Return of Organization Exempt From Income Tax



Similar documents
2014 Department of the Treasury Internal Revenue Service

8868 Application for Extension of Time To File an Exempt Organization Return

PROFESSIONAL SERVICES RENDERED IN THE PREPARATION OF YOUR 2012 EXEMPT ORGANIZATION TAX RETURNS, INCLUDING:

PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax

Do not enter Social Security numbers on this form as it may be made public. Open to Public Internal Revenue Service

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax

Form 990 Return of Organization Exempt From Income Tax

2014 Under section 501(c ), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Certificate of Foreign Intermediary, Foreign Flow-Through Entity, or Certain U.S. Branches for United States Tax Withholding and Reporting

Table of Contents. Appendix II Application Checklist. Export Finance Program Working Capital Financing...7

BENEFICIARY CHANGE REQUEST

Annual Return/Report of Employee Benefit Plan

Short Form Return of Organization Exempt From Income Tax

Income Protection CLAIM FORM

359,843 4,352 32,364 49,373 51,701

State of Maryland Participation Agreement for Pre-Tax and Roth Retirement Savings Accounts

Retirement Option Election Form with Partial Lump Sum Payment

WEISERMAZARS LLP 135 WEST 50TH STREET NEW YORK, NY PRO BONO NET, INC. 151 WEST 30TH STREET NEW YORK, NY !100018!

INCOME TAX WITHHOLDING GUIDE FOR EMPLOYERS

Short Form Return of Organization Exempt From Income Tax

OMB No Form 990. Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code

INCOME TAX WITHHOLDING GUIDE FOR EMPLOYERS

Health Savings Account Application

TAX RETURN FILING INSTRUCTIONS

EMS Air Ambulance License Application Packet

Return of Organization Exempt From Income Tax

Briefly describe the organization's mission or most significant activities: SEE MISSION STATEMENT ON SCHEDULE 0

SEE SCHEDULE O SEE SCHEDULE O 1,321,367.

SCHEME FOR FINANCING SCHOOLS

1. The organization mission or most significant activities that you wish to highlight this year:

2013 Exempt Organization Business Tax Return prepared for: THE ARC OF COLORADO 1580 LOGAN STREET, #730 DENVER, CO

SPECIMEN. Exhibition and Conference Cancellation Insurance. Insurance Policy. Zurich Global Corporate UK

Transfer of Functions (Isle of Man Financial Services Authority) TRANSFER OF FUNCTIONS (ISLE OF MAN FINANCIAL SERVICES AUTHORITY) ORDER 2015

i e AT 1 of 2012 DEBT RECOVERY AND ENFORCEMENT ACT 2012

P.O. BOX SILVERDALE, WA

A For the 2011 calendar year, or tax year beginning 10/01 B Check if applicable:

AT 6 OF 2012 GAMBLING DUTY ACT 2012

Form 990-EZ and supplemental forms and schedules. Sign and date: An officer must sign and date Form 990-EZ on page 4.

Return of Organization Exempt From Income Tax

BUSINESS PRACTICE BULLETIN The School Board of Broward County, Florida

prepayment / change of prepayment 1) Seafaring

Inspection A For the 2013 calendar year, or tax year beginning, 2013, and ending, B Check if applicable: C ROSS, CA

Information Security 201

The D.C. Long Term Disability Insurance Plan Exclusively for NBAC members Issued by The Prudential Insurance Company of America (Prudential)

Account Contract for Card Acceptance

i e AT 8 of 1938 THE PERSONAL INJURIES (EMERGENCY PROVISIONS) ACT 1939

D/w, Form 990-EZ (2009)

Application for Emergency/Minor Home Repair Program City of Coeur d'alene, CDBG Entitlement Program

i e AT 3 of 1970 INCOME TAX ACT 1970

i e AT 11 of 2006 INSURANCE COMPANIES (AMALGAMATIONS) ACT 2006

i e AT 21 of 2006 EMPLOYMENT ACT 2006

U.S. Income Tax Return for an S Corporation

UNIVERSITY AND WORK-STUDY EMPLOYERS WEB SITE USER S GUIDE

Number, street, and room or suite no. If a P.O. box, see the instructions. City or town, state or province, country, and ZIP or foreign postal code

U.S. Corporation Income Tax Return For calendar year 2015 or tax year beginning, 2015, ending, 20

THE MUSICAL CORPORATION

i e AT 35 of 1986 ALCOHOLIC LIQUOR DUTIES ACT 1986

MEMBER. Application for election MEMBER, NEW GRADUATE. psychology.org.au. April 2015

Your social security number FRED ADAMS If a joint return, spouse's first name and initial SANDY ADAMS a ...

Entrepreneur s Guide. Starting and Growing a Business in Pennsylvania FEBRUARY newpa.com

Transcription:

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 www.irs.gov/form990. Same as C aove www.ativeminds.org 2003 DC Summary Briefly desrie the organization's mission or most signifiant ativities: Ative Minds empowers students to speak Total assets (Part, line 16)... Total liailities (Part, line 26)... Net assets or fund alanes. Sutrat line 21 from line 20... Signature Blok 2013 Open to Puli Inspetion A For the 2013 alendar year, or tax year eginning 07-01, 2013, and ending 06-30, 2014 B Chek if appliale: C Name of organization Ative Minds In. D Employer identifiation no. Ativities & Governane Revenue Expenses Name hange Numer and street (or P.O. ox if mail is not delivered to street address) Room/suite E Telephone numer Amended return Washington, DC 20009 G Gross reeipts $ 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)... 3 4 Numer of independent voting memers of the governing ody (Part VI, line 1)... 4 5 Total numer of individuals employed in alendar year 2013 (Part V, line 2a)... 5 6 Total numer of volunteers (estimate if neessary)... 6 7a Total unrelated usiness revenue from Part VIII, olumn (C), line 12... 7a Net unrelated usiness taxale inome from Form 990-T, line 34... 7 8 9 10 11 12 13 14 15 16a 17 18 19 20 21 F K Form of organization: Corporation Trust Assoiation Other L Year of formation: M State of legal domiile: Net Assets or Fund Balanes Address hange Initial return Terminated Appliation pending Doing Business As City or town, state or provine, ountry, and ZIP or foreign postal ode Name and address of prinipal offier: 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)... 173,196... Total expenses. Add lines 13-17 (must equal Part I, olumn (A), line 25)... Revenue less expenses. Sutrat line 18 from line 12... May the IRS disuss this return with the preparer shown aove? (see instrutions) For Paperwork Redution At tie, see the separate instrutions. H(a) Is this a group return for suordinates? Prior Year Beginning of Current Year 301-585-5050... Yes OMB. 1545-0047 I Tax-exempt status: 501()(3) 501() ( ) (insert no.) 4947(a)(1) or 527 H() Are all suordinates inluded? Yes 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 Date Print/Type preparer's name Preparer's signature Chek if PTIN Date Yes Current Year End of Year Tim Aerromie Tim Aerromie 11-24-2014 self-employed P01254858 Firm's name Firm's address Firm's EIN Phone no. 20-0587172 2001 S Street 450 (202)332-9595 Alison Malmon openly aout mental health in order to eduate others and enourage help seeking. We are hanging the ulture on ampuses and in the ommunity y providing information, leadership opportunities and advoay training to the next generation. Alison Malmon Alison Malmon, Exeutive Diretor Aerromie & Assoiates LLC 8609 Seond Avenue Suite 507B Silver Spring MD 20910 1,523,784 18 17 14 8,850 1,092,563 1,107,089 327,427 389,712 169 267 7,917 (6,405) 1,428,076 1,490,663 892,574 801,352 536,058 613,813 1,428,632 1,415,165 (556) 75,498 615,457 726,655 43,493 72,697 571,964 653,958 0 0 0 0 0 Form 990 (2013)

