Return of Organization Exempt From Income Tax

Transcription

1 Form Part I 1 22 Part II Sign Here 990 Department of the Treasury Internal Revenue Servie Paid Preparer Use Only Return of Organization Exempt From Inome Tax Under setion 501(), 527, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) Do not enter soial seurity numers on this form as it may e made puli. Information aout Form 990 and its instrutions is at A For the 2014 alendar year, or tax year eginning, 2014, and ending, 20 B Ativities & Governane Revenue Expenses SAME AS C ABOVE AZ Summary Briefly desrie the organization's mission or most signifiant ativities: 100 CLUB OF ARIZONA PROVIDES ASSISTANCE TO 2 Chek this ox if the organization disontinued its operations or disposed of more than 25% of its net assets. 3 Numer of voting memers of the governing ody (Part VI, line 1a) Numer of independent voting memers of the governing ody (Part VI, line 1) Total numer of individuals employed in alendar year 2014 (Part V, line 2a) Total numer of volunteers (estimate if neessary) a Total unrelated usiness revenue from Part VIII, olumn (C), line a Net unrelated usiness taxale inome from Form 990-T, line a Contriutions and grants (Part VIII, line 1h) Program servie revenue (Part VIII, line 2g) Investment inome (Part VIII, olumn (A), lines 3, 4, and 7d)... Other revenue (Part VIII, olumn (A), lines 5, 6d, 8, 9, 10, and 11e)... Total revenue - add lines 8 through 11 (must equal Part VIII, olumn (A), line 12)... Grants and similar amounts paid (Part I, olumn (A), lines 1-3) Benefits paid to or for memers (Part I, olumn (A), line 4) Salaries, other ompensation, employee enefits (Part I, olumn (A), lines 5-10)... Professional fundraising fees (Part I, olumn (A), line 11e) Total fundraising expenses (Part I, olumn (D), line 25) Other expenses (Part I, olumn (A), lines 11a-11d, 11f-24e)... 73, Total expenses. Add lines (must equal Part I, olumn (A), line 25)... Revenue less expenses. Sutrat line 18 from line Total assets (Part, line 16)... Total liailities (Part, line 26)... Net assets or fund alanes. Sutrat line 21 from line Signature Blok 2014 Open to Puli Inspetion C Name of organization 100 CLUB OF ARIZONA D Employer identifiation no. Name hange Numer and street (or P.O. ox if mail is not delivered to street address) Room/suite E Telephone numer F K Form of organization: Corporation Trust Assoiation Other L Year of formation: M State of legal domiile: Net Assets or Fund Balanes Chek if appliale: Address hange Initial return Final return/terminated Amended return Appliation pending Doing usiness as City or town, state or provine, ountry, and ZIP or foreign postal ode Name and address of prinipal offier: H(a) Prior Year Beginning of Current Year G Is this a group return for suordinates? OMB Gross reeipts$ I Tax-exempt status: 501()(3) 501() ( ) (insert no.) 4947(a)(1) or 527 H() Are all suordinates inluded? If "," attah a list. (see instrutions) J Wesite: H() Group exemption numer Under penalties of perjury, I delare that I have examined this return, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is true, orret, and omplete. Delaration of preparer (other than offier) is ased on all information of whih preparer has any knowledge. Signature of offier Type or print name and title Print/Type preparer's name Preparer's signature Date Chek if PTIN Date Current Year End of Year Tess L Ridgway self-employed P Firm's name Firm's address Firm's EIN Sottsdale AZ May the IRS disuss this return with the preparer shown aove? (see instrutions)... For Paperwork Redution At tie, see the separate instrutions. Form 990 (2014) Phone no N 44TH STREET 100 (602) PHOENI, AZ SHARON KNUTSON FELI ARIZONA PUBLIC SAFETY OFFICERS, FIREFIGHTERS, THEIR AGENCIES AND FAMILIES THROUGH TRAINING, PURCHASING OF SAFETY EQUIPMENT, EDUCATIONAL SCHOLARSHIPS, MENTAL WELLNESS AND FINANCIAL SUPPORT IN RESPONSE TO INJURY, DEATH STEVE HORRELL STEVE HORRELL, SECRETARY Tess L Ridgway CPA 6350 N 78th Street Unit 295 4,342, ,821,932 2,486,939 45,238 36,931 57,983 92,661 (39,440) (88,436) 6,885,713 2,528,095 3,329,341 3,536, , , , ,104 4,022,091 4,433,047 2,863,622 (1,904,952) 4,620,377 2,812,082 21, ,687 4,598,730 2,680,

