Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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 |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 609,183 | 171,064 | 182,304 | 50,616 | 893 | 1,014,060 |
| 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 | 609,183 | 171,064 | 182,304 | 50,616 | 893 | 1,014,060 |
| 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).. | 635,217 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 378,843 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 609,183 | 171,064 | 182,304 | 50,616 | 893 | 1,014,060 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 22,754 | 23,331 | 28,603 | 26,337 | 25,668 | 126,693 |
| 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 | 1,148,353 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) |
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| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| 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.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE FOUNDATION. THE EXECUTIVE COMMITTEE SHALL OVERSEE THE FOUNDATION OFFICE AND MAY EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS, IF EXPEDITED ACTION IS REQUIRED BETWEEN BOARD MEETINGS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE FOUNDATION IS AMERICA'S BLOOD CENTERS (ABC). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ABC ARE VOTING, EX-OFFICIO MEMBERS OF THE FOUNDATION'S BOARD. THE FOUNDATION'S EXECUTIVE DIRECTOR IS A NON-VOTING, EX OFFICIO MEMBER OF THE FOUNDATION'S BOARD. IN THE EVENT THE CHIEF EXECUTIVE OFFICER OF ABC ALSO SERVES AS THE EXECUTIVE DIRECTOR OF THE FOUNDATION, THAT PERSON SHALL BE A VOTING AND EX OFFICIO MEMBER OF THE FOUNDATION'S BOARD. AS A DIVISION OF ABC, THE ADRP ADVISORY BOARD PRESIDENT WILL BE A VOTING, EX-OFFICIO MEMBER OF THE FOUNDATION'S BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER'S GOVERNING BODY ACTS AS THE MEMBER. THE MEMBER IS REQUIRED TO APPROVE ALL AMENDMENTS TO THE FOUNDATION'S GOVERNING DOCUMENTS; ANY MERGERS, AFFILIATIONS OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE FOUNDATION; AND ANY CHANGES TO THE PURPOSES FOR WHICH THE FOUNDATION IS FORMED. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE ABC FINANCE COMMITTEE REVIEWS THE FABC 990 AND MAKES RECOMMENDATION REGARDING APPROVAL TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CEO IN CONJUNCTION WITH HR SERVICES IS TASKED WITH MONITORING THE CONFLICT OF INTEREST POLICY. THE FOLLOWING PROBLEM SOLVING PROCEDURES APPLY TO SUSPECTED AND REPORTED CONFLICTS OF INTEREST: AMERICA'S BLOOD CENTERS STRIVES TO PROVIDE A COMFORTABLE, PRODUCTIVE, LEGAL, AND ETHICAL WORK ENVIRONMENT. TO THIS END, WE WANT YOU TO BRING ANY PROBLEMS, CONCERNS, OR GRIEVANCES YOU HAVE ABOUT THE WORK PLACE TO THE ATTENTION OF YOUR SUPERVISOR AND, IF NECESSARY, TO HUMAN RESOURCES OR UPPER LEVEL MANAGEMENT. TO HELP MANAGE CONFLICT