Form 990 (2013) Ative Minds In. 20-0587172 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: Ative Minds empowers students to speak openly aout mental health in order to eduate others and enourage help seeking. We are hanging the ulture on ampuses and in the ommunity y providing information, leadership opportunities and advoay training to the next generation. 2 3 4 Did the organization undertake any signifiant program servies during the year whih were not listed on the prior Form 990 or 990-EZ?... If "Yes," desrie these new servies on Shedule O. Did the organization ease onduting, or make signifiant hanges in how it onduts, any program servies?... If "Yes," 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. Yes Yes 4a (Code: ) (Expenses $ 562,655 inluding grants of $ ) (Revenue $ 16,800 ) Chapter Development and Support: Ative Minds is dediated to promoting the student voie in mental health. The organization works to develop and support hapters on more than 350 ollege ampuses with thousands of student and staff volunteers. Chapters are student-led and staff-advised, and work to promote awareness of mental health, symptoms of mental illness, and availale resoures oth on- and off-ampus for seeking help. 4 (Code: ) (Expenses $ 205,751 inluding grants of $ ) (Revenue $ 191,200 ) Ative Minds Speakers Bureau: Emodying the notion that the est way to reak stigma around mental health is through personal ontat, Ative Minds has reruited and trained a dozen professional young adult speakers to tell their stories around mental health in an engaging, eduational, and powerful manner. Memers of the speakers ureau travel the ountry through the year giving keynote presentations at high shools and olleges; to parents and administrators; and at onferenes and national events. 4 (Code: ) (Expenses $ 172,780 inluding grants of $ ) (Revenue $ 19,865 ) National Conferene and Regional Summits: The Ative Minds National Conferene and Regional Summits are the only leading onferenes addressing ollege student mental health and young adult advoay. The onferenes ring together hundreds of experts, hange-agents and leaders from aross the ountry and eduate, energize and inspire the next generation of mental health advoates. 4d 4e Other program servies. (Desrie in Shedule O.) (Expenses $ 260,210 inluding grants of $ ) (Revenue $ 161,847 ) Total program servie expenses 1,201,396 Form 990 (2013)

Form 990 (2013) Ative Minds In. 20-0587172 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 "Yes," omplete Shedule A... 1 2 Is the organization required to omplete Shedule B, Shedule of Contriutors (see instrutions)?... 2 3 Did the organization engage in diret or indiret politial ampaign ativities on ehalf of or in opposition to andidates for puli offie? If "Yes," omplete Shedule C, Part I... 3 4 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 "Yes," omplete Shedule C, Part II... 4 5 Is the organization a setion 501()(4), 501()(5), or 501()(6) organization that reeives memership dues, 6 7 8 9 10 11 a Did the organization report an amount for land, uildings, and equipment in Part, line 10? If "Yes," 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 "Yes," omplete Shedule D, Part VII... 11 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 "Yes," omplete Shedule D, Part VIII... 11 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 "Yes," omplete Shedule D, Part I... 11d e Did the organization report an amount for other liailities in Part, line 25? If "Yes," 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 "Yes," omplete Shedule D, Part... 11f 12a Did the organization otain separate, independent audited finanial statements for the tax year? If "Yes," omplete Shedule D, Parts I and II... 12a Was the organization inluded in onsolidated, independent audited finanial statements for the tax year? If "Yes," and if the organization answered "" to line 12a, then ompleting Shedule D, Parts I and II is optional... 12 13 Is the organization a shool desried in setion 170()(1)(A)(ii)? If "Yes," omplete Shedule E... 13 14a 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, 15 16 17 18 19 20a assessments, or similar amounts as defined in Revenue Proedure 98-19? If "Yes," 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 "Yes," 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 "Yes," omplete Shedule D, Part II... Did the organization maintain olletions of works of art, historial treasures, or other similar assets? If "Yes," 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 "Yes," 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 "Yes," omplete Shedule D, Part V... If the organization's answer to any of the following questions is "Yes," 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 "Yes," omplete Shedule F, Parts I and IV... 14 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 "Yes," omplete Shedule F, Parts II and IV... 15 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 "Yes," omplete Shedule F, Parts III and IV... 16 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 "Yes," omplete Shedule G, Part I (see instrutions)... 17 Did the organization report more than $15,000 total of fundraising event gross inome and ontriutions on Part VIII, lines 1 and 8a? If "Yes" omplete Shedule G, Part II... 18 Did the organization report more than $15,000 of gross inome from gaming ativities on Part VIII, line 9a? If "Yes," omplete Shedule G, Part III... 19 Did the organization operate one or more hospital failities? If "Yes," omplete Shedule H... 20a If "Yes" to line 20a, did the organization attah a opy of its audited finanial statements to this return?... 20 Form 990 (2013) 5 6 7 8 9 10 Yes

