMENT   12,696   POLARIS RANGER 6 X 6 RESCUE ATV OPERATIONAL SUPPORT
(54) CRANBERRY TOWNSHIP EMERGENCY MEDICAL SERVICES
802 THOMPSON PARK DRIVE
CRANBERRY TOWNSHIP,PA16066
25-1419588 GOVERNMENT   12,840   (3) LIFEPAK AED TRAINERS, CPR MANIKINS AND EQUIPMENT, STAT MEDICAL MANIKIN OPERATIONAL SUPPORT
(55) QUEEN VALLEY FIRE DISTRICT
1494 E QUEEN VALLEY DRIVE
QUEEN VALLEY,AZ85118
86-0676778 GOVERNMENT   12,926   (14) SCBA BOTTLES OPERATIONAL SUPPORT
(56) MURPHY FIRE RESCUE
206 N MURPHY RD
MURPHY,TX75094
75-1410102 GOVERNMENT   13,155   2013 KAWASAKI MULE UTV 4X4 WITH EMERGENCY MEDICAL SETUP OPERATIONAL SUPPORT
(57) MAYFIELD HEIGHTS FIRE DEPARTMENT
6154 MAYFIELD ROAD
MAYFIELD HEIGHTS,OH44124
34-6001842 GOVERNMENT   13,162   ONE (1) HAZARD HOUSE SIMULATOR AND ONE (1) SPARKY THE FIRE DOG COSTUME OPERATIONAL SUPPORT
(58) CITY OF MILTON FIRE DEPARTMENT
5321 STEWART ST
MILTON,FL32570
59-6000377 GOVERNMENT   13,270   HURST E-DRAULIC COMBINATION RESCUE TOOL OPERATIONAL SUPPORT
(59) ASHWAUBENON PUBLIC SAFETY DEPARTMENT
2155 HOLMGREN WAY
GREEN BAY,WI54304
39-6031398 GOVERNMENT   13,272   (2) THERMAL IMAGING CAMERAS OPERATIONAL SUPPORT
(60) CITY OF ORLANDO FIRE DEPARTMENT
78 W CENTRAL
ORLANDO,FL32801
59-6000396 GOVERNMENT   13,495   (10) CPR MANIKINS, (10) AED TRAINERS, (20) AED PADS, (5) CHOKING TRAINERS OPERATIONAL SUPPORT
(61) TOWN OF COLLIERVILLECOLLIERVILLE FIRE & RESCUE
500 POPLAR VIEW PARKWAY
COLLIERVILLE,TN38017
62-6000268 GOVERNMENT   13,681   (68) PPE JACKETS, PERSONAL PROTECTION EQUIPMENT (PPE); AMERICAN NATIONAL STA OPERATIONAL SUPPORT
(62) NATALBANY VOL FIRE DEPARTMENT
PO BOX 337
NATALBANY,LA70451
72-0881182 GOVERNMENT   13,912   HURST CUTTER (JL-500), HURST TELESCOPIC RAM (T-41), 1 30 FT. HYDRAULIC HOSE, OPERATIONAL SUPPORT
(63) ARUNDEL VOLUNTEER FIRE DEPARTMENT
2380 DAVIDSONVILLE RD
GAMBRILLS,MD21054
52-0904507 GOVERNMENT   13,975   LUCAS 2 CHEST COMPRESSION SYSTEM OPERATIONAL SUPPORT
(64) BOSSIER PARISH SHERIFF'S OFFICE
204 BURT BLVD
BENTON,LA71006
72-6000187 GOVERNMENT   14,079   (1) CPR KIT, (2) CHOKING ADULT MANIKINS, (325) CPR MASK KITS, (8) AEDS, (9) OPERATIONAL SUPPORT
(65) ASHBURN VOLUNTEER FIRE RESCUE DEPARTMENT
20688 ASHBURN ROAD
ASHBURN,VA20147
54-0736744 GOVERNMENT   14,097   LUCAS CHEST COMPRESSION SYSTEM OPERATIONAL SUPPORT
(66) MONROE COUNTY FIRE RESCUE
490 63RD STREET
MARATHON,FL33050
59-6000749 GOVERNMENT   14,246   ONE PHYSIO CONTROL LUCAS 2, 2.1 CHEST COMPRESSION SYSTEM AND ACCESSORIES OPERATIONAL SUPPORT
(67) NEW HANOVER COUNTY FIRE RESCUE
230 GOVERNMENT CENTER DRIVE SUITE