2 Form 990 (2014) Page 2 Part III Statement of Program Servie Aomplishments Chek if Shedule O ontains a response or note to any line in this Part III... 1 Briefly desrie the organization's mission: 100 CLUB OF ARIZONA PROVIDES ASSISTANCE TO ARIZONA PUBLIC SAFETY OFFICERS, FIREFIGHTERS, THEIR AGENCIES AND FAMILIES THROUGH TRAINING, PURCHASING OF SAFETY EQUIPMENT, EDUCATIONAL SCHOLARSHIPS, MENTAL WELLNESS AND FINANCIAL SUPPORT IN RESPONSE TO INJURY, DEATH Did the organization undertake any signifiant program servies during the year whih were not listed on the prior Form 990 or 990-EZ?... If "," desrie these new servies on Shedule O. Did the organization ease onduting, or make signifiant hanges in how it onduts, any program servies?... If "," desrie these hanges on Shedule O. Desrie the organization's program servie aomplishments for eah of its three largest program servies, as measured y expenses. Setion 501()(3) and 501()(4) organizations are required to report the amount of grants and alloations to others, the total expenses, and revenue, if any, for eah program servie reported. 4a (Code: ) (Expenses $ 4,056,730 inluding grants of $ ) (Revenue $ ) 100 CLUB OF ARIZONA ASSISTED 8 FAMILIES SUFFERING DEATH IN THE LINE OF DUTY; 111 FAMILIES AND INDIVIDUALS SUFFERING INJURIES IN THE LINE OF DUTY; 22 FAMIIES AND INDIVIDUALS SUFFERING INJURIES NOT IN THE LINE OF DUTY; FAMILIES AND INDIVIDUALS THROUGH THEIR HEROES AND SPECIAL NEEDS PROGRAMS; INDIVIDUALS WHO WERE TRAINED IN PEER 100 SEMINARS; SURVIVOR FAMILIES; AND 105 SCHOLARSHIPS AWARDED 4 (Code: ) (Expenses $ inluding grants of $ ) (Revenue $ ) 4 (Code: ) (Expenses $ inluding grants of $ ) (Revenue $ ) 4d 4e Other program servies (Desrie in Shedule O.) (Expenses $ inluding grants of $ ) (Revenue $ ) Total program servie expenses 4,056,730 Form 990 (2014)

3 Form 990 (2014) Page 3 Part IV Cheklist of Required Shedules 1 Is the organization desried in setion 501()(3) or 4947(a)(1) (other than a private foundation)? If "," omplete Shedule A Is the organization required to omplete Shedule B, Shedule of Contriutors (see instrutions)? Did the organization engage in diret or indiret politial ampaign ativities on ehalf of or in opposition to andidates for puli offie? If "," omplete Shedule C, Part I Setion 501()(3) organizations. Did the organization engage in loying ativities, or have a setion 501(h) eletion in effet during the tax year? If "," omplete Shedule C, Part II Is the organization a setion 501()(4), 501()(5), or 501()(6) organization that reeives memership dues, a Did the organization report an amount for land, uildings, and equipment in Part, line 10? If "," omplete Shedule D, Part VI... 11a Did the organization report an amount for investments - other seurities in Part, line 12 that is 5% or more of its total assets reported in Part, line 16? If "," omplete Shedule D, Part VII Did the organization report an amount for investments - program related in Part, line 13 that is 5% or more of its total assets reported in Part, line 16? If "," omplete Shedule D, Part VIII d Did the organization report an amount for other assets in Part, line 15 that is 5% or more of its total assets reported in Part, line 16? If "," omplete Shedule D, Part I... 11d e Did the organization report an amount for other liailities in Part, line 25? If "," omplete Shedule D, Part... 11e f Did the organization's separate or onsolidated finanial statements for the tax year inlude a footnote that addresses the organization's liaility for unertain tax positions under FIN 48 (ASC 740)? If "," omplete Shedule D, Part... 11f 12a Did the organization otain separate, independent audited finanial statements for the tax year? If "," omplete Shedule D, Parts I and II... 12a Was the organization inluded in onsolidated, independent audited finanial statements for the tax year? If "," and if the organization answered "" to line 12a, then ompleting Shedule D, Parts I and II is optional Is the organization a shool desried in setion 170()(1)(A)(ii)? If "," omplete Shedule E a Did the organization maintain an offie, employees, or agents outside of the United States?... 14a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, a assessments, or similar amounts as defined in Revenue Proedure 98-19? If "," omplete Shedule C, Part III... Did the organization maintain any donor advised funds or any similar funds or aounts for whih donors have the right to provide advie on the distriution or investment of amounts in suh funds or aounts? If "," omplete Shedule D, Part I... Did the organization reeive or hold a onservation easement, inluding easements to preserve open spae, the environment, histori land areas, or histori strutures? If "," omplete Shedule D, Part II... Did the organization maintain olletions of works of art, historial treasures, or other similar assets? If "," omplete Shedule D, Part III... Did the organization report an amount in Part, line 21, for esrow or ustodial aount liaility; serve as a ustodian for amounts not listed in Part ; or provide redit ounseling, det management, redit repair, or det negotiation servies? If "," omplete Shedule D, Part IV... Did the organization, diretly or through a related organization, hold assets in temporarily restrited endowments, permanent endowments, or quasi-endowments? If "," omplete Shedule D, Part V... If the organization's answer to any of the following questions is "," then omplete Shedule D, Parts VI, VII, VIII, I, or as appliale. fundraising, usiness, investment, and program servie ativities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "," omplete Shedule F, Parts I and IV Did the organization report on Part I, olumn (A), line 3, more than $5,000 of grants or other assistane to or for any foreign organization? If "," omplete Shedule F, Parts II and IV Did the organization report on Part I, olumn (A), line 3, more than $5,000 of aggregate grants or other assistane to or for foreign individuals? If "," omplete Shedule F, Parts III and IV Did the organization report a total of more than $15,000 of expenses for professional fundraising servies on Part I, olumn (A), lines 6 and 11e? If "," omplete Shedule G, Part I (see instrutions) Did the organization report more than $15,000 total of fundraising event gross inome and ontriutions on Part VIII, lines 1 and 8a? If "," omplete Shedule G, Part II Did the organization report more than $15,000 of gross inome from gaming ativities on Part VIII, line 9a? If "," omplete Shedule G, Part III Did the organization operate one or more hospital failities? If "," omplete Shedule H... 20a If "" to line 20a, did the organization attah a opy of its audited finanial statements to this return? Form 990 (2014)