Form 990 (2013) Ative Minds In. 20-0587172 Page 4 Part IV Cheklist of Required Shedules (ontinued) 21 22 23 24a d 25a 26 27 28 Part IV instrutions for appliale filing thresholds, onditions, and exeptions): a A urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV... 28a A family memer of a urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV... 28 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 "Yes," omplete Shedule L, Part IV... 28 29 Did the organization reeive more than $25,000 in non-ash ontriutions? If "Yes," omplete Shedule M... 29 30 Did the organization reeive ontriutions of art, historial treasures, or other similar assets, or qualified onservation ontriutions? If "Yes," omplete Shedule M... 30 31 Did the organization liquidate, terminate, or dissolve and ease operations? If "Yes," omplete Shedule N, Part I... 31 32 Did the organization sell, exhange, dispose of, or transfer more than 25% of its net assets? If "Yes," omplete Shedule N, Part II... 32 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations setions 301.7701-2 and 301.7701-3? If "Yes," omplete Shedule R, Part I... 33 34 Was the organization related to any tax-exempt or taxale entity? If "Yes," omplete Shedule R, Part II, III, or IV, and Part V, line 1... 34 35a Did the organization have a ontrolled entity within the meaning of setion 512()(13)?... 35a If "Yes" 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 "Yes," omplete Shedule R, Part V, line 2... 35 36 Setion 501()(3) organizations. Did the organization make any transfers to an exempt non-haritale related organization? If "Yes," omplete Shedule R, Part V, line 2... 36 37 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 government on Part I, olumn (A), line 1? If "Yes," omplete Sheudle I, Parts I and II... Did the organization report more than $5,000 of grants or other assistane to individuals in the United States on Part I, olumn (A), line 2? If "Yes," omplete Shedule I, Parts I and III... Did the organization answer "Yes" 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 "Yes," 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 "Yes," 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) and 501()(4) organizations. Did the organization engage in an exess enefit transation with a disqualified person during the year? If "Yes," 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 "Yes," 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 so, 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 "Yes," 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 "Yes," omplete Shedule R, Part VI... 37 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... 38 Form 990 (2013) 21 22 23 24a 24 24 24d 25a 25 26 27 Yes

Form 990 (2013) Ative Minds In. 20-0587172 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 1096. Enter -0- if not appliale... 1a 14 Enter the numer of Forms W-2G inluded in line 1a. Enter -0- if not appliale... 1 0 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 14 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 "Yes," 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 See instrutions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Finanial Aounts. 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 "Yes" 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 "Yes," 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?... If "Yes," did the organization notify the donor of the value of the goods or servies provided?... Did the organization sell, exhange, or otherwise dispose of tangile personal property for whih it was required to file Form 8282?... d If "Yes," 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?... f Did the organization, during the year, pay premiums, diretly or indiretly, on a personal enefit ontrat?... g If the organization reeived a ontriution of qualified intelletual property, did the organization file Form 8899 as required?.. h If the organization reeived a ontriution of ars, oats, airplanes, or other vehiles, did the organization file a Form 1098-C?... 8 Sponsoring organizations maintaining donor advised funds and setion 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained y a sponsoring organization, have exess usiness holdings at any time during the year?... 8 9 Sponsoring organizations maintaining donor advised funds. a Did the organization make any taxale distriutions under setion 4966?... 9a Did the organization make a distriution to a donor, donor advisor, or related person?... 9 10 Setion 501()(7) organizations. Enter: a Initiation fees and apital ontriutions inluded on Part VIII, line 12... 10a Gross reeipts, inluded on Form 990, Part VIII, line 12, for puli use of lu failities... 10 11 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.)... 11 12a Setion 4947(a)(1) non-exempt haritale trusts. Is the organization filing Form 990 in lieu of Form 1041?... 12a If "Yes," enter the amount of tax-exempt interest reeived or arued during the year... 12 13 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 "Yes," enter the name of the foreign ountry: 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... 13 Enter the amount of reserves on hand... 13 Did the organization reeive any payments for indoor tanning servies during the tax year?... 14a If "Yes," has it filed a Form 720 to report these payments? If "," provide an explanation in Shedule O... 14 Form 990 (2013) 1 2 3a 3 4a 5a 5 5 6a 6 7a 7 7 7e 7f 7g 7h Yes

Form 990 (2013) Ative Minds In. 20-0587172 Page 6 Part VI Governane, Management, and Dislosure For eah "Yes" 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 the 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... 1 17 2 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?... 2 3 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?... 3 4 Did the organization make any signifiant hanges to its governing douments sine the prior Form 990 was filed?... 4 5 Did the organization eome aware during the year of a signifiant diversion of the organization's assets?... 5 6 Did the organization have memers or stokholders?... 6 7a 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?... 7 8 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 "Yes," 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 "Yes," desrie in Shedule O how this was done... 12 13 Did the organization have a written whistlelower poliy?... 13 14 Did the organization have a written doument retention and destrution poliy?... 14 15 Did the proess for determining ompensation of the following persons inlude a review and approval y a 16a 18 19 20 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 "Yes," 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 13... 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 "Yes" 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 "Yes," did the organization follow a written poliy or proedure requiring the organization to evaluate its 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 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, physial address, and telephone numer of the person who possesses the ooks and reords of the organization: Alison Malmon (202)332-9595, 2001 S Street, Washington, DC 20009 1a 18 8a 8 9 10a 10 11a 12a 12 15a 15 16a 16 Yes Yes Form 990 (2013)

Form 990 (2013) Ative Minds In. 20-0587172 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. (A) (B) (C) (D) (E) (F) Name and Title Average Position Reportale Reportale Estimated hours per ompensation ompensation from amount of (do not hek more than one week (list any from related other hours for ox, unless person is oth an the organizations ompensation related offier and a diretor/trustee) organization (W-2/1099-MISC) from the. organizations elow dotted line) Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former (W-2/1099-MISC) organization and related organizations (1) Ken Brody 2.00 Chairman 0 0 0 (2) Rik Mosenkis 2.00 Treasurer 0 0 0 (3) Bo Davison 2.00 Diretor 0 0 0 (4) Gail Kamer Leierfar 2.00 Diretor 0 0 0 (5) Kelly Cox 2.00 Vie Chairwoman 0 0 0 (6) Anthony Bongiorno 2.00 Diretor 0 0 0 (7) Ilene Rosenstein 2.00 Diretor 0 0 0 (8) Bo Boorstin 2.00 Diretor 0 0 0 (9) Alison Malmon 45.00 Founder and Exeutive Diretor 71,406 0 6,636 (10) Steve Lerman 2.00 Diretor 0 0 0 (11) John Cutler 2.00 Diretor 0 0 0 (12) Vanessa Melendez Mehta 2.00 Seretary 0 0 0 (13) Roert Pek 2.00 Diretor 0 0 0 (14) Jeremy Shure 2.00 Diretor 0 0 0 Form 990 (2013)