130
WILMINGTON,NC28403
56-6000324 GOVERNMENT   14,454   HURST E-DRAULIC VEHICLE EXTRICATION SC 350 E COMBI PACKAGE AND HURST R411E R OPERATIONAL SUPPORT
(68) LINCOLN FIRE AND RESCUE
1801 Q ST
LINCOLN,NE68508
47-6006256 GOVERNMENT   14,878   (16) APPLE IPAD TABLETS AND ALL NECESSARY SOFTWARE AND ACCESSORIES OPERATIONAL SUPPORT
(69) CITY OF NORTH MYRTLE BEACH FIRE-RESCUE DEPARTMENT
1018 2ND AVE S
NORTH MYRTLE BEACH,SC29582
57-0509844 GOVERNMENT   15,121   RAD-57 CO2 MONITOR, (10 ) ADVANCED LIFE SUPPORT RESPONDER BACKPACKS, (10) C OPERATIONAL SUPPORT
(70) CITY OF HICKORY FIRE DEPARTMENT
19 2ND STREET DRIVE NE
HICKORY,NC28601
56-6001244 GOVERNMENT   15,194   (2) THERMAL IMAGING CAMERAS WITH CHARGERS OPERATIONAL SUPPORT
(71) CITY OF MT JULIET FIRE DEPARTMENT
104 BELINDA PARKWAY
MT JULIET,TN37122
62-0909621 GOVERNMENT   15,356   (2) THERMAL IMAGING CAMERAS OPERATIONAL SUPPORT
(72) SHILOH COMMUNITY VOLUNTEER FIRE DEPARTMENT
2149 JONES CHAPEL-SHILOH RD
DANIELSVILLE,GA30633
58-1833579 GOVERNMENT   15,509   (1) THERMAL IMAGER, 1,200 FT. OF 1.75' ATTACK LINE, (4) 1.5' ADJUSTABLE NOZZ OPERATIONAL SUPPORT
(73) FLAGLER BEACH FIRE DEPARTMENT
320 S FLAGLER AVE
FLAGLER BEACH,FL32136
50-6002308 GOVERNMENT   15,640   BUNKER/TURNOUT GEAR F.B.F.R. IS HUMBLY REQUESTING (10) SETS OF GEAR TO OUTFI OPERATIONAL SUPPORT
(74) CITY OF MAPLE HEIGHTS FIRE DEPARTMENT
5520 WARRENSVILLE CENTER RD
MAPLE HEIGHTS,OH44137
34-6001809 GOVERNMENT   15,680   MAPLE HEIGHTS FIRE DEPARTMENT IS REQUESTING ASSISTANCE TO PURCHASE (16) VARI OPERATIONAL SUPPORT
(75) WASHINGTON BOTTOM VOLUNTEER FIRE DEPARTMENT
10643 DUPONT RD
WASHINGTON,WV26181
55-6024280 GOVERNMENT   15,717   ROPE RESCUE/CONFINED SPACE RESCUE EQUIPMENT OPERATIONAL SUPPORT
(76) MIFFLIN TOWNSHIP DIVISION OF FIRE
485 ROCKY FORK BLVD
GAHANNA,OH43230
31-6400736 GOVERNMENT   15,789   FORCIBLE ENTRY DOOR SIMULATOR & TRAINING PROPS OPERATIONAL SUPPORT
(77) HOLT COMMUNITY FIRE PROTECTION DISTRICT
260 STATE ROUTE 33 HWY
HOLT,MO64048
43-1080498 GOVERNMENT   15,841   ZOLL AUTOPULSE & ACCESSORIES OPERATIONAL SUPPORT
(78) SURPRISE FIRE DEPARTMENT
14250 STATLER PLAZE STE 101
SURPRISE,AZ85374
86-6007796 GOVERNMENT   15,998   STAIR CHAIR, STRYKER GURNEY, FIRST AID TENTS, A WHEELCHAIR, O2 CYLINDERS, AN OPERATIONAL SUPPORT
(79) MT PENN FIRE COMPANY #1
2711 GRANT STREET
READING,PA19606
23-0895740 501(C)(3)   16,208   8 SETS OF PERSONAL PROTECTIVE EQUIPMENT (PANTS AND COATS) OPERATIONAL SUPPORT
(80) STRATMOOR HILLS FIRE DEPARTMENT
2160 B STREET
COLORADO SPRINGS,CO80906