4 Form 990 (2014) Page 4 Part IV Cheklist of Required Shedules (ontinued) a d 25a Part IV instrutions for appliale filing thresholds, onditions, and exeptions): a A urrent or former offier, diretor, trustee, or key employee? If "," omplete Shedule L, Part IV... 28a A family memer of a urrent or former offier, diretor, trustee, or key employee? If "," omplete Shedule L, Part IV An entity of whih a urrent or former offier, diretor, trustee, or key employee (or a family memer thereof) was an offier, diretor, trustee, or diret or indiret owner? If "," omplete Shedule L, Part IV Did the organization reeive more than $25,000 in non-ash ontriutions? If "," omplete Shedule M Did the organization reeive ontriutions of art, historial treasures, or other similar assets, or qualified onservation ontriutions? If "," omplete Shedule M Did the organization liquidate, terminate, or dissolve and ease operations? If "," omplete Shedule N, Part I Did the organization sell, exhange, dispose of, or transfer more than 25% of its net assets? If "," omplete Shedule N, Part II Did the organization own 100% of an entity disregarded as separate from the organization under Regulations setions and ? If "," omplete Shedule R, Part I Was the organization related to any tax-exempt or taxale entity? If "," omplete Shedule R, Part II, III, or IV, and Part V, line a Did the organization have a ontrolled entity within the meaning of setion 512()(13)?... 35a If "" to line 35a, did the organization reeive any payment from or engage in any transation with a ontrolled entity within the meaning of setion 512()(13)? If "," omplete Shedule R, Part V, line Setion 501()(3) organizations. Did the organization make any transfers to an exempt non-haritale related organization? If "," omplete Shedule R, Part V, line Did the organization ondut more than 5% of its ativities through an entity that is not a related organization 38 Did the organization report more than $5,000 of grants or other assistane to any domesti organization or domesti government on Part I, olumn (A), line 1? If "," omplete Shedule I, Parts I and II... Did the organization report more than $5,000 of grants or other assistane to or for domesti individuals on Part I, olumn (A), line 2? If "," omplete Shedule I, Parts I and III... Did the organization answer "" to Part VII, Setion A, line 3, 4, or 5 aout ompensation of the organization's urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees? If "," omplete Shedule J... Did the organization have a tax-exempt ond issue with an outstanding prinipal amount of more than $100,000 as of the last day of the year, that was issued after Deemer 31, 2002? If "," answer lines 24 through 24d and omplete Shedule K. If "," go to line 25a... Did the organization invest any proeeds of tax-exempt onds eyond a temporary period exeption?... Did the organization maintain an esrow aount other than a refunding esrow at any time during the year to defease any tax-exempt onds?... Did the organization at as an "on ehalf of" issuer for onds outstanding at any time during the year?... Setion 501()(3), 501()(4), and 501()(29) organizations. Did the organization engage in an exess enefit transation with a disqualified person during the year? If "," omplete Shedule L, Part I... Is the organization aware that it engaged in an exess enefit transation with a disqualified person in a prior year, and that the transation has not een reported on any of the organization's prior Forms 990 or 990-EZ? If "," omplete Shedule L, Part I... Did the organization report any amount on Part, line 5, 6, or 22 for reeivales from or payales to any urrent or former offiers, diretors, trustees, key employees, highest ompensated employees, or disqualified persons? If "," omplete Shedule L, Part II... Did the organization provide a grant or other assistane to an offier, diretor, trustee, key employee, sustantial ontriutor or employee thereof, a grant seletion ommittee memer, or to a 35% ontrolled entity or family memer of any of these persons? If "," omplete Shedule L, Part III... Was the organization a party to a usiness transation with one of the following parties (see Shedule L, and that is treated as a partnership for federal inome tax purposes? If "," omplete Shedule R, Part VI Did the organization omplete Shedule O and provide explanations in Shedule O for Part VI, lines 11 and 19? te. All Form 990 filers are required to omplete Shedule O Form 990 (2014) a d 25a