Form 990 (2013) Ative Minds In. 20-0587172 Page 8 Part VII Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees (ontinued) (A) (B) (C) (D) (E) (F) Name and title Average Position Reportale Reportale Estimated hours per (do not hek more than one ompensation ompensation from amount of week (list any ox, unless person is oth an from related other hours for offier and diretor/trustee) 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) Brad Blanken 2.00 Diretor 0 0 0 (16) Laura House 2.00 Diretor 0 0 0 (17) Mar Kantor 2.00 Diretor 0 0 0 (18) TK Truong 2.00 Diretor 0 0 0 (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)... 71,406 0 6,636 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 0 Yes 3 Did the organization list any former offier, diretor, or trustee, key employee, or highest ompensated employee on line 1a? If "Yes," omplete Shedule J for suh individual... 3 4 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 "Yes," omplete Shedule J for suh individual... 4 5 Did any person listed on line 1a reeive or arue ompensation from any unrelated organization or individual for servies rendered to the organization? If "Yes," 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 (2013)

Form 990 (2013) Ative Minds In. 20-0587172 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 3 4 5 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... Gain or (loss)... d Net gain or (loss)... 8a Gross inome from fundraising of ontriutions reported on line 1). See Part IV, line 18... a 13,115 Less: diret expenses... 33,121 Net inome or (loss) from fundraising events... 9a Gross inome from gaming ativities. See Part IV, line 19... a Less: diret expenses... Net inome or (loss) from gaming ativities... 10a Gross sales of inventory, less returns and allowanes... a Less: ost of goods sold... 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... 12 Total revenue. See instrutions... 1a 1 1 1d 1e 1f 92,476 1,014,613 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 512-514 1,107,089 Speaker Fees 900099 191,200 191,200 Conferenes 900099 19,865 19,865 Program,merhandse sale 900099 161,847 161,847 Consulting fees 900099 16,800 16,800 92,476 389,712 267 267 (20,006) (20,006) Other inome, refunds 900099 13,601 13,601 13,601 1,490,663 389,712 0 (6,138) Form 990 (2013)

Form 990 (2013) Ative Minds In. 20-0587172 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. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 a d e f g a d e 25 26 Grants and other assistane to governments and organizations in the United States. See Part IV, line 21. Grants and other assistane to individuals in the United States. See Part IV, line 22... Grants and other assistane to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16... 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.) Mis expenses 583 583 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 958-720)... (A) (B) (C) (D) Total expenses Program servie Management and Fundraising expenses general expenses expenses 93,542 68,286 11,225 14,031 592,818 488,037 12,688 92,093 6,429 5,216 219 994 59,523 48,293 2,024 9,206 49,040 39,787 1,668 7,585 33,434 27,126 1,137 5,171 2,500 2,028 85 387 30,515 29,098 1,417 47,653 38,662 1,621 7,370 45,420 36,850 1,545 7,025 117,508 95,338 3,996 18,174 12,706 6,656 3,440 2,610 313,449 307,870 5,579 10,045 8,149 342 1,554 1,415,165 1,201,396 40,573 173,196 Form 990 (2013)

Form 990 (2013) Ative Minds In. 20-0587172 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... 163,022 1 198,657 2 Savings and temporary ash investments... 150,486 2 140,504 3 Pledges and grants reeivale, net... 226,604 3 328,181 4 Aounts reeivale, net... 4 5 Loans and other reeivales from urrent and former offiers, diretors, Net Assets of Fund Balanes Liailities Assets trustees, key employees, and highest ompensated employees. Complete Part II of Shedule L... 5 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... 6 7 tes and loans reeivale, net... 7 8 Inventories for sale or use... 3,751 8 4,914 9 Prepaid expenses and deferred harges... 31,494 9 15,999 10a Land, uildings, and equipment: ost or other asis. Complete Part VI of Shedule D... 10a 58,570 Less: aumulated depreiation... 10 46,132 20,307 10 12,438 11 Investments - pulily traded seurities... 8,045 11 14,214 12 Investments - other seurities. See Part IV, line 11... 12 13 Investments - program-related. See Part IV, line 11... 13 14 Intangile assets... 14 15 Other assets. See Part IV, line 11... 11,748 15 11,748 16 Total assets. Add lines 1 through 15 (must equal line 34)... 615,457 16 726,655 17 Aounts payale and arued expenses... 38,493 17 55,613 18 Grants payale... 18 19 Deferred revenue... 5,000 19 7,200 20 Tax-exempt ond liailities... 20 21 Esrow or ustodial aount liaility. Complete Part IV of Shedule D... 21 22 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... 22 23 Seured mortgages and notes payale to unrelated third parties... 23 24 Unseured notes and loans payale to unrelated third parties... 24 25 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... 25 9,884 26 Total liailities. Add lines 17 through 25... 43,493 26 72,697 Organizations that follow SFAS 117 (ASC 958), hek here and omplete lines 27 through 29, and lines 33 and 34. 27 Unrestrited net assets... 387,464 27 443,524 28 Temporarily restrited net assets... 184,500 28 210,434 29 Permanently restrited net assets... 29 Organizations that do not follow SFAS 117 (ASC 958), hek here and omplete lines 30 through 34. 30 Capital stok or trust prinipal, or urrent funds... 30 31 Paid-in or apital surplus, or land, uilding, or equipment fund... 31 32 Retained earnings, endowment, aumulated inome, or other funds... 32 33 Total net assets or fund alanes... 571,964 33 653,958 34 Total liailities and net assets/fund alanes... 615,457 34 726,655 Form 990 (2013)