RESOLUTION WE HAVE INSTITUTED THE FOLLOWING PROBLEM SOLVING PROCEDURE: IF YOU BELIEVE THERE IS INAPPROPRIATE CONDUCT OR ACTIVITY ON THE PART OF THE ORGANIZATION, MANAGEMENT, ITS EMPLOYEES, VENDORS, CUSTOMERS, OR ANY OTHER PERSONS OR ENTITIES RELATED TO THE ORGANIZATION, BRING YOUR CONCERNS TO THE ATTENTION OF YOUR SUPERVISOR AT A TIME AND PLACE THAT WILL ALLOW THE PERSON TO PROPERLY LISTEN TO YOUR CONCERN. MOST PROBLEMS CAN BE RESOLVED INFORMALLY THROUGH DIALOGUE BETWEEN YOU AND YOUR IMMEDIATE SUPERVISOR. IF YOU HAVE ALREADY BROUGHT THIS MATTER TO THE ATTENTION OF YOUR SUPERVISOR BEFORE AND DO NOT BELIEVE YOU HAVE RECEIVED A SUFFICIENT RESPONSE, OR IF YOU BELIEVE THAT PERSON IS THE SOURCE OF THE PROBLEM, PRESENT YOUR CONCERNS TO HUMAN RESOURCES OR UPPER LEVEL MANAGEMENT. DESCRIBE THE PROBLEM, THOSE PERSONS INVOLVED IN THE PROBLEM, EFFORTS YOU HAVE MADE TO RESOLVE THE PROBLEM, AND ANY SUGGESTED SOLUTION YOU MAY HAVE. ALL DIRECTORS OF THE FOUNDATION FOR AMERICA'S BLOOD CENTERS (FABC) ARE EXPECTED TO ACT WITH HONESTY AND INTEGRITY AVOIDING ACTUAL OR APPARENT CONFLICTS OF INTEREST. ALTHOUGH IT IS NOT ALWAYS POSSIBLE TO AVOID CONFLICTS OF INTEREST, FABC EXPECTS DIRECTORS - ONCE ELECTED - TO CONSULT IN ADVANCE WITH FABC STAFF BEFORE UNDERTAKING NEW POSITIONS OR RESPONSIBILITIES OUTSIDE OF FABC THAT COULD LEAD TO CONFLICTS OF INTEREST WITH ANY OF THEIR FABC DUTIES. THE DIRECTOR MUST DISCLOSE TO THE BOARD OF DIRECTORS AND TO FABC'S STAFF ANY MATERIAL TRANSACTION OR RELATIONSHIP HE/SHE HAS THAT COULD REASONABLY BE EXPECTED TO GIVE RISE TO A CONFLICT OF INTEREST. FABC'S STAFF (OR IF THE STAFF IS NOT AVAILABLE, THE BOARD CHAIR) WILL REVIEW AND ADDRESS POTENTIAL CONFLICTS OF INTEREST AND RELATED PARTY TRANSACTIONS AND MAY REQUIRE THE DIRECTOR NOT TO PARTICIPATE IN SPECIFIC DECISIONS. A DIRECTOR SHALL NOT VOTE OR ACT IN ANY MATTER WHEREIN PERSONAL BENEFIT MAY INURE. FURTHER, ANY DIRECTOR SHALL PUBLICLY DISCLOSE SUCH PERSONAL BENEFIT CONFLICT OF INTEREST IN ANY MEETING AND AT THE EARLIEST POSSIBLE OPPORTUNITY DURING CONSIDERATION OF SUCH MATTER. PROCEEDINGS ARE DOCUMENTED IN THE MEETING MINUTES OR AS OTHERWISE APPROPRIATE. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE ABC BOARD OF DIRECTORS GOES THROUGH AN EXTENSIVE REVIEW PROCESS EACH YEAR TO DETERMINE THE ABC CEO'S COMPENSATION. THE PRESIDENT OF AMERICA'S BLOOD CENTER SENDS OUT A COMPENSATION EVALUATION FORM TO THE BOARD OF DIRECTORS WHO THEN RETURNS THE FORM TO THE PRESIDENT. AT THE AMERICA'S BLOOD CENTER INTERIM MEETING, THE BOARD HOLDS AN EXECUTIVE SESSION TO DISCUSS THE SUMMARY OF THE EVALUATION. THE PRESIDENT THEN INFORMS AMERICA'S BLOOD CENTER OF ANY CHANGES IN THE CEO'S COMPENSATION PACKAGE USUALLY RETROACTIVE TO APRIL 1. THE FOUNDATION DOES NOT EMPLOY ANY EXECUTIVE MANAGEMENT OR EMPLOY ANY OFFICERS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Software ID: | |
| Software Version: |