5 Form 990 (2014) Page 5 Part V Statements Regarding Other IRS Filings and Tax Compliane Chek if Shedule O ontains a response or note to any line in this Part V... 1a 2a 3a 4a Enter the numer reported in Box 3 of Form Enter -0- if not appliale... 1a 10 Enter the numer of Forms W-2G inluded in line 1a. Enter -0- if not appliale Did the organization omply with akup withholding rules for reportale payments to vendors and reportale gaming (gamling) winnings to prize winners?... Enter the numer of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the alendar year ending with or within the year overed y this return... 2a 11 If at least one is reported on line 2a, did the organization file all required federal employment tax returns?... te. If the sum of lines 1a and 2a is greater than 250, you may e required to e-file (see instrutions)... Did the organization have unrelated usiness gross inome of $1,000 or more during the year?... If "," has it filed a Form 990-T for this year? If "" to line 3, provide an explanation in Shedule O... At any time during the alendar year, did the organization have an interest in, or a signature or other authority (FBAR). 5a Was the organization a party to a prohiited tax shelter transation at any time during the tax year?... Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transation?... If "" to line 5a or 5, did the organization file Form 8886-T?... 6a Does the organization have annual gross reeipts that are normally greater than $100,000, and did the organization soliit any ontriutions that were not tax dedutile as haritale ontriutions?... If "," did the organization inlude with every soliitation an express statement that suh ontriutions or gifts were not tax dedutile?... 7 Organizations that may reeive dedutile ontriutions under setion 170(). a Did the organization reeive a payment in exess of $75 made partly as a ontriution and partly for goods and servies provided to the payor?... 7a If "," did the organization notify the donor of the value of the goods or servies provided?... 7 Did the organization sell, exhange, or otherwise dispose of tangile personal property for whih it was required to file Form 8282?... 7 d If "," indiate the numer of Forms 8282 filed during the year... 7d e Did the organization reeive any funds, diretly or indiretly, to pay premiums on a personal enefit ontrat?... 7e f Did the organization, during the year, pay premiums, diretly or indiretly, on a personal enefit ontrat?... 7f g If the organization reeived a ontriution of qualified intelletual property, did the organization file Form 8899 as required?.. 7g h If the organization reeived a ontriution of ars, oats, airplanes, or other vehiles, did the organization file a Form 1098-C?... 7h 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained y the sponsoring organization have exess usiness holdings at any time during the year? Sponsoring organizations maintaining donor advised funds. a Did the sponsoring organization make any taxale distriutions under setion 4966?... 9a Did the sponsoring organization make a distriution to a donor, donor advisor, or related person? Setion 501()(7) organizations. Enter: a Initiation fees and apital ontriutions inluded on Part VIII, line a Gross reeipts, inluded on Form 990, Part VIII, line 12, for puli use of lu failities Setion 501()(12) organizations. Enter: a Gross inome from memers or shareholders... 11a Gross inome from other soures (Do not net amounts due or paid to other soures against amounts due or reeived from them.) a Setion 4947(a)(1) non-exempt haritale trusts. Is the organization filing Form 990 in lieu of Form 1041?... 12a If "," enter the amount of tax-exempt interest reeived or arued during the year Setion 501()(29) qualified nonprofit health insurane issuers. a Is the organization liensed to issue qualified health plans in more than one state?... 13a te. See the instrutions for additional information the organization must report on Shedule O. 14a over, a finanial aount in a foreign ountry (suh as a ank aount, seurities aount, or other finanial aount)?... If "," enter the name of the foreign ountry: See instrutions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Finanial Aounts Enter the amount of reserves the organization is required to maintain y the states in whih the organization is liensed to issue qualified health plans Enter the amount of reserves on hand Did the organization reeive any payments for indoor tanning servies during the tax year?... 14a If "," has it filed a Form 720 to report these payments? If "," provide an explanation in Shedule O Form 990 (2014) 1 2 3a 3 4a 5a 5 5 6a 6

6 Form 990 (2014) Page 6 Part VI Governane, Management, and Dislosure For eah "" response to lines 2 through 7 elow, and for a "" response to line 8a, 8, or 10 elow, desrie the irumstanes, proesses, or hanges in Shedule O. See instrutions. Chek if Shedule O ontains a response or note to any line in this Part VI... Setion A. Governing Body and Management 1a ommittee, explain in Shedule O. Enter the numer of voting memers inluded in line 1a, aove, who are independent Did any offier, diretor, trustee, or key employee have a family relationship or a usiness relationship with any other offier, diretor, trustee, or key employee? Did the organization delegate ontrol over management duties ustomarily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to a management ompany or other person? Did the organization make any signifiant hanges to its governing douments sine the prior Form 990 was filed? Did the organization eome aware during the year of a signifiant diversion of the organization's assets? Did the organization have memers or stokholders? a Did the organization have memers, stokholders, or other persons who had the power to elet or appoint one or more memers of the governing ody?... 7a Are any governane deisions of the organization reserved to (or sujet to approval y) memers, stokholders, or persons other than the governing ody? Did the organization ontemporaneously doument the meetings held or written ations undertaken during the year y the following: a The governing ody?... Eah ommittee with authority to at on ehalf of the governing ody?... 9 Is there any offier, diretor, trustee, or key employee listed in Part VII, Setion A, who annot e reahed at the organization's mailing address? If "," provide the names and addresses in Shedule O... Setion B. Poliies (This Setion B requests information aout poliies not required y the Internal Revenue Code.) 10a 11a 12a Did the organization regularly and onsistently monitor and enfore ompliane with the poliy? If "," desrie in Shedule O how this was done Did the organization have a written whistlelower poliy? Did the organization have a written doument retention and destrution poliy? Did the proess for determining ompensation of the following persons inlude a review and approval y a 16a partiipation in joint venture arrangements under appliale federal tax law, and take steps to safeguard the organization's exempt status with respet to suh arrangements?... Setion C. Dislosure 17 List the states with whih a opy of this Form 990 is required to e filed AZ Enter the numer of voting memers of the governing ody at the end of the tax year If there are material differenes in voting rights among memers of the governing ody, or if the governing ody delegated road authority to an exeutive ommittee or similar Did the organization have loal hapters, ranhes, or affiliates?... If "," did the organization have written poliies and proedures governing the ativities of suh hapters, affiliates, and ranhes to ensure their operations are onsistent with the organization's exempt purposes?... Has the organization provided a omplete opy of this Form 990 to all memers of its governing ody efore filing the form?.. Desrie in Shedule O the proess, if any, used y the organization to review this Form 990. Did the organization have a written onflit of interest poliy? If "," go to line Were offiers, diretors, or trustees, and key employees required to dislose annually interests that ould give rise to onflits? independent persons, omparaility data, and ontemporaneous sustantiation of the delieration and deision? The organization's CEO, Exeutive Diretor, or top management offiial... Other offiers or key employees of the organization... If "" to line 15a or 15, desrie the proess in Shedule O (see instrutions). Did the organization invest in, ontriute assets to, or partiipate in a joint venture or similar arrangement with a taxale entity during the year?... If "," did the organization follow a written poliy or proedure requiring the organization to evaluate its Setion 6104 requires an organization to make its Forms 1023 (or 1024 if appliale), 990, and 990-T (Setion 501()(3)s only) availale for puli inspetion. Indiate how you made these availale. Chek all that apply. Own wesite Another's wesite Upon request Other (explain in Shedule O) Desrie in Shedule O whether (and if so, how) the organization made its governing douments, onflit of interest poliy, and finanial statements availale to the puli during the tax year.... State the name, address, and telephone numer of the person who possesses the organization's ooks and reords: SHARON KNUTSON FELI (602) , 333 N 44TH STREET, PHOENI, AZ a 18 8a a 10 11a 12a 12 15a 15 16a 16 Form 990 (2014)