Form 990 (2013) Ative Minds In. 20-0587172 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)... 1 1,490,663 2 Total expenses (must equal Part I, olumn (A), line 25)... 2 1,415,165 3 Revenue less expenses. Sutrat line 2 from line 1... 3 75,498 4 Net assets or fund alanes at eginning of year (must equal Part, line 33, olumn (A))... 4 571,964 5 Net unrealized gains (losses) on investments... 5 6,496 6 Donated servies and use of failities... 6 7 Investment expenses... 7 8 Prior period adjustments... 8 9 Other hanges in net assets or fund alanes (explain in Shedule O)... 9 0 10 Net assets or fund alanes at end of year. Comine lines 3 through 9 (must equal Part, line 33, olumn (B))... 10 653,958 Part II Finanial Statements and Reporting Chek if Shedule O ontains a response or note to any line in this Part II... Yes 1 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. 2a Were the organization's finanial statements ompiled or reviewed y an independent aountant?... 2a If "Yes," 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?... 2 If "Yes," 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 "Yes" 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?... 2 If the organization hanged either its oversight proess or seletion proess during the tax year, explain in Shedule O. 3a 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?... 3a If "Yes," 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... 3 Form 990 (2013)

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. Ative Minds In. 20-0587172 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.) 1 2 3 4 5 6 7 8 9 10 11 e f g h (A) 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, 1975. 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 that desries the type of supporting organization and omplete lines 11e through 11h. 2013 Open to Puli Inspetion a Type I Type II Type III-Funtionally integrated d Type III-n-funtionally integrated By heking this ox, I ertify that the organization is not ontrolled diretly or indiretly y one or more disqualified persons other than foundation managers and other than one or more pulily supported organizations desried in setion 509(a)(1) or setion 509(a)(2). If the organization reeived a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, hek this ox... Sine August 17, 2006, has the organization aepted any gift or ontriution from any of the following persons? Information aout Shedule A (Form 990 or 990-EZ) and its instrutions is at www.irs.gov/form990. Employer identifiation numer (i) A person who diretly or indiretly ontrols, either alone or together with persons desried in (ii) and (iii) elow, the governing ody of the supported organization?... (ii) A family memer of a person desried in (i) aove?... (iii) A 35% ontrolled entity of a person desried in (i) or (ii) aove?... Provide the following information aout the supported organization(s). Yes Yes Yes OMB. 1545-0047 (i) Name of supported (ii) EIN (iii) Type of organization (iv) Is the organization (v) Did you notify (vi) Is the (vii) Amount of monetary organization (desried on lines 1-9 in ol. (i) listed in your the organization in organization in ol. support aove or IRC setion governing doument? ol. (i) of your (i) organized in the (see instrutions)) support? U.S.? 11g(i) 11g(ii) 11g(iii) Yes (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) 2013

Shedule A (Form 990 or 990-EZ) 2013 Ative Minds In. 20-0587172 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) 2009 () 2010 () 2011 (d) 2012 (e) 2013 (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... 551,589 964,307 873,835 1,092,563 1,107,089 4,589,383 3 4 5 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 4... 8 Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures... 551,589 964,307 873,835 1,092,563 1,107,089 4,589,383 1,842,309 2,747,074 (a) 2009 () 2010 () 2011 (d) 2012 (e) 2013 (f) Total 551,589 964,307 873,835 1,092,563 1,107,089 4,589,383 274 413 149 169 267 1,272 9 Net inome from unrelated usiness ativities, whether or not the usiness is regularly arried on... 10 Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part IV.)... 11 Total support. Add lines 7 through 10. 4,590,655 12 Gross reeipts from related ativities, et. (see instrutions)... 12 1,255,208 13 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 2013 (line 6, olumn (f) divided y line 11, olumn (f))... 14 59.84 % 15 Puli support perentage from 2012 Shedule A, Part II, line 14... 15 53.34 % 16a 33 1/3% support test - 2013. 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... 33 1/3% support test - 2012. 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 - 2013. 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 IV how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization... 10%-fats-and-irumstanes test - 2012. 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 IV 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) 2013

Shedule A (Form 990 or 990-EZ) 2013 Ative Minds In. 20-0587172 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) 2009 () 2010 () 2011 (d) 2012 (e) 2013 (f) Total 1 2 3 4 5 6 7a 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 7..... 8 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) 2009 () 2010 () 2011 (d) 2012 (e) 2013 (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 10...... 11 Net inome from unrelated usiness ativities not inluded in line 10, whether or not the usiness is regularly arried on... 12 Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part IV.)... 13 Total support. (Add lines 9, 10, 11, and 12.)... 14 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 2013 (line 8, olumn (f) divided y line 13, olumn (f))... 15 % 16 Puli support perentage from 2012 Shedule A, Part III, line 15... 16 % Setion D. Computation of Investment Inome Perentage 17 Investment inome perentage for 2013 (line 10, olumn (f) divided y line 13, olumn (f))... 17 % 18 Investment inome perentage from 2012 Shedule A, Part III, line 17... 18 % 19a 33 1/3% support tests - 2013. 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... 33 1/3% support tests - 2012. 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... 20 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) 2013

Shedule B (Form 990, 990-EZ, or 990-PF) Department of the Treasury Internal Revenue Servie Name of the organization Shedule of Contriutors Attah to Form 990, Form 990-EZ, or Form 990-PF. Information aout Shedule B (Form 990, 990-EZ, or 990-PF) and its instrutions is at www.irs.gov/form990. Ative Minds In. 20-0587172 Organization type (hek one): OMB. 1545-0047 2013 Employer identifiation numer Filers of: Setion: Form 990 or 990-EZ 501()( 3 ) (enter numer) organization 4947(a)(1) nonexempt haritale trust not treated as a private foundation 527 politial organization Form 990-PF 501()(3) exempt private foundation 4947(a)(1) nonexempt haritale trust treated as a private foundation 501()(3) taxale private foundation Chek if your organization is overed y the General Rule or a Speial Rule. te. Only a setion 501()(7), (8), or (10) organization an hek oxes for oth the General Rule and a Speial Rule. See instrutions. General Rule Speial Rules For an organization filing Form 990, 990-EZ, or 990-PF that reeived, during the year, $5,000 or more (in money or property) from any one ontriutor. Complete Parts I and II. For a setion 501()(3) organization filing Form 990 or 990-EZ that met the 33 1/3% support test of the regulations under setions 509(a)(1) and 170()(1)(A)(vi) and reeived from any one ontriutor, during the year, a ontriution of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h or (ii) Form 990-EZ, line 1. Complete Parts I and II. For a setion 501()(7), (8), or (10) organization filing Form 990 or 990-EZ that reeived from any one ontriutor, during the year, total ontriutions of more than $1,000 for use exlusively for religious, haritale, sientifi, literary, or eduational purposes, or the prevention of ruelty to hildren or animals. Complete Parts I, II, and III. For a setion 501()(7), (8), or (10) organization filing Form 990 or 990-EZ that reeived from any one ontriutor, during the year, ontriutions for use exlusively for religious, haritale, et., purposes, ut these ontriutions did not total to more than $1,000. If this ox is heked, enter here the total ontriutions that were reeived during the year for an exlusively religious, haritale, et., purpose. Do not omplete any of the parts unless the General Rule applies to this organization eause it reeived nonexlusively religious, haritale, et., ontriutions of $5,000 or more during the year... $ Caution. An organization that is not overed y the General Rule and/or the Speial Rules does not file Shedule B (Form 990, 990-EZ, or 990-PF), ut it must answer "" on Part IV, line 2, of its Form 990; or hek the ox on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to ertify that it does not meet the filing requirements of Shedule B (Form 990, 990-EZ, or 990-PF). For Paperwork Redution At tie, see the Instrutions for Form 990, 990-EZ, or 990-PF. Shedule B (Form 990, 990-EZ, or 990-PF) (2013)