84-0535270 GOVERNMENT   16,493   (1) TIF 8800 GAS MONITOR, (1) QRAE GAS MONITOR, (1) MULTI-RAE GAS MONITOR, ( OPERATIONAL SUPPORT
(81) BELLS FIRE DEPARTMENT
1022 EAST MARTIN LANE
SHERMAN,TX75090
75-2747080 GOVERNMENT   16,650   TECGEN WILD LAND/EXTRICATION PPE OPERATIONAL SUPPORT
(82) CLAYTON COUNTY POLICE DEPARTMENT
7911 N MCDONOUGH
JONESBORO,GA30236
58-6000802 GOVERNMENT   16,713   A POLE CAMERA OPERATIONAL SUPPORT
(83) CITY OF SOUTHSIDE PLACE FIRE DEPARTMENT
6309 EDLOE AVE
HOUSTON,TX77005
74-6001166 GOVERNMENT   16,820   BULLARD T4 MAX THERMAL IMAGING CAMERA AND REMOTE IMAGE RECEIVER OPERATIONAL SUPPORT
(84) COATES BEND VOLUNTEER FIRE AND RESCUE
1140 PULLTIGHT RD
GADSDEN,AL35901
63-0755296 GOVERNMENT   16,830   TURNOUT GEAR (11 SETS) OPERATIONAL SUPPORT
(85) FORT WAYNE FIRE DEPARTMENT
1 MAIN ST SUITE 901
FORT WAYNE,IN46802
35-6001029 GOVERNMENT   17,022   (500) SMOKE ALARMS AND RADIATION MONITORS OPERATIONAL SUPPORT
(86) HURLEY FIRE DEPARTMENT
311 MAIN
HURLEY,SD57036
46-0355708 GOVERNMENT   17,229   (4) POSITIVE PRESSURE SCBA UNITS WITH SPARE CYLINDERS OPERATIONAL SUPPORT
(87) NORTH COUNTY FIRE PROTECTION DISTRICT
330 SOUTH MAIN AVE
FALLBROOK,CA92028
95-6005429 GOVERNMENT   17,417   (1) ZOLL AUTOPULSE AUTOMATED CHEST COMPRESSION DEVICE AND; (1) AUTOPULSE LI- OPERATIONAL SUPPORT
(88) STONE BLUFF VOLUNTEER FIRE DEPARTMENT
19265 US HIGHWAY 64
HASKELL,OK74436
73-1333688 GOVERNMENT   18,116   CASCADE SYSTEM, 1 SINGLE FILL STATION OPERATIONAL SUPPORT
(89) MURFREESBORO FIRE AND RESCUE DEPARTMENT
220 NW BROAD ST
MURFREESBORO,TN37130
62-6000374 GOVERNMENT   18,134   (1) POLARIS RANGER, (1) EMERGENCY MEDICAL RESCUE SLIDEIN SKID UNIT OPERATIONAL SUPPORT
(90) CLAY COUNTY FIRE RESCUE
4003 EVERETT AVE
MIDDLEBURG,FL32068
59-3158203 GOVERNMENT   18,198   ALL-TERRAIN VEHICLE (ATV) EQUIPPED WITH SKID UNIT OPERATIONAL SUPPORT
(91) SYLVANIA TOWNSHIP FIRE DEPARTMENT
8210 SYLVANIA
SYLVANIA,OH43560
34-6401390 GOVERNMENT   18,395   GATOR MOTO UTILITY VEHICLE ELECTRO EMS/RESCUE BUBBLE BUDDY LS VEHICLE OPERATIONAL SUPPORT
(92) GRAND RAPIDS FIRE DEPARTMENT
38 LAGRAVE AVE SE
GRAND RAPIDS,MI49503
38-6004689 GOVERNMENT   18,550   MATERIALS INCLUDING- 1,000 SMOKE DETECTORS, COLORING BOOKS, PENCILS PRINTED OPERATIONAL SUPPORT
(93) ELIZABETH CITY FIRE DEPARTMENT
304 E COLONIAL AVENUE
ELIZABETH CITY,NC27909
56-6000226 GOVERNMENT   18,556   WATER RESCUE BOAT, MOTOR, TRAILER AND APPROVED COAST GUARD KIT OPERATIONAL SUPPORT
(94) TUCSON FIRE DEPARTMENT
300 S FIRE CENTRAL PL
TUCSON,AZ85701