7 Form 990 (2014) Page 7 Part VII Compensation of Offiers, Diretors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contrators Chek if Shedule O ontains a response or note to any line in this Part VII... Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this tale for all persons required to e listed. Report ompensation for the alendar year ending with or within the organization's tax year. List all of the organization's urrent offiers, diretors, trustees (whether individuals or organizations), regardless of amount of ompensation. Enter -0- in olumns (D), (E), and (F) if no ompensation was paid. List all of the organization's urrent key employees, if any. See instrutions for definition of "key employee." List the organization's five urrent highest ompensated employees (other than an offier, diretor, trustee, or key employee) who reeived reportale ompensation (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. List all of the organization's former offiers, key employees, and highest ompensated employees who reeived more than $100,000 of reportale ompensation from the organization and any related organizations. List all of the organization's former diretors or trustees that reeived, in the apaity as a former diretor or trustee of the organization, more than $10,000 of reportale ompensation from the organization and any related organizations. List persons in the following order: individual trustees or diretors; institutional trustees; offiers; key employees; highest ompensated employees; and former suh persons. Chek this ox if neither the organization nor any related organization ompensated any urrent offier, diretor, or trustee. (C) (A) (B) Position (do not hek more than one (D) (E) (F) Name and Title Average ox, unless person is oth an Reportale Reportale Estimated hours per offier and a diretor/trustee) ompensation ompensation from amount of week (list any from related other. hours for the organizations ompensation related organization (W-2/1099-MISC) from the organizations (W-2/1099-MISC) organization elow dotted and related line) organizations Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former (1) SHARON ALLEN 5.00 BOARD MEMBER (2) MIKE GALLOWAY 5.00 BOARD MEMBER (3) MARK HESTER 5.00 BOARD MEMBER (4) BUD DAVIDSON 5.00 BOARD MEMBER (5) STEVE HORRELL 5.00 SECRETARY (6) ERICK JOHNSON 5.00 BOARD MEMBER (7) HOWARD M LANG JR 5.00 BOARD MEMBER (8) CHIRS MOORE 5.00 BOARD MEMBER (9) BILL LANGER 5.00 BOARD MEMBER (10) JIM RYAN 5.00 BOARD MEMBER (11) SCOTT WEDE 5.00 BOARD MEMBER (12) RONALD L WESTAD 5.00 BOARD MEMBER (13) JOHN JENNINGS 5.00 BOARD MEMBER (14) JOE SCHEID 5.00 BOARD MEMBER Form 990 (2014)

8 Form 990 (2014) Page 8 Part VII Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees (ontinued) (C) (A) (B) Position (D) (E) (F) (do not hek more than one Name and title Average ox, unless person is oth an Reportale Reportale Estimated hours per offier and a diretor/trustee) ompensation ompensation from amount of week (list any from related other hours for the organizations ompensation related organization (W-2/1099-MISC) from the organizations (W-2/1099-MISC) organization elow dotted and related line) organizations Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former (15) SHARON KNUTSON FELI EECUTIVE DIRECTOR 114, ,367 (16) GEORGE WEISZ 5.00 PRESIDENT (17) KATHY MAYBERRY 5.00 VICE PRESIDENT (18) KARA KALKBRENNER 5.00 FINANCE CHAIR/TREASURER (19) (20) (21) (22) (23) (24) (25) 1 Su-total... Total from ontinuation sheets to Part VII, Setion A... d Total (add lines 1 and 1) , ,367 2 Total numer of individuals (inluding ut not limited to those listed aove) who reeived more than $100,000 of reportale ompensation from the organization 2 3 Did the organization list any former offier, diretor, or trustee, key employee, or highest ompensated employee on line 1a? If "," omplete Shedule J for suh individual For any individual listed on line 1a, is the sum of reportale ompensation and other ompensation from the organization and related organizations greater than $150,000? If "," omplete Shedule J for suh individual Did any person listed on line 1a reeive or arue ompensation from any unrelated organization or individual for servies rendered to the organization? If "," omplete Shedule J for suh person... 5 Setion B. Independent Contrators 1 Complete this tale for your five highest ompensated independent ontrators that reeived more than $100,000 of ompensation from the organization. Report ompensation for the alendar year ending with or within the organization's tax year. (A) (B) (C) Name and usiness address Desription of servies Compensation 2 Total numer of independent ontrators (inluding ut not limited to those listed aove) who reeived more than $100,000 of ompensation from the organization Form 990 (2014)