Shedule B (Form 990, 990-EZ, or 990-PF) (2013) Name of organization Part I Contriutors (see instrutions). Use dupliate opies of Part I if additional spae is needed. Employer identifiation numer Ative Minds In. 20-0587172 (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution Page 2 1 Kenneth D Brody Family Foundation 2401 Kalorama Road NW Washington, DC 20008 Person Payroll $ 100,000 nash (Complete Part II for nonash ontriutions.) (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution 2 Charles Engelhard Foundation 645 Fifth Avenue New York, NY 10022 Person Payroll $ 100,000 nash (Complete Part II for nonash ontriutions.) (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution 8 James Kirk Bernard Foundation 281 rth Star Drive Aspen, CO 81611 Person Payroll $ 25,000 nash (Complete Part II for nonash ontriutions.) (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution 20 Steve and Charla Lerman 8804 Twin Creek Court Potoma, MD 20854 Person Payroll $ 25,929 nash (Complete Part II for nonash ontriutions.) (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution 25 Margaret Clark Morgan Foundation 10 W. Streetsoro St., Suite 200 Hudson, OH 44236 Person Payroll $ 250,000 nash (Complete Part II for nonash ontriutions.) (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution 29 Sylvan Herman Foundation 1120 Vermont Ave NW Ste 900 Washington, DC 20005 Person Payroll $ 50,000 nash (Complete Part II for nonash ontriutions.) Shedule B (Form 990, 990-EZ, or 990-PF) (2013)

Shedule B (Form 990, 990-EZ, or 990-PF) (2013) Name of organization Part I Contriutors (see instrutions). Use dupliate opies of Part I if additional spae is needed. Employer identifiation numer Ative Minds In. 20-0587172 (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution Person Payroll $ nash (Complete Part II for nonash ontriutions.) (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution Person Payroll $ nash (Complete Part II for nonash ontriutions.) (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution Person Payroll $ nash (Complete Part II for nonash ontriutions.) (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution Person Payroll $ nash (Complete Part II for nonash ontriutions.) (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution Person Payroll $ nash (Complete Part II for nonash ontriutions.) (a) () () (d). Name, address, and ZIP + 4 Total ontriutions Type of ontriution Person Payroll $ nash (Complete Part II for nonash ontriutions.) Page 2 Shedule B (Form 990, 990-EZ, or 990-PF) (2013)

SCHEDULE D (Form 990) Department of the Treasury Internal Revenue Servie Name of the organization Supplemental Finanial Statements Complete if the organization answered "Yes," to Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11, 11, 11d, 11e, 11f, 12a, or 12. Attah to Form 990. Information aout Shedule D (Form 990) and its instrutions is at www.irs.gov/form990. Ative Minds In. 20-0587172 Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Aounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6. 1 2 3 4 5 6 only for haritale purposes and not for the enefit of the donor or donor advisor, or for any other purpose onferring impermissile private enefit?... Part II Conservation Easements Complete if the organization answered "Yes" to Form 990, Part IV, line 7. 1 2 3 4 5 6 7 8 9 a d organization's aounting for onservation easements. Part III Organizations Maintaining Colletions of Art, Historial Treasures, or Other Similar Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 8. 1a 2 2013 Open to Puli Inspetion (a) Donor advised funds () Funds and other aounts Total numer at end of year... Aggregate ontriutions to (during year)... Aggregate grants from (during year)... Aggregate value at end of year... Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, sujet to the organization's exlusive legal ontrol?... Yes Did the organization inform all grantees, donors, and donor advisors in writing that grant funds an e used Purpose(s) of onservation easements held y the organization (hek all that apply). Preservation of land for puli use (e.g., rereation or eduation) Protetion of natural haitat Preservation of open spae Preservation of an historially important land area Preservation of a ertified histori struture Complete lines 2a through 2d if the organization held a qualified onservation ontriution in the form of a onservation easement on the last day of the tax year. Held at the End of the Tax Year Total numer of onservation easements... 2a Total areage restrited y onservation easements... 2 Numer of onservation easements on a ertified histori struture inluded in (a)... 2 Numer of onservation easements inluded in () aquired after 8/17/06, and not on a histori struture listed in the National Register... 2d Numer of onservation easements modified, transferred, released, extinguished, or terminated y the organization during the tax year Numer of states where property sujet to onservation easement is loated Does the organization have a written poliy regarding the periodi monitoring, inspetion, handling of violations, and enforement of the onservation easements it holds?... Staff and volunteer hours devoted to monitoring, inspeting, and enforing onservation easements during the year Amount of expenses inurred in monitoring, inspeting, and enforing onservation easements during the year $ Does eah onservation easement reported on line 2(d) aove satisfy the requirements of setion 170(h)(4)(B) (i) and setion 170(h)(4)(B)(ii)?... In Part III, desrie how the organization reports onservation easements in its revenue and expense statement, and alane sheet, and inlude, if appliale, the text of the footnote to the organization's finanial statements that desries the If the organization eleted, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and alane sheet works of art, historial treasures, or other similar assets held for puli exhiition, eduation, or researh in furtherane of puli servie, provide, in Part III, the text of the footnote to its finanial statements that desries these items. If the organization eleted, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and alane sheet works of art, historial treasures, or other similar assets held for puli exhiition, eduation, or researh in furtherane of Employer identifiation numer puli servie, provide the following amounts relating to these items: (i) Revenues inluded in Form 990, Part VIII, line 1... $ (ii) Assets inluded in Form 990, Part... $ If the organization reeived or held works of art, historial treasures, or other similar assets for finanial gain, provide the OMB. 1545-0047 following amounts required to e reported under SFAS 116 (ASC 958) relating to these items: a Revenues inluded in Form 990, Part VIII, line 1... $ Assets inluded in Form 990, Part... $ For Paperwork Redution At tie, see the Instrutions for Form 990. Shedule D (Form 990) 2013 Yes Yes Yes

