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 (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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 27,628 | 18,366 | 42,368 | 33,727 | 7,830 | 129,919 |
| 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...... | 68,383,187 | 65,747,642 | 62,135,192 | 59,434,825 | 58,158,285 | 313,859,131 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 68,410,815 | 65,766,008 | 62,177,560 | 59,468,552 | 58,166,115 | 313,989,050 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 313,989,050 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 68,410,815 | 65,766,008 | 62,177,560 | 59,468,552 | 58,166,115 | 313,989,050 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 39,201 | 171,909 | 213,837 | 229,735 | 214,630 | 869,312 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 39,201 | 171,909 | 213,837 | 229,735 | 214,630 | 869,312 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 0 | 0 | 0 | 0 | 0 | |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 68,450,016 | 65,937,917 | 62,391,397 | 59,698,287 | 58,380,745 | 314,858,362 |
| 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 | ||||
| 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 2015 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-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, 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 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| 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 I, LINE 6 | BLOOD CENTERS OF THE PACIFIC (BCP) VOLUNTEERS PROVIDE VITAL SUPPORT FOR PATIENTS. NOT ONLY DO VOLUNTEERS PROVIDE DIRECT SERVICES TO BLOOD DONORS, BUT VOLUNTEERS ALSO PLAY A CRITICAL ROLE IN SUPPORTING A VARIETY OF OUR OPERATIONS. BCP VOLUNTEERS WORK AT A DONATION CENTER OR BLOOD DRIVES, SERVE REFRESHMENTS AND MONITOR DONORS AFTER THEY HAVE GIVEN BLOOD, DELIVER BLOOD COMPONENTS TO LOCAL HOSPITALS, PROVIDE ADMINISTRATIVE SUPPORT, AND PROVIDE CLERICAL AND SOME TECHNICAL SUPPORT IN VARIOUS RESEARCH DEPARTMENTS. FORM 990, PART III, LINE 3 and FORM 990, PART VI, LINE 4 On January 1, 2016, Blood Systems, Inc. acquired BloodSource, INC., a California non-profit blood banking organization that is exempt from federal taxes under IRS Section 501(c)(3) located in Sacramento, California. Concurrent with this transaction, Blood Centers of the Pacific was merged into BloodSource, INC. and Blood Systems, Inc. became the sole corporate member of BloodSource, INC. |
| FORM 990, PART VI, LINES 1A | THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF ONE (1) OR MORE INDIVIDUAL(S) APPOINTED BY THE MEMBER, TWO (2) OR MORE MEMBERS APPOINTED BY THE BOARD, AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. ALL MEMBERS OF THE EXECUTIVE COMMITTEE SHALL BE MEMBERS OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE THE FOLLOWING RESPONSIBILITIES: - ACT ON BEHALF OF THE BOARD BETWEEN MEETINGS; - ADVISE BOARD ON ALL SIGNIFICANT MATTERS OF CORPORATE BUSINESS; - ENSURE THAT ORDERS AND RESOLUTIONS OF THE BOARD ARE CARRIED THROUGH; - AND ESTABLISH EXECUTIVE COMPENSATION AND WHEN APPROPRIATE, DETERMINES/APPROVES BONUSES AND OTHER COMPENSATION PACKAGES FOR EXECUTIVE STAFF. FORM 990, PART VI, LINES 6 THE SOLE CORPORATE MEMBER OF BLOOD CENTERS OF THE PACIFIC (BCP) IS BLOOD SYSTEMS, INC. (BSI), A RELATED TAX-EXEMPT ORGANIZATION. |
| FORM 990, PART VI, LINE 7A | AS THE SOLE CORPORATE MEMBER, BSI CAN ELECT TWO MEMBERS OF THE BCP BOARD OF DIRECTORS AND CAN ACCEPT OR REFUSE INDIVIDUALS NOMINATED BY THE BCP NOMINATING COMMITTEE. |