86-6000266 GOVERNMENT   18,637   (5) LIGHT WEIGHT INDUSTRIAL POSITIVE PRESSURE RESPIRATOR PROTECTION AIR PACK OPERATIONAL SUPPORT
(95) ST AUGUSTINE BEACH POLICE DEPARTMENT
2300 A1A SOUTH
ST AUGUSTINE,FL32080
59-0560946 GOVERNMENT   19,099   (20) TRAUMA KITS, (12) AEDS OPERATIONAL SUPPORT
(96) NORTH FAYETTE TOWNSHIP VFD
7678 STEUBENVILLE PIKE
OAKDALE,PA15071
23-7378029 501(C)(3)   19,118   WE ARE REQUESTING A COMPLETE SET OF RESCUE AIR BAGS FOR OUR RESCUE TRUCK AND OPERATIONAL SUPPORT
(97) FAIRCHILD VOLUNTEER FIRE DEPARTMENT
8715 FAIRCHILDS RD
RICHMOND,TX77469
76-0133487 GOVERNMENT   19,250   RESCUE EQUIPMENT- JAWS OF LIFE HURST TOOLS OPERATIONAL SUPPORT
(98) CASCADE VOLUNTEER FIRE DEPARTMENT
9 FRONT STREET
CASCADE,MT59421
81-6001242 GOVERNMENT   19,251   (8) SETS OF TURNOUT GEAR (BOOTS, COAT, PANTS, HELMET, GLOVES AND BAG), THERM OPERATIONAL SUPPORT
(99) CITY OF FALLS CHURCH POLICE DEPARTMENT
300 PARK AVE
FALLS CHURCH,VA22046
54-6001271 GOVERNMENT   19,330   AVATAR 2 SEARCH AND RESCUE ROBOT OPERATIONAL SUPPORT
(100) WARRENTON VOLUNTEER FIRE COMPANY
167 W SHIRLEY AVE
WARRENTON,VA20186
54-1415798 GOVERNMENT   19,496   (5) HELMETS, (5) GOGGLES, (6) GLOVES, (5) HOODS, (5) BOOTS, (5) TURNOUT JAC OPERATIONAL SUPPORT
(101) WILLIAMSBURG FIRE DEPARTMENT
444 NORTH BOUNDARY ST
WILLIAMSBURG,VA23185
54-6001680 GOVERNMENT   19,501   EMS ALL-TERRAIN RESPONSE VEHICLE OPERATIONAL SUPPORT
(102) DIXMOOR FIRE DEPARTMENT
166 WEST 145TH STREET
DIXMOOR,IL60426
36-2704808 GOVERNMENT   19,520   HURST E-DRAULIC COMBINATION RESCUE TOOL AND HURST EDRAULIC SPREADERS OPERATIONAL SUPPORT
(103) MULBERRY FIRE DEPARTMENT
207 N MAIN STREET
MULBERRY,AR72947
71-0401368 GOVERNMENT   19,544   JAWS OF LIFE AND VEHICLE STABILIZATION EQUIPMENT OPERATIONAL SUPPORT
(104) DELAWARE COUNTY EMS
10 COURT STREET
DELAWARE,OH43015
31-6400065 GOVERNMENT   19,667   KUBOTA RTV 900 ALL-TERRAIN UTILITY VEHICLE, ACCESSORIES, SKID UNIT, ALL EMER OPERATIONAL SUPPORT
(105) BLUFFTON TOWNSHIP FIRE DISTRICT
357 FORDING ISLAND RD
BLUFFTON,SC29909
57-0788462 501(C)(3)   19,996   (2) BULLARD T-3 THERMAL IMAGING CAMERAS AND ACCESSORIES OPERATIONAL SUPPORT
(106) BOSTON FIRE DEPARTMENT
115 SOUTHAMPTON ST
BOSTON,MA21180
40-6001380 GOVERNMENT   19,999   E-DRAULIC TOOLS AND ACCESSORIES. OPERATIONAL SUPPORT
(107) ORLAND FIRE PROTECTION DISTRICT
9790 151ST STREET
ORLAND PARK,IL60462
36-2798043 GOVERNMENT   20,000   PARTIAL FUNDING OF A TRAILER TO PROVIDE FIRE SAFETY, HOME/OFFICE SAFETY, AND OPERATIONAL SUPPORT
(108) INDEPENDENCE POLICE DEPARTMENT
223 MEMORIAL DR
INDEPENDENCE,MO64050