Shedule D (Form 990) 2013 Ative Minds In. 20-0587172 Page 2 Part III Organizations Maintaining Colletions of Art, Historial Treasures, or Other Similar Assets (ontinued) 3 Using the organization's aquisition, aession, and other reords, hek any of the following that are a signifiant use of its 4 a d e 5 During the year, did the organization soliit or reeive donations of art, historial treasures, or other similar assets to e sold to raise funds rather than to e maintained as part of the organization's olletion?... Yes Part IV Esrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, Part, line 21. 1a Is the organization an agent, trustee, ustodian or other intermediary for ontriutions or other assets not inluded on Form 990, Part?... Yes If "Yes," explain the arrangement in Part III and omplete the following tale: Amount Beginning alane... 1 d Additions during the year... 1d e Distriutions during the year... 1e f Ending alane... 1f 2a Did the organization inlude an amount on Form 990, Part, line 21?... Yes If "Yes," explain the arrangement in Part III. Chek here if the explanation has een provided in Part III... Part V Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10. 1a 2 d e f g a 3a olletion items (hek all that apply): Puli exhiition Sholarly researh Preservation for future generations Loan or exhange programs Provide a desription of the organization's olletions and explain how they further the organization's exempt purpose in Part III. Other (a) Current year () Prior year () Two years ak (d) Three years ak (e) Four years ak Beginning of year alane... Contriutions... Net investment earnings, gains, and losses... Grants or sholarships... Other expenditures for failities and programs... Administrative expenses End of year alane...... Provide the estimated perentage of the urrent year end alane (line 1g, olumn (a)) held as: Board designated or quasi-endowment % Permanent endowment % Temporarily restrited endowment % The perentages in lines 2a, 2, and 2 should equal 100%. Are there endowment funds not in the possession of the organization that are held and administered for the organization y: Yes (i) unrelated organizations... 3a(i) (ii) related organizations... 3a(ii) If "Yes" to 3a(ii), are the related organizations listed as required on Shedule R?... 3 4 Desrie in Part III the intended uses of the organization's endowment funds. Part VI Land, Buildings, and Equipment. Complete if the organization answered "Yes" to Form 990, Part IV, line 11a. See Form 990, Part, line 10. Desription of property (a) Cost or other asis () Cost or other asis () Aumulated (d) Book value (investment) (other) depreiation 1a Land... Buildings... Leasehold improvements... d Equipment... 57,270 45,375 11,895 e Other... 1,300 757 543 Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part, olumn (B), line 10().)... 12,438 Shedule D (Form 990) 2013

Shedule D (Form 990) 2013 Part VII Part VIII Part I Ative Minds In. 20-0587172 Page 3 Investments - Other Seurities Complete if the organization answered "Yes" to Form 990, Part IV, line 11. See Form 990, Part, line 12. (a) Desription of seurity or ategory () Book value () Method of valuation: (inluding name of seurity) Cost or end-of-year market value (1) Finanial derivatives... (2) Closely-held equity interests... (3) Other (A) (B) (C) (D) (E) (F) (G) (H) Total. (Column () must equal Form 990, Part, ol. (B) line 12.) (1) (2) (3) (4) (5) (6) (7) (8) (9) (1) (2) (3) (4) (5) (6) (7) (8) Investments - Program Related. Complete if the organization answered "Yes" to Form 990, Part IV, line 11. See Form 990, Part, line 13. Other Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 11d. See Form 990, Part, line 15. (9) Total. (Column () must equal Form 990, Part, ol. (B) line 15.)... Part Other Liailities. Complete if the organization answered "Yes" to Form 990, Part IV, line 11e or 11f. See Form 990, Part, line 25. 1. (a) Desription of liaility () Book value (1) Federal inome taxes (2) Deferred rent 9,884 (3) (4) (5) (6) (7) (8) (9) (a) Desription of investment () Book value () Method of valuation: Cost or end-of-year market value Total. (Column () must equal Form 990, Part, ol. (B) line 13.) Total. (Column () must equal Form 990, Part, ol. (B) line 25.) (a) Desription 2. Liaility for unertain tax positions. In Part III, provide the text of the footnote to the organization's finanial statements that reports the organization's liaility for unertain tax positions under FIN 48 (ASC 740). Chek here if the text of the footnote has een provided in Part III 9,884 () Book value... Shedule D (Form 990) 2013

Shedule D (Form 990) 2013 Ative Minds In. 20-0587172 Part I Reoniliation of Revenue per Audited Finanial Statements With Revenue per Return. Complete if the organization answered "Yes" to Form 990, Part IV, line 12a. 1 Total revenue, gains, and other support per audited finanial statements... 1 2 Amounts inluded on line 1 ut not on Form 990, Part VIII, line 12: a Net unrealized gains on investments... 2a 6,496 Donated servies and use of failities... 2 Reoveries of prior year grants... 2 d Other (Desrie in Part III.)... 2d 33,121 e Add lines 2a through 2d... 2e 3 Sutrat line 2e from line 1... 3 4 Amounts inluded on Form 990, Part VIII, line 12, ut not on line 1: a Investment expenses not inluded on Form 990, Part VIII, line 7... 4a Other (Desrie in Part III.)... 4 583 Add lines 4a and 4... 4 5 Total revenue. Add lines 3 and 4. (This must equal Form 990, Part I, line 12.)... 5 Part II Reoniliation of Expenses per Audited Finanial Statements With Expenses per Return. Complete if the organization answered "Yes" to Form 990, Part IV, line 12a. 1 Total expenses and losses per audited finanial statements... 1 2 Amounts inluded on line 1 ut not on Form 990, Part I, line 25: a Donated servies and use of failities... 2a Prior year adjustments... 2 Other losses... 2 d Other (Desrie in Part III.)... 2d 33,121 e Add lines 2a through 2d... 2e 3 Sutrat line 2e from line 1... 3 4 Amounts inluded on Form 990, Part I, line 25, ut not on line 1: a Investment expenses not inluded on Form 990, Part VIII, line 7... 4a Other (Desrie in Part III.)... 4 583 Add lines 4a and 4... 4 5 Total expenses. Add lines 3 and 4. (This must equal Form 990, Part I, line 18.)... 5 Part III Supplemental Information Provide the desriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1 and 2; Part V, line 4; Part, line 2; Part I, lines 2d and 4; and Part II, lines 2d and 4. Also omplete this part to provide any additional information. Page 4 1,529,697 39,617 1,490,080 583 1,490,663 1,447,703 33,121 1,414,582 583 1,415,165 01. Other revenues not inluded on Form 990 (Part I, line 2d) Speial event expenses are netted against revenue on the 990 ut are shown as expenses on the audited finanial statements. Shedule D (Form 990) 2013