9 Form 990 (2014) Page 9 Part VIII Statement of Revenue Chek if Shedule O ontains a response or note to any line in this Part VIII... Contriutions, Gifts, Grants and Other Similar Amounts Program Servie Revenue Other Revenue 1a d e f g h 2a d (i) Real (ii) Personal 6a Gross rents... Less: rental expenses Rental inome or (loss) d Net rental inome or (loss)... 7a Less: ost or other asis and sales expenses... 1,676,359 Gain or (loss)... 49,295 d Net gain or (loss)... 8a Gross inome from fundraising of ontriutions reported on line 1). See Part IV, line a 40,000 Less: diret expenses ,757 Net inome or (loss) from fundraising events... 9a Gross inome from gaming ativities. See Part IV, line a Less: diret expenses... Net inome or (loss) from gaming ativities... 10a Gross sales of inventory, less returns and allowanes... a 9,876 Less: ost of goods sold... 13,555 Net inome or (loss) from sales of inventory... 11a Federated ampaigns... Memership dues Fundraising events Related organizations... Government grants (ontriutions).. All other ontriutions, gifts, grants, and similar amounts not inluded aove nash ontriutions inluded in lines 1a-1f: $ Total. Add lines 1a-1f... e f All other program servie revenue... g Total. Add lines 2a-2f... Investment inome (inluding dividends, interest, and other similar amounts)... Inome from investment of tax-exempt ond proeeds... Royalties... Gross amount from sales of assets other than inventory events (not inluding $ Misellaneous Revenue (i) Seurities d All other revenue... e Total. Add lines 11a-11d Total revenue. See instrutions... 1a 1 1 1d 1e 1f 367, , ,568 1,723,247 Business Code (ii) Other Business Code (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exempt usiness exluded from tax funtion revenue under setions revenue ,486,939 ANNUAL MEETING ,931 36,931 1,725, ,568 36,931 43,366 43,366 49,295 49,295 (84,757) (84,757) (3,679) (3,679) 2,528, ,913 0 (84,757) Form 990 (2014)

10 Form 990 (2014) Page 10 Part I Statement of Funtional Expenses Setion 501()(3) and 501()(4) organizations must omplete all olumns. All other organizations must omplete olumn (A). Chek if Shedule O ontains a response or note to any line in this Part I... Do not inlude amounts reported on lines 6, 7, 8, 9, and 10 of Part VIII a d e f g a d e Grants and other assistane to domesti organizations and domesti governments. See Part IV, line Grants and other assistane to domesti individuals. See Part IV, line Grants and other assistane to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and Benefits paid to or for memers... Compensation of urrent offiers, diretors, trustees, and key employees... Compensation not inluded aove, to disqualified persons (as defined under setion 4958(f)(1)) and persons desried in setion 4958()(3)(B)... Other salaries and wages... Pension plan aruals and ontriutions (inlude setion 401(k) and 403() employer ontriutions).. Other employee enefits... Payroll taxes... Fees for servies (non-employees): Management... Legal... Aounting... Loying... Professional fundraising servies. See Part IV, line 17. Investment management fees... Other. (If line 11g amount exeeds 10% of line 25, olumn (A) amount, list line 11g expenses on Shedule O.).. Advertising and promotion... Offie expenses... Information tehnology... Royalties... Oupany... Travel... Payments of travel or entertainment expenses for any federal, state, or loal puli offiials... Conferenes, onventions, and meetings... Interest... Payments to affiliates... Depreiation, depletion, and amortization... Insurane... Other expenses. Itemize expenses not overed aove (List misellaneous expenses in line 24e. If line 24e amount exeeds 10% of line 25, olumn (A) amount, list line 24e expenses on Shedule O.) CREDIT CARD AND BANK FEES 17,745 17,745 All other expenses Total funtional expenses. Add lines 1 through 24e. Joint osts. Complete this line only if the organization reported in olumn (B) joint osts from a omined eduational ampaign and fundraising soliitation. Chek here if following SOP 98-2 (ASC )... (A) (B) (C) (D) Total expenses Program servie Management and Fundraising expenses general expenses expenses 246, ,759 3,289,461 3,289, ,695 77,992 29,821 6, , ,741 99,695 23,007 6,367 4,330 1, ,218 26,668 10,197 2,353 21,240 21,240 19,144 19,144 77,422 25,778 51, ,057 17,719 6,775 1,563 43,816 29,795 11,392 2,629 3,016 2, ,448 9,403 1,045 54,347 40,760 13,587 5,579 5,579 PRINTING AND COPYING 22,892 15,566 5,952 1,374 POSTAGE 9,530 6,480 2, STAFF AND BOARD MEALS 2,359 2,359 38,759 3,227 1,304 34,228 4,433,047 4,056, ,695 73,622 Form 990 (2014)

11 Form 990 (2014) Page 11 Part Balane Sheet Chek if Shedule O ontains a response or note to any line in this Part... (A) (B) Beginning of year End of year 1 Cash - non-interest-earing , ,329 2 Savings and temporary ash investments... 2,527, ,268 3 Pledges and grants reeivale, net Aounts reeivale, net Loans and other reeivales from urrent and former offiers, diretors, Net Assets or Fund Balanes Liailities Assets trustees, key employees, and highest ompensated employees. Complete Part II of Shedule L ,518 6 Loans and other reeivales from other disqualified persons (as defined under setion 4958(f)(1)), persons desried in setion 4958()(3)(B), and ontriuting employers and sponsoring organizations of setion 501()(9) voluntary employees' enefiiary organizations (see instrutions). Complete Part II of Shedule L tes and loans reeivale, net Inventories for sale or use Prepaid expenses and deferred harges ,808 10a Land, uildings, and equipment: ost or other asis. Complete Part VI of Shedule D... 10a 214,795 Less: aumulated depreiation ,738 88, , Investments - pulily traded seurities... 1,534, ,610, Investments - other seurities. See Part IV, line Investments - program-related. See Part IV, line Intangile assets Other assets. See Part IV, line Total assets. Add lines 1 through 15 (must equal line 34)... 4,620, ,812, Aounts payale and arued expenses... 21, , Grants payale Deferred revenue Tax-exempt ond liailities Esrow or ustodial aount liaility. Complete Part IV of Shedule D Loans and other payales to urrent and former offiers, diretors, trustees, key employees, highest ompensated employees, and disqualified persons. Complete Part II of Shedule L Seured mortgages and notes payale to unrelated third parties Unseured notes and loans payale to unrelated third parties Other liailities (inluding federal inome tax, payales to related third parties, and other liailities not inluded on lines 17-24). Complete Part of Shedule D Total liailities. Add lines 17 through , ,687 Organizations that follow SFAS 117 (ASC 958), hek here and omplete lines 27 through 29, and lines 33 and Unrestrited net assets... 2,028, ,792, Temporarily restrited net assets... 2,570, , Permanently restrited net assets Organizations that do not follow SFAS 117 (ASC 958), hek here and omplete lines 30 through Capital stok or trust prinipal, or urrent funds Paid-in or apital surplus, or land, uilding, or equipment fund Retained earnings, endowment, aumulated inome, or other funds Total net assets or fund alanes... 4,598, ,680, Total liailities and net assets/fund alanes... 4,620, ,812,082 Form 990 (2014)

