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.") .... | ||||||
| 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 | ||||||
| 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).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
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) |
||||
| 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 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 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) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
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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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, PAGE 2, PART III, LINE 4D | PREMIER PUBLISHING FROM THE PREMIER REGISTRY (PROSPECTIVE REGISTRY EVALUATING OUTCOMES AFTER MYOCARDIAL INFARCTION: EVENTS AND RECOVERY) REMAINS A LARGE PART OF CVO'S ACCOMPLISHMENTS. THE EXTENSIVE DATABASE WAS USED BY MULTIPLE INVESTIGATORS, PHYSICIANS AND NURSES ALIKE, FOR NUMEROUS PUBLICATIONS THIS YEAR. GENETIC CLOPIDOGREL RESPONSIVENESS CYP PROJECT CVO BEGAN WORKING WITH WASHINGTON UNIVERSITY GENETICISTS IN 2011 TO ANALYZE SPECIMENS FROM SUBJECTS IN TRIUMPH, PREMIER AND OTHER STUDIES.ALL GENETIC ANALYSIS IS COMPLETE AND SEVERAL PRESENTATIONS AT PROFESSIONAL CONFERENCES AS WELL AS SEVERAL ABSTRACTS AND MANUSCRIPTS HAVE BEEN PUBLISHED. ADJUDICATION OF CLINICAL ENDPOINTS CVO SPONSORED THE MEDICAL REVIEW AND ADJUDICATION OF THE CLINICAL OUTCOMES FROM TWO STUDIES, OUTCOMES OF PCI STUDY (OPS; SPONSORED BY THE AMERICAN HEART ASSOCIATION) AND PRISM (PERSONALIZED RISK INFORMATION SERVICES MANAGER; SPONSORED BY NIH). A PANEL OF PHYSICIANS REVIEWED REHOSPITALIZATION RECORDS OF PATIENTS ENROLLED IN THE 2 STUDIES TO DETERMINE IF THE PATIENT'S REASON FOR HOSPITALIZATION WAS CARDIAC OR NON- CARDIAC IN NATURE. THIS LED TO MULTIPLE PROFESSIONAL PRESENTATIONS AND PUBLICATIONS FOR THESE STUDIES. |
| FORM 990, PAGE 6, PART VI, LINE 11B | IN ACCORDANCE WITH ITS REVIEW FUNCTION, THE BOARD OF DIRECTORS SHALL TAKE THE FOLLOWING ACTIONS: "SELECT THE FORM 990 PREPARER. "CONDUCT A DETAILED REVIEW OF THE FORM 990 AND CONSIDER THE ISSUES PRESENTED. "ENSURE THAT THE MISSION STATEMENT STATED IN THE FORM 990 HAS BEEN APPROVED BY THE BOARD OF DIRECTORS. "CAREFULLY MONITOR THE DESCRIPTION OF THE CORPORATION'S PURPOSES AND ACTIVITIES REPORTED ON THE FORM 990 TO ENSURE ACCURACY AND COMPLIANCE WITH SECTION 501(C)(3). "APPROVE AND DISTRIBUTE THE ANNUAL DISCLOSURE STATEMENT TO OFFICERS, DIRECTORS AND KEY EMPLOYEES TO ACQUIRE INFORMATION ON THEIR RESPECTIVE FAMILY AND BUSINESS RELATIONSHIPS, TRANSACTIONS WITH THE CORPORATION, POTENTIAL CONFLICTS OF INTEREST, AND OTHER INFORMATION NEEDED TO ANSWER VARIOUS FORM 990 QUESTIONS AND COMPLY WITH THE CORPORATION'S CONFLICTS OF INTEREST POLICY. "CONSULT DIRECTLY WITH THE FORM 990 PREPARER AND LEGAL COUNSEL RELATIVE TO ANY ISSUES PRESENTED ON THE FORM. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH COVERED PERSON WILL ANNUALLY SIGN A STATEMENT THAT AFFIRMS SUCH PERSON: "HAS RECEIVED A COPY OF THIS POLICY; "HAS READ AND UNDERSTANDS THE POLICY; "HAS AGREED TO COMPLY WITH THE POLICY; AND "UNDERSTANDS THE CORPORATION IS EXEMPT FROM FEDERAL INCOME TAX AND TO MAINTAIN ITS FEDERAL TAX EXEMPTION THE CORPORATION MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN ADDITION, EACH COVERED PERSON WILL ANNUALLY COMPLETE, SIGN AND PROMPTLY RETURN TO THE BOARD OR THE EXECUTIVE COMMITTEE A QUESTIONNAIRE AND DISCLOSURE STATEMENT SUBSTANTIALLY IN THE FORM ATTACHED HERETO. A COVERED PERSON NEED NOT DISCLOSE COMPENSATION PAID TO THE COVERED PERSON BY CORPORATION PURSUANT TO A RESOLUTION OF THE BOARD. PERIODIC REVIEWS TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS TAX-EXEMPT PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, THE BOARD OR THE EXECUTIVE COMMITTEE WILL CONDUCT PERIODIC REVIEWS. THE PERIODIC REVIEWS WILL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: "IF THE CORPORATION PAYS COMPENSATION, WHETHER THE CORPORATION COMPENSATION ARRANGEMENTS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND ARE THE RESULT OF ARM'S-LENGTH BARGAINING; AND "WHETHER TRANSACTIONS AND ARRANGEMENTS WITH OTHER ENTITIES AND INDIVIDUALS CONFORM TO THE CORPORATION'S POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S TAX-EXEMPT PURPOSES AND DO NOT RESULT IN PRIVATE INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT, OR IN AN EXCESS BENEFIT TRANSACTION. USE OF OUTSIDE EXPERTS WHEN CONDUCTING THE PERIODIC REVIEWS PROVIDED FOR ABOVE, THE BOARD OR THE EXECUTIVE COMMITTEE SHOULD RELY ON APPROPRIATE OUTSIDE EXPERTS WHEN APPROPRIATE SUCH AS ATTORNEYS, APPRAISERS, OR COMPENSATION OR OTHER CONSULTANTS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE ORGANIZATION DOES NOT COMPENSATE ITS TOP OFFICER'S. |
| FORM 990, PAGE 6, PART VI, LINE 15B | 1. SERVICES TO BE PROVIDED MUST BE SPECIFIED AND APPROVED BY A BOARD MEMBER, INCLUDING A MAXIMUM REIMBURSEMENT AMOUNT. 2. ONCE SERVICES ARE APPROVED, A SUMMARY OF WORK PROVIDED, DIRECT EXPENSES AND ANY CONSULTATION FEES MUST ACCOMPANY AN INVOICE PRIOR TO ANY PAYMENT BEING ISSUED. CONSULTATION FEES WILL REQUIRE DOCUMENTATION OF HOURS SPENT OR SERVICES PERFORMED AND WILL BE PROVIDED AT THE CONSULTANT'S USUAL AND CUSTOMARY FEE. THESE WILL BE APPROVED BY A BOARD MEMBER AS BEING REASONABLE FOR THE SERVICES PROVIDED. 3. IF SERVICES ARE PROVIDED WITHOUT A FORMAL, SIGNED AGREEMENT, THEN PAYMENT AMOUNT WILL BE DETERMINED BY THE OFFICER OR BOARD MEMBER, AS IF THE REQUEST HAD BEEN MADE PRIOR TO THE COMPLETION OF THE WORK. IF APPROVAL IS NOT PROVIDED, THEN NO PAYMENTS WILL BE MADE. AN INVOICE IS REQUIRED PRIOR TO ANY PAYMENT BEING ISSUED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ON THE COMPANY'S WEBSITE "WWW.CVOUTCOMES.ORG" THERE IS A STATEMENT STATING "POLICIES RELATED TO THE GOVERANCE OF CV OUTCOMES, INC. ARE AVAILABLE UPON REQUEST." WHEN YOU CLICK ON THE STATEMENT, IT WILL LINK TO AN E-MAIL ADDRESS WERE PEOPLE CAN REQUEST THE INFORMATION THEY WANT. |
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