Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 1,131,988 | 1,866,840 | 1,570,558 | 752,534 | 1,515,097 | 6,837,017 |
| 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.. | 1,576 | 1,576 | ||||
| 4 | Total. Add lines 1 through 3 | 1,133,564 | 1,866,840 | 1,570,558 | 752,534 | 1,515,097 | 6,838,593 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 3,531,746 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 3,306,847 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,133,564 | 1,866,840 | 1,570,558 | 752,534 | 1,515,097 | 6,838,593 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 154,632 | 157,660 | 169,342 | 175,934 | 118,414 | 775,982 |
| 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 VI.).. | 1,883 | 1,835 | 1,007 | 2,931 | 7,656 | |
| 11 | Total support Add lines 7 through 10. | 7,622,231 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION AMENDED ITS BYLAWS AS OF NOVEMBER 6, 2014. THEY CHANGED THE ADDRESS OF THE REGISTERED OFFICE. THEY INCREASED THE MAXIMUM NUMBER OF ACTIVELY SERVING BOARD MEMBERS FROM 15 TO 16. FORMERLY, MEMBERS WERE REFERRED TO AS MEMBERS AND NOW THEY ARE REFERRED TO AS DIRECTORS. QUARTERLY MEETINGS WERE PREVIOUSLY REQUIRED IN SPECIFIC MONTHS WHEREAS NOW THEY ARE JUST REQUIRED QUARTERLY. BOARD OFFICER TERMS WERE REDUCED FROM TWO YEARS TO ONE YEAR. DIRECTORS FILLING VACANCIES PRIOR TO THE EXPIRATION OF THE TERM ARE ELIGIBLE TO BE ELECTED TO A SUBSEQUENT FULL TERM NOW. THE NEW BYLAWS SPECIFY A PROGRESSION OF LEADERSHIP AS FOLLOWS: A DIRECTOR ELECTED TO SERVE IN THE OFFICE OF VICE CHAIR SHALL BE ENCOURAGED,UPON COMPLETION OF HIS TERM AS VICE CHAIR, TO SUBSEQUENTLY SERVE IN THE OFFICE OF THE CHAIR; THE CHAIR, UPON COMPLETION OF HIS TERM, SHALL THEN BE ENCOURAGED TO SUBSEQUENTLY SERVE AS PAST CHAIR. THE PROGRESSION OF OFFICERS STATED HERIN WILL NOT BE ASSUMED WITHOUT ELECTION; RATHER, EACH OFFICER SHALL BE ELECTED TO FILL SUBSEQUENT OFFICES AS REQUIRED IN SECTION 1 IN THIS ARTICLE IV. THE CHAIR DUTIES HAVE NOW BEEN AMENDED TO INCLUDE THE CHAIR'S RESPONSIBLITY TO RECORD OR OVERSEE THE RECORDING OF THE MINUTES OF ALL MEETING AND PROCEEDINGS. THE VICE CHAIR'S DUTIES HAVE BEEN AMENDED TO INCLUDE THE RESPONSIBILITY OF CHAIRING STANDING OR SPECIAL COMMITTEES IN THE ABSENCE OR DISABILITY OF THE CHAIR. THE PRESIDENT'S DUTIES HAVE BEEN AMENDED TO INCLUDE THE MAINTENANCE OF THE RECORDS AND DOCUMENTS OF THE CORPORATION AND THE SEAL OF THE CORPORATION, AND ASSURANCE THAT THE SEAL IS AFFIXED TO ALL DOCUMENTS REQUIRING SUCH SEAL. THE SECRETARY/TREASURER'S DUTIES HAVE BEEN AMENDED TO INCLUDE PERFORMING ACTS AS MAY BE PRESCRIBED BY THE BOARD AND THE CHAIR AND AS ARE USUALLY INCIDENT TO AN OFFICE OF SECRETARY/TREASURER OF THE BOARD. THE ELECTION OF CORPORATE OFFICERS IS NO LONGER REQUIRED TO BE VOTED ON AT THE SAME MEETING THAT THE BOARD CONSIDERS THE BUDGET FOR THE UPCOMING YEAR. THE POSITIONS OF CORPORATE SECRETARY AND ASSISTANT CORPORATE SECRETARY ARE ELIMINATED AS OFFICER POSITIONS. THE ASSISTANT CORPORATE TREASURER IS RENAMED CFO. COMMUNITY MEMBERS ARE NOW ALLOWED TO SERVE ON STANDING COMMITTEES, EXCEPT THE EXECUTIVE COMMITTEE, IF APPROVED BY THE BOARD CHAIR. MEMBERS OF THE EXECUTIVE COMMITTEE SHALL NOW BE RECOMMENDED BY THE GOVERNANCE COMMITTEE, NOMINATED BY THE CHAIR AND APPROVED BY THE BOARD. MEMBERS OF THE PLANNING AND DEVELOPMENT COMMITTEE SHALL BE RECOMMENDED BY THE GOVERNANCE COMITTEE, NOMINATED BY THE CHAIR AND APPROVED BY THE BOARD. THE CHAIR OF THE JIM BERNSTEIN HEALTH LEADERSHIP FUND COMMITTEE MUST NOW BE RECOMMENDED BY THE GOVERNANCE COMMITTEE, NOMINATED BY THE CHAIR OF THE BOARD, AND ELECTED BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS REVIEWED BY THE VP OF FINANCE AND ADMINISTRATION, FOUNDATION PRESIDENT/CEO, AND THE FINANCE COMMITTEE. ONCE THE 990 IS APPROVED BY THE AUDIT & THE FINANCE COMMITTEE, A COPY OF THE 990 IS SENT TO ALL BOARD MEMBERS FOR FINAL REVIEW BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD REQUIRES ANNUAL FULL DISCLOSURE OF ANY CONFLICTS OF INTEREST. A DISCLOSURE STATEMENT IS SIGNED EACH YEAR BY ALL STAFF MEMBERS AND THE BOARD REQUESTING IN WRITING A STATEMENT OF ALL POSSIBLE CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR KEY EMPLOYEES OTHER THAN THE PRESIDENT IS DETERMINED BY THE PRESIDENT, WHO COMPARES THE POSITION TO THE GENERAL MARKET AND TO OTHER ORGANIZATIONS WHO PERFORM SIMILAR TYPES OF WORK. COMPENSATION FOR THE PRESIDENT IS DETERMINED BY THE BOARD AND IS ALSO DETERMINED BY THE GENERAL MARKET AND SIMILAR ORGANIZATIONS. EDUCATION, TRAINING AND EXPERIENCE ALSO WEIGH HEAVILY FOR A GIVEN ROLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE UPON WRITTEN REQUEST AT THE OFFICE OF THE FOUNDATION. |
| FORM 990, PART IX, LINE 11G | SUBRECIPIENT PAYMENTS: PROGRAM SERVICE EXPENSES 688,174. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 688,174. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 45,691. MANAGEMENT AND GENERAL EXPENSES 3,267. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,958. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 13,739. MANAGEMENT AND GENERAL EXPENSES 20,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,770. |
| FORM 990, PART XI, LINE 9: | BAD DEBT EXPENSE -1,306. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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