| FORM 990, PART VI, LINE 7B | IN ADDITION TO THE RIGHTS AND POWERS AFFORDED TO BSI AS THE CORPORATE MEMBER PURSUANT TO CALIFORNIA LAW, BSI HAS THE FOLLOWING RESERVED RIGHTS: (A) ACCEPT OR REFUSE INDIVIDUALS NOMINATED BY THE NOMINATING COMMITTEE TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION IN ACCORDANCE WITH SECTION 6.3 OF THE BYLAWS; (B) APPOINT TWO (2) MEMBERS OF THE BOARD OF DIRECTORS AND CONTINUALLY APPOINT SUCH MEMBERS' REPLACEMENTS TO ENSURE THAT AT ALL TIMES THE BOARD OF DIRECTORS INCLUDES AT LEAST TWO (2) MEMBERS APPOINTED DIRECTLY BY THE MEMBER; (C) HIRE AND TERMINATE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; (D) APPROVE THE MISSION STATEMENT OF THE CORPORATION; (E) APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; (F) APPROVE ANY MERGER, JOINT VENTURE, PARTNERSHIP, AFFILIATION, OR SALE OR PURCHASE OF ASSETS TO WHICH THE CORPORATION IS A PARTY, WHICH IS NOT IN THE REGULAR COURSE OF BUSINESS OF THE CORPORATION; (G) APPROVE THE FORMATION OF ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (H) APPROVE THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (I) APPROVE THE CORPORATION'S INCURRENCE OR REFINANCING OF DEBT IN EXCESS OF $100,000, IN THE AGGREGATE, IN ANY FISCAL YEAR; AND (J) SELECT THE INDEPENDENT FINANCIAL ACCOUNTANTS/AUDITORS OF THE CORPORATION. |
| FORM 990, PART VI, LINE 11B | A COPY OF THE DRAFT FORM 990 AND SCHEDULES IS SUPPLIED TO ALL BOARD MEMBERS FOR THEIR REVIEW AND COMMENTARY PRIOR TO FILING WITH THE IRS. AN EDUCATIONAL PRESENTATION IS MADE TO THE FINANCE AND INVESTMENT COMMITTEE, WHICH INCLUDES THE CHAIRMAN, VICE CHAIRMAN, SECRETARY/TREASURER, AND FIVE OTHER MEMBERS OF THE BOARD TO HIGHLIGHT KEY DISCLOSURES AND INFORMATION. IN CONJUNCTION WITH THIS PRESENTATION, THE FINANCE AND INVESTMENT COMMITTEE CLOSELY REVIEWS THE RETURN AND PROVIDES ANY QUESTIONS/COMMENTS TO MANAGEMENT. AFTER ALL COMMENTS/QUESTIONS ARE ADDRESSED, THE COMMITTEE APPROVES THE RETURN FOR FILING AND ERNST & YOUNG, THE PAID PREPARER, INCORPORATES ANY CHANGES INTO THE FINALIZED RETURN. THE FINAL DRAFT FORM 990 IS PROVIDED TO THE ENTIRE VOTING BOARD PRIOR TO FILING. |
| FORM 990, PART VI, LINE 12C | EACH YEAR, THE BOARD OF TRUSTEES AND SENIOR MANAGEMENT ARE REQUESTED TO SIGN AND RETURN A CONFLICT OF INTEREST FORM TO COMPANY COUNSEL. ANY CONFLICTS DISCLOSED ARE DISCUSSED IN EXECUTIVE SESSION WITH THE BOARD AND RESOLVED. IN ADDITION, IN PREPARATION FOR THE FORM 990 FILING, THE TRUSTEES, OFFICERS AND KEY EMPLOYEES IDENTIFIED ARE REQUIRED TO RESPOND TO A COMPREHENSIVE CONFLICT OF INTEREST AND FAMILY RELATIONSHIP QUESTIONNAIRE. ANY CONFLICTS DISCLOSED ARE DISCUSSED WITH THE BOARD AND DISCLOSED APPROPRIATELY ON THE FORM 990. |
| FORM 990, PART VI, LINE 15A | BCP EMPLOYS A MULTI-FACETED APPROACH AND MANY RESOURCES IN DETERMINING THE COMPENSATION OF ITS CEO. BCP HR, IN CONJUNCTION WITH BSI (ITS PARENT), UTILIZES INDEPENDENT COMPENSATION CONSULTANTS AS WELL AS REGIONAL COMPENSATION AND MARKET SURVEYS TO OBTAIN BASELINE DATA. FINALLY, BCP'S EXECUTIVE COMMITTEE, ALONG WITH THE HR DIRECTOR, REVIEWS ALL OF THE DATA PRESENTED FROM INTERNAL AND EXTERNAL SOURCES TO ASCERTAIN THE APPROPRIATE AND MARKET-COMPETITIVE COMPENSATION. THE DELIBERATIONS AROUND COMPENSATION DECISIONS ARE DISCUSSED ANNUALLY AT THE MAY EXECUTIVE SESSIONS. THE MINUTES FOR THESE EXECUTIVE SESSIONS ARE MAINTAINED BY THE BOARD. |
| FORM 990, PART VI, LINE 15B | BCP EMPLOYS A MULTI-FACETED APPROACH AND MANY RESOURCES IN DETERMINING THE COMPENSATION OF ITS KEY EMPLOYEES. BCP HR, IN CONJUNCTION WITH BLOOD SYSTEMS, INC. (ITS PARENT), UTILIZES INDEPENDENT COMPENSATION CONSULTANTS AS WELL AS REGIONAL COMPENSATION AND MARKET SURVEYS TO OBTAIN BASELINE DATA. FINALLY, BCP'S CEO, COO AND HR DIRECTOR, REVIEW ALL OF THE DATA PRESENTED FROM INTERNAL AND EXTERNAL SOURCES TO ASCERTAIN THE APPROPRIATE MARKET-COMPETITIVE COMPENSATION. THE DELIBERATIONS AROUND COMPENSATION DECISIONS ARE DISCUSSED ANNUALLY AT THE MAY EXECUTIVE SESSIONS. THE MINUTES FOR THESE EXECUTIVE SESSIONS ARE MAINTAINED BY THE BOARD. |
| FORM 990, PART VI, LINE 19 | AS A NON-PROFIT ORGANIZATION, FORM 990 IS AVAILABLE IN ITS ENTIRETY TO ANY INDIVIDUAL OR BUSINESS THAT DESIRES TO EXAMINE IT. ALL REQUESTS FOR REVIEW HAVE BEEN HANDLED EXPEDITIOUSLY TO ENSURE THAT THE REQUESTORS RECEIVE THEIR DESIRED INFORMATION IN A TIMELY MANNER. THE FORM 990 FOR CURRENT AND PAST YEARS IS ALSO POSTED ON GUIDESTAR FOR ORGANIZATIONS TO ACCESS. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9 | PENSION EXPENSES OTHER THAN PERIODIC COST $ (1,499,222) TRANSFER OF NET ASSETS DUE TO MERGER $(24,535,225) ------------ TOTAL $(26,034,447) ============ |
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| Software Version: |