44-6000190 GOVERNMENT   20,000   AEGIS LAW ENFORCEMENT MOBILE UNIT SOFTWARE- MOBILE MESSAGING & IN-CAR MAPPIN OPERATIONAL SUPPORT
(109) CITY OF SEMINOLE FIRE RESCUE
9199 113TH ST
SEMINOLE,FL33772
59-1319441 GOVERNMENT   20,000   FIRE PREVENTION/FIRE SAFETY CURRICULUM SUPPLEMENT OPERATIONAL SUPPORT
(110) PEACHTREE CITY FIRE AND RESCUE
105 N PEACHTREE PKWY
PEACHTREE CITY,GA30269
58-1079955 GOVERNMENT   20,004   (13) MUSTANG SURVIVAL WATER RESCUE DRY SUITS OPERATIONAL SUPPORT
(111) COLLEGE OF COASTAL GEORGIA DEPARTMENT OF PUBLIC SAFETY
1 COLLEGE DR
BRUNSWICK,GA31520
58-0939565 501(C)(3)   20,257   20 FOOT TRAILER FULLY EQUIPPED WITH GENERATOR AND RESCUE GEAR OPERATIONAL SUPPORT
(112) SOUTHEAST VOLUNTEER FIRE DEPARTMENT
6012 LIBERTY RD
CLIMAX,NC27233
23-7228442 GOVERNMENT   20,969   HOLMATRO HYDRAULIC EXTRICATION TOOLS: PUMP, CUTTER AND SPREADER OPERATIONAL SUPPORT
(113) NORMAN FIRE DEPARTMENT
415 E MAIN STREET
NORMAN,OK73069
73-6005350 GOVERNMENT   21,544   ATV- SPECIAL EVENTS EMS RESPONSE UNIT OPERATIONAL SUPPORT
(114) ROCKY RIDGE FIRE DISTRICT
2911 METROPOLITAN WAY
BIRMINGHAM,AL35243
63-0483770 GOVERNMENT   21,957   PORTABLE RADIOS WITH LAPEL MICROPHONES OPERATIONAL SUPPORT
(115) SPRINGDALE FIRE DEPARTMENT
12147 LAWNVIEW AVE
SPRINGDALE,OH45246
31-6010111 GOVERNMENT   22,058   (10) SETS OF BUNKER PANTS AND TURNOUT COATS, (2) CPR MANNEQUINS, (4) AED TRA OPERATIONAL SUPPORT
(116) UNIFIED FIRE AUTHORITY OF GREATER SALT LAKE
3380 SOUTH 900 WEST
SALT LAKE CITY,UT84119
75-3134967 501(C)(3)   22,150   (10) SETS OF STRUCTURAL FIREFIGHTING PROTECTIVE ENSEMBLES (PPE/TURNOUTS) (20 OPERATIONAL SUPPORT
(117) LEHI CITY FIRE DEPARTMENT
176 N CENTER ST
LEHI,UT84043
87-6000240 GOVERNMENT   22,240   (2) BULLARD ECLIPSE THERMAL IMAGERS, BATTERIES, ECLIPSE CONTROL PANEL SOFTWA OPERATIONAL SUPPORT
(118) OHIO TOWNSHIP FIRE DEPARTMENT
2400 OLD PLANK ROAD
NEWBURGH,IN47630
36-1965647 GOVERNMENT   22,369   TRAINING MEDIA AND SUPPORTING RESOURCES FROM ACTION TRAINING SYSTEMS OPERATIONAL SUPPORT
(119) PHOENIX CHILDREN'S HOSPITAL FOUNDATION
2929 EAST CAMELBACK ROAD SUITE 122
PHOENIX,AZ85032
74-2421549 501(C)(3)   22,414   GLIDESCOPE AVL REUSABLE, AVL PRETERMS/SMALL CHILD VIDEO LARYNGOSCOPE OPERATIONAL SUPPORT
(120) SAINT PAUL FIRE DEPARTMENT
1683 ENERGY PARK DRIVE
SAINT PAUL,MN55108
41-6005521 GOVERNMENT   22,871   18 ALPHA EAGLE 903SV/901DV FLIGHT HELMETS. THESE HELMETS ARE PROTECTIVE EQUI OPERATIONAL SUPPORT
(121) WATERFORD REGIONAL FIRE DEPARTMENT
2495 CRESCENT LAKE RD
WATERFORD,MI48329