12 Form 990 (2014) Page 12 Part I Reoniliation of Net Assets Chek if Shedule O ontains a response or note to any line in this Part I... 1 Total revenue (must equal Part VIII, olumn (A), line 12) ,528,095 2 Total expenses (must equal Part I, olumn (A), line 25) ,433,047 3 Revenue less expenses. Sutrat line 2 from line (1,904,952) 4 Net assets or fund alanes at eginning of year (must equal Part, line 33, olumn (A)) ,598,730 5 Net unrealized gains (losses) on investments... 5 (17,062) 6 Donated servies and use of failities Investment expenses Prior period adjustments Other hanges in net assets or fund alanes (explain in Shedule O) , Net assets or fund alanes at end of year. Comine lines 3 through 9 (must equal Part, line 33, olumn (B)) ,680,395 Part II Finanial Statements and Reporting Chek if Shedule O ontains a response or note to any line in this Part II a 3a Aounting method used to prepare the Form 990: Cash Arual Other If the organization hanged its method of aounting from a prior year or heked "Other," explain in Shedule O. Were the organization's finanial statements ompiled or reviewed y an independent aountant? If "," hek a ox elow to indiate whether the finanial statements for the year were ompiled or reviewed on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis Were the organization's finanial statements audited y an independent aountant?... If "," hek a ox elow to indiate whether the finanial statements for the year were audited on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis If "" to line 2a or 2, does the organization have a ommittee that assumes responsiility for oversight of the audit, review, or ompilation of its finanial statements and seletion of an independent aountant? If the organization hanged either its oversight proess or seletion proess during the tax year, explain in Shedule O As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit At and OMB Cirular A-133?... If "," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Shedule O and desrie any steps taken to undergo suh audits... 2a 2 2 3a 3 Form 990 (2014)

13 SCHEDULE A (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Puli Charity Status and Puli Support Complete if the organization is a setion 501()(3) organization or a setion 4947(a)(1) nonexempt haritale trust. Attah to Form 990 or Form 990-EZ. Information aout Shedule A (Form 990 or 990-EZ) and its instrutions is at Part I Reason for Puli Charity Status (All organizations must omplete this part.) See instrutions. The organization is not a private foundation eause it is: (For lines 1 through 11, hek only one ox.) (A) a d e f g A hurh, onvention of hurhes, or assoiation of hurhes desried in setion 170()(1)(A)(i). A shool desried in setion 170()(1)(A)(ii). (Attah Shedule E.) A hospital or a ooperative hospital servie organization desried in setion 170()(1)(A)(iii). A medial researh organization operated in onjuntion with a hospital desried in setion 170()(1)(A)(iii). Enter the hospital's name, ity, and state: An organization operated for the enefit of a ollege or university owned or operated y a governmental unit desried in setion 170()(1)(A)(iv). (Complete Part II.) A federal, state, or loal government or governmental unit desried in setion 170()(1)(A)(v). An organization that normally reeives a sustantial part of its support from a governmental unit or from the general puli desried in setion 170()(1)(A)(vi). (Complete Part II.) A ommunity trust desried in setion 170()(1)(A)(vi). (Complete Part II.) An organization that normally reeives: (1) more than 33 1/3% of its support from ontriutions, memership fees, and gross reeipts from ativities related to its exempt funtions - sujet to ertain exeptions, and (2) no more than 33 1/3% of its support from gross investment inome and unrelated usiness taxale inome (less setion 511 tax) from usinesses aquired y the organization after June 30, See setion 509(a)(2). (Complete Part III.) An organization organized and operated exlusively to test for puli safety. See setion 509(a)(4). An organization organized and operated exlusively for the enefit of, to perform the funtions of, or to arry out the purposes of one or more pulily supported organizations desried in setion 509(a)(1) or setion 509(a)(2). See setion 509(a)(3). Chek the ox in lines 11a through 11d that desries the type of supporting organization and omplete lines 11e, 11f, and 11g. Type I. A supporting organization operated, supervised, or ontrolled y its supported organization(s), typially y giving the supported organization(s) the power to regularly appoint or elet a majority of the diretors or trustees of the supporting organization. You must omplete Part IV, Setions A and B. Type II. A supporting organization supervised or ontrolled in onnetion with its supported organization(s), y having ontrol or management of the supporting organization vested in the same persons that ontrol or manage the supported organization(s). You must omplete Part IV, Setions A and C. Type III funtionally integrated. A supporting organization operated in onnetion with, and funtionally integrated with, its supported organization(s) (see instrutions). You must omplete Part IV, Setions A, D, and E. Type III non-funtionally integrated. A supporting organization operated in onnetion with its supported organization(s) that is not funtionally integrated. The organization generally must satisfy a distriution requirement and an attentiveness requirement (see instrutions). You must omplete Part IV, Setions A and D, and Part V. Chek this ox if the organization reeived a written determination from the IRS that it is a Type I, Type II, Type III Employer identifiation numer funtionally integrated, or Type III non-funtionally integrated supporting organization. Enter the numer of supported organizations... Provide the following information aout the supported organization(s). OMB Open to Puli Inspetion (i) Name of supported organization (ii) EIN (iii) Type of organization (iv) Is the organization (v) Amount of monetary (vi) Amount of (desried on lines 1-9 listed in your governing support (see other support (see aove or IRC setion doument? instrutions) instrutions) (see instrutions)) (B) (C) (D) (E) Total For Paperwork Redution At tie, see the Instrutions for Form 990 or 990-EZ. Shedule A (Form 990 or 990-EZ) 2014