Shedule D (Form 990) 2013 Part III Ative Minds In. 20-0587172 Supplemental Information (ontinued) Page 5 02. Other revenues inluded on Form 990 (Part I, line 4) The audited finanial statements net realized loss on investments against unrealized gain on investments ut the 990 reports the realized loss separately as an expense. 03. Other expenses not inluded on Form 990 (Part II, line 2d) Speial event expenses are netted against revenue on the 990 ut are shown as expenses on the audited finanial statements. 04. Other expenses inluded on Form 990 (Part II, line 4) The audited finanial statements net realized loss on investments against unrealized gain on investments ut the 990 reports the realized loss separately as an expense. 05. Footnote for unertain tax position under FIN 48 (Part ) Ative Minds has doumented its onsideration of FASB ASC 740-10 and determined that no material unertain tax positions qualify for either reognition or dislosure in the finanial statements. Shedule D (Form 990) 2013

SCHEDULE G (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Supplemental Information Regarding Fundraising or Gaming Ativities Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Attah to Form 990 or Form 990-EZ. Information aout Shedule G (Form 990 or 990-EZ) and its instrutions is at www.irs.gov/form990. Ative Minds In. 20-0587172 Fundraising Ativities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Part I Form 990-EZ filers are not required to omplete this part. 1 a d 2a Indiate whether the organization raised funds through any of the following ativities. Chek all that apply. Mail soliitations Internet and email soliitations Phone soliitations In-person soliitations e f g Soliitation of non-government grants Soliitation of government grants Speial fundraising events Did the organization have a written or oral agreement with any individual (inluding offiers, diretors, trustees or key employees listed in Form 990, Part VII) or entity in onnetion with professional fundraising servies? If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under whih the fundraiser is to e ompensated at least $5,000 y the organization. Yes OMB. 1545-0047 2013 Open to Puli Inspetion Employer identifiation numer 1 (v) Amount paid to (iii) Did fundraiser have (i) Name and address of individual (iv) Gross reeipts (or retained y) (ii) Ativity ustody or ontrol of or entity (fundraiser) from ativity fundraiser listed in ontriutions? ol. (i) Yes (vi) Amount paid to (or retained y) organization 2 3 4 5 6 7 8 9 10 Total... 3 List all states in whih the organization is registered or liensed to soliit ontriutions or has een notified it is exempt from registration or liensing. Paperwork Redution At tie, see the Instrutions for Form 990 or 990-EZ. Shedule G (Form 990 or 990-EZ) 2013

Part II Ative Minds In. 20-0587172 Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event ontriutions and gross inome on Form 990-EZ, lines 1 and 6. List events with gross reeipts greater than $5,000. Shedule G (Form 990 or 990-EZ) 2013 (a) Event #1 () Event #2 () Other events (d) Total events DC NY ne (add ol. (a) through ol. ()) (event type) (event type) (total numer) Page 2 Revenue 1 Gross reeipts... 8,850 96,331 105,181 2 3 Less: Contriutions... Gross inome (line 1 minus line 2)... 7,135 84,931 92,066 1,715 11,400 13,115 4 Cash prizes... 5 nash prizes... Diret Expenses 6 7 8 Rent/faility osts... Food and everages... Entertainment... 9,750 9,750 2,832 13,922 16,754 9 Other diret expenses... 6,617 6,617 10 Diret expense summary. Add lines 4 through 9 in olumn (d)... 11 Net inome summary. Sutrat line 10 from line 3, olumn (d)... Part III Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a. Revenue 1 Gross revenue... (a) Bingo () Pull tas/instant ingo/progressive ingo () Other gaming 33,121 (20,006) (d) Total gaming (add ol. (a) through ol. ()) Diret Expenses 2 3 4 Cash prizes... nash prizes Rent/faility osts...... 5 Other diret expenses... Yes % Yes % Yes % 6 Volunteer laor... 7 Diret expense summary. Add lines 2 through 5 in olumn (d)... 8 Net gaming inome summary. Sutrat line 7 from line 1, olumn (d)... 9 Enter the state(s) in whih the organization operates gaming ativities: a Is the organization liensed to operate gaming ativities in eah of these states?... Yes If "," explain: 10a Were any of the organization's gaming lienses revoked, suspended or terminated during the tax year?... Yes If "Yes," explain: Shedule G (Form 990 or 990-EZ) 2013

SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to speifi questions on Form 990 or 990-EZ or to provide any additional information. Attah to Form 990 or 990-EZ. Information aout Shedule O (Form 990 or 990-EZ) and its instrutions is at www.irs.gov/form990. Ative Minds In. 20-0587172 01. Organizational doument hanges (Part VI, line 4) OMB. 1545-0047 2013 Open to Puli Inspetion Employer identifiation numer In January 2014 Ative Minds revised its ylaws to update with nonprofit language, expand oard size, set quorum, update how meetings are announed, set oard terms and estalish proedures for removal of a diretor. 02. Form 990 governing ody review (Part VI, line 11) The 990 is sent to treasurer and exeutive ommittee for intense review; then to full oard for review and approval either at a meeting or via WorkZone. 03. Conflit of interest poliy ompliane (Part VI, line 12) Offiers, diretors and key employees are required to annually review and sign the onflit of interest poliy. 04. CEO, exeutive diretor, top management omp (Part VI, line 15a) The oard determines the ompensation of the exeutive diretor