38-6007299 GOVERNMENT   22,973   (3) SCBAS WITH MASKS AND (3) SPARE AIR CYLINDERS OPERATIONAL SUPPORT
(122) SAN DIEGO FIRE RESCUE FOUNDATION
330 ENCINITAS BLVD SUITE 101
ENCINITAS,CA92024
20-3461105 501(C)(3)   23,412   (280) MOTOROLA REMOTE SPEAKER MICROPHONES OPERATIONAL SUPPORT
(123) PIKE TOWNSHIP FIRE DEPARTMENT
4881 W 71ST STREET
INDIANAPOLIS,IN46268
35-1311688 GOVERNMENT   24,300   RESCUE ONE CONNECTOR BOAT OPERATIONAL SUPPORT
(124) NORMAN REGIONAL HEALTH FOUNDATION EMSSTAT DEPARTMENT
901 N PORTER AVE
NORMAN,OK73070
73-1203942 GOVERNMENT   24,999   2013 TRAVEL TRAILER KZ MXT OPERATIONAL SUPPORT
(125) VIBORG POLICE DEPARTMENT
110 N MAIN STREET
VIBORG,SD57070
46-6000503 GOVERNMENT   25,085   2014 DODGE RAM 1500 4X4 SPECIAL SERVICE POLICE PATROL VEHICLE OPERATIONAL SUPPORT
(126) NETWORK OF TRUST SCHOOL HEALTH PROGRAM
800 N JEFFERSON ST
ALBANY,GA31701
58-1928247 501(C)(3)   25,517   (17) AEDS WITH PEDIATRIC ELECTRODE PADS AND WALL CABINETS OPERATIONAL SUPPORT
(127) CITY OF HUBER HEIGHTS DIVISION OF FIRE
7008 BRANDT PIKE
HUBER HEIGHTS,OH45424
31-6000621 GOVERNMENT   26,467   LUCAS CHEST COMPRESSION SYSTEM OPERATIONAL SUPPORT
(128) YMCA OF FLORIDA'S FIRST COAST- 25 LOCATIONS
12735 GRAN BAY PARKWAY SUITE 250
JACKSONVILLE,FL32258
59-0638514 501(C)(3)   26,991   (7) EMERGENCY O2 BOTTLES, (3) CARDIAC SCIENCE AEDS, (3) PEDIATRIC AED DEFIBR OPERATIONAL SUPPORT
(129) LEFTHAND FIRE PROTECTION DISTRICT
900 LEFTHAND CANYON DRIVE
BOULDER,CO80302
84-0892162 GOVERNMENT   27,667   ZOLL X SERIES 12-LEAD CARDIAC MONITOR WITH TRANSCOTANEOUS PACING, PULSE OXIM OPERATIONAL SUPPORT
(130) PANAMA CITY BEACH POLICE DEPARTMENT
17110 FIRENZO AVENUE
PANAMA CITY BEACH FL,FL32413
59-6045116 GOVERNMENT   28,947   SURF RESCUE EQUIPMENT FOR THE SURF RESCUE AND MARINE PATROL OPERATIONAL SUPPORT
(131) UNIVERSITY OF SOUTH FLORIDA POLICE DEPARTMENT
4202 EAST FOWLER AVE
TAMPA,FL33620
59-3102112 GOVERNMENT   29,440   15 AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) OPERATIONAL SUPPORT
(132) MED FLIGHT OF OHIO
2827 WEST DUBLIN
COLUMBUS,OH43205
31-1428613 501(C)(3)   29,604   PEDIATRIC SIMULATION MANNEQUIN (SIMJUNIOR), SIMPAD SYSTEM, PATIENT MONITOR- OPERATIONAL SUPPORT
(133) LACEY'S SPRING VOLUNTEER FIRE DEPARTMENT
10299 HWY 36 EAST
LACEYS SPRING,AL35754
63-0728451 GOVERNMENT   31,245   15 SETS OF HEAD TO TOE TURNOUT GEAR, INCLUDING HELMETS, HOODS, COATS, GLOVES OPERATIONAL SUPPORT
(134) UNIVERSITY OF SOUTH ALABAMA SAFETY AND ENVIRONMENTAL COMPLIANCE
5795 USA DRIVE NORTH ROOM 332
MOBILE,AL36688