14 Shedule A (Form 990 or 990-EZ) 2014 Page 2 Part II Support Shedule for Organizations Desried in Setions 170()(1)(A)(iv) and 170()(1)(A)(vi) (Complete only if you heked the ox 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 elow, please omplete Part III.) Setion A. Puli Support Calendar year (or fisal year eginning in) (a) 2010 () 2011 () 2012 (d) 2013 (e) 2014 (f) Total 1 2 Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.")... Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf... 1,577,056 1,797,314 1,524,229 6,954,026 2,558,385 14,411, The value of servies or failities furnished y a governmental unit to the organization without harge... Total. Add lines 1 through 3... The portion of total ontriutions y eah person (other than a governmental unit or pulily supported organization) inluded on line 1 that exeeds 2% of the amount shown on line 11, olumn (f)... 6 Puli support. Sutrat line 5 from line 4.. Setion B. Total Support Calendar year (or fisal year eginning in) 7 Amounts from line Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures... 1,577,056 1,797,314 1,524,229 6,954,026 2,558,385 14,411,010 86,394 14,324,616 (a) 2010 () 2011 () 2012 (d) 2013 (e) 2014 (f) Total 1,577,056 1,797,314 1,524,229 6,954,026 2,558,385 14,411,010 31,807 49,765 34,211 39,424 43, ,573 9 Net inome from unrelated usiness ativities, whether or not the usiness is regularly arried on Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part VI.)... 25, (3,679) 22, Total support. Add lines 7 through ,632, Gross reeipts from related ativities, et. (see instrutions) First five years. If the Form 990 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 501()(3) organization, hek this ox and stop here... Setion C. Computation of Puli Support Perentage 14 Puli support perentage for 2014 (line 6, olumn (f) divided y line 11, olumn (f)) % 15 Puli support perentage from 2013 Shedule A, Part II, line % 16a 33 1/3% support test If the organization did not hek the ox on line 13, and line 14 is 33 1/3% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization /3% support test If the organization did not hek a ox on line 13 or 16a, and line 15 is 33 1/3% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization... 17a 10%-fats-and-irumstanes test If the organization did not hek a ox on line 13, 16a, or 16, and line 14 is 10% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in 18 Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization... 10%-fats-and-irumstanes test If the organization did not hek a ox on line 13, 16a, 16, or 17a, and line 15 is 10% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization... Private foundation. If the organization did not hek a ox on line 13, 16a, 16, 17a, or 17, hek this ox and see instrutions... Shedule A (Form 990 or 990-EZ) 2014

15 Shedule A (Form 990 or 990-EZ) 2014 Page 3 Part III Support Shedule for Organizations Desried in Setion 509(a)(2) (Complete only if you heked the ox 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 elow, please omplete Part II.) Setion A. Puli Support Calendar year (or fisal year eginning in) (a) 2010 () 2011 () 2012 (d) 2013 (e) 2014 (f) Total a Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") Gross reeipts from admissions, merhandise sold or servies performed, or failities furnished in any ativity that is related to the organization's tax-exempt purpose Gross reeipts from ativities that are not an unrelated trade or us. under se 513 Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf The value of servies or failities furnished y a governmental unit to the organization without harge Total. Add lines 1 through 5 Amounts inluded on lines 1, 2, and 3 reeived from disqualified persons Amounts inluded on lines 2 and 3 reeived from other than disqualified persons that exeed the greater of $5,000 or 1% of the amount on line 13 for the year Add lines 7a and Puli support (Sutrat line 7 from line 6.)... Setion B. Total Support Calendar year (or fisal year eginning in) 9 Amounts from line 6... (a) 2010 () 2011 () 2012 (d) 2013 (e) 2014 (f) Total 10a Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures.. Unrelated usiness taxale inome (less setion 511 taxes) from usinesses aquired after June 30, 1975 Add lines 10a and Net inome from unrelated usiness ativities not inluded in line 10, whether or not the usiness is regularly arried on Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part VI.) Total support. (Add lines 9, 10, 11, and 12.) First five years. If the Form 990 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 501()(3) organization, hek this ox and stop here... Setion C. Computation of Puli Support Perentage 15 Puli support perentage for 2014 (line 8, olumn (f) divided y line 13, olumn (f)) % 16 Puli support perentage from 2013 Shedule A, Part III, line % Setion D. Computation of Investment Inome Perentage 17 Investment inome perentage for 2014 (line 10, olumn (f) divided y line 13, olumn (f)) % 18 Investment inome perentage from 2013 Shedule A, Part III, line % 19a 33 1/3% support tests If the organization did not hek the ox on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, hek this ox and stop here. The organization qualifies as a pulily supported organization /3% support tests If the organization did not hek a ox on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1/3%, hek this ox and stop here. The organization qualifies as a pulily supported organization Private foundation. If the organization did not hek a ox on line 14, 19a, or 19, hek this ox and see instrutions... Shedule A (Form 990 or 990-EZ) 2014