63-0477348 GOVERNMENT   31,315   (22) POWERHEART AEDS AND (2) WALL MOUNT CABINETS WITH ALARMS OPERATIONAL SUPPORT
(135) ATLANTIC BEACH POLICE DEPARTMENT
850 SEMINOLE ROAD
ATLANTIC BEACH,FL32233
59-6000267 GOVERNMENT   31,680   (23) CARDIAC SCIENCE POWERHEART AED G3 PLUS MOBILE RESPONDER VALUE PACKAGES OPERATIONAL SUPPORT
(136) CLARK COUNTY FIRE DEPARTMENT
4425 W TROPICANA
LAS VEGAS,NV89103
88-6000028 GOVERNMENT   33,334   (5) MULTI-FORCE DOORS/SIMULATORS AND TRAINING DVD OPERATIONAL SUPPORT
(137) SPARTANBURG PUBLIC SAFETY DEPARTMENT
145 WEST BROAD STREET
SPARTANBURG,SC29304
57-6000245 GOVERNMENT   10,600   A SKID UNIT OPERATIONAL SUPPORT
(138) HOUSTON FIRE DEPARTMENT
600 JEFFERSON
HOUSTON,TX77002
01-7460011 GOVERNMENT   12,100   IN EFFORTS TO PROMOTE FIRE SAFETY, THE HOUSTON FIRE DEPARTMENT HAS CREATED T OPERATIONAL SUPPORT
(139) ST CHARLES COUNTY AMBULANCE DISTRICT
4169 OLD MILL PKWY
ST PETERS,MO63376
43-1065830 GOVERNMENT   12,837   (17) RESCUE PACKS, (1) OTC DRUG CACHE, (2) MISTING FANS, (1) ICE MACHINE, (3 OPERATIONAL SUPPORT
(140) CITY OF CARROLLTON TX FIRE RESCUE
1945 E JACKSON RD
CARROLTON,TX75006
75-6000478 GOVERNMENT   14,783   27 CUT-OFF VALVES AND 8 NOZZLES OPERATIONAL SUPPORT
(141) HERNANDO COUNTY FIRE RESCUE
60 VETERANS AVE
BROOKSVILLE,FL34601
59-1155275 GOVERNMENT   16,921   POLARIS UTV OPERATIONAL SUPPORT
(142) NEPTUNE BEACH POLICE DEPARTMENT
200 LEMON STREET
NEPTUNE BEACH,FL32266
80-1262164 GOVERNMENT   17,194   (10) AED UNITS WITH RELATED SOFTWARE, ACCESSORIES INCLUDING BATTERIES, TRAIN OPERATIONAL SUPPORT
(143) O'FALLON FIRE PROTECTION DISTRICT
119 E ELM STREET
OFALLON,MO63366
03-0000766 GOVERNMENT   17,806   STRUCTURAL FIREFIGHTING HELMETS (30) AND A THERMAL IMAGING CAMERA OPERATIONAL SUPPORT
(144) MURFREESBORO FIRE AND RESCUE DEPARTMENT
304 E COLONIAL AVENUE
ELIZABETH CITY,NC27909
56-6000226 GOVERNMENT   18,556   WATER RESCUE BOAT, MOTOR, TRAILER AND APPROVED COAST GUARD KIT OPERATIONAL SUPPORT
(145) CITY OF SEMINOLE FIRE RESCUE
9199 113TH ST
SEMINOLE,FL33772
59-1319441 GOVERNMENT   20,000   FIRE PREVENTION/FIRE SAFETY CURRICULUM SUPPLEMENT OPERATIONAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
144
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE ORGANIZATION PROVIDES GRANT FUNDING PURSUANT TO THE EXEMPT MISSION OF THE ORGANIZATION. ASSISTANCE IS PROVIDED TO ORGANIZATIONS, PRIMARILY FIRE DEPARTMENTS, ACROSS THE COUNTRY. THE BOARD REVIEWS ALL GRANT FUNDING AT REGULARLY HELD BOARD MEETINGS. ASSISTANCE IS PROVIDED BASED UPON THE GRANTEE'S NEED FOR FUNDING AND THE INTENDED USE OF THE FUNDS.
Schedule I (Form 990) 2013


Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION INC
 
Employer identification number

20-3588745
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)ROBIN PETERSEXECUTIVE DIRECTOR (i)
(ii)
137,205
0
0
0
0
0
10,105
0
17,417
0
164,727
0
0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
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
FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION INC
 
Employer identification number

20-3588745
Return Reference Explanation
PART III LINE 4 OVERVIEW: THE AVERAGE PUBLIC SAFETY ENTITIES OPERATES IN COMMUNITIES WITH A POPULATION OF 30,000. MANY OF THESE DEPARTMENTS ARE STRAPPED FOR CASH AND RESOURCES. THEY NEED ESSENTIAL TOOLS FOR EMERGENCIES, INCLUDING FIRES, VEHICULAR ACCIDENTS AND SEARCH AND RESCUE OPERATIONS. THESE BASIC PIECES OF EQUIPMENT CAN MEAN THE DIFFERENCE BETWEEN LIFE AND DEATH FOR MEMBERS OF THE COMMUNITY AND EVEN THE FIRST RESPONDERS. THE IMPACT OF DONATIONS MADE TO FIRST RESPONDERS AND PUBLIC SAFETY ORGANIZATIONS HAS A REACH FAR BEYOND THE DOLLAR AMOUNTS AND THE NUMBER OF AWARDED DEPARTMENTS.
FORM 990, PART VI, SECTION A, LINE 2 ROBIN SORENSEN AND CHRIS SORENSEN HAVE A FAMILY RELATIONSHIP
FORM 990, PART VI, SECTION B, LINE 11 THE BOARD HAS DESIGNATED THIS RESPONSIBILITY TO THE DIRECTOR AND THE ACCOUNTING DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION MONITORS AND ENFORCES THEIR COMPLIANCE WITH THE POLICY AT THE ANNUAL BOARD MEETING. ALL BOARD MEMBERS ARE REMINDED OF THE CONFLICT POLICY AND INQUIRIES ARE MADE AS TO WHETHER CONFLICTS CURRENTLY EXIST.
FORM 990, PART VI, SECTION B, LINE 15A THE BOARD REVIEWS AND APPROVES COMPENSATION PAID TO THE FOUNDATION DIRECTOR. COMPARABLE SALARY INFORMATION IS USED TO DETERMINE THE COMPENSATION
FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 AND FORM 1023 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
FORM 990 PART VIII LN 8 WHILE THE TOTAL REVENUE FROM THE TWO FUNDRAISING EVENTS FELL BELOW THE EXPENSES FOR THOSE EVENTS, THE FOUNDATION WAS ABLE TO OBTAIN AN ADDITIONAL $29,459 IN GENERAL CONTRIBUTIONS BY HOSTING OF THESE EVENTS, BRINGING THE NET RECEIPTS FROM THE EVENTS TO $24,262. AN ADDITIONAL BENEFIT WAS THE OPPORTUNITY TO RAISE AWARENESS OF THE MISSION TO A NEW MARKET, INCREASING THE POTENTIAL FOR LONG TERM DONATIONS AND FUTURE REVENUE GROWTH. SEE THE COMPLETE RECONCILIATION BELOW: POND GOLF TOURNAMENT / FIREHOUSE SUBS MEN'S DOUBLES TENNIS TOURNAMENT FUNDRAISER PROCEEDS: $70,440 GENERAL CONTRIBUTIONS RECEIVED AT EVENT: $29,459 TOTAL RECEIPTS: $99,899 DIRECT EXPENSES: ($75,637) NET RECEIPTS FROM FUNDRAISING EVENTS: $24,262
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:  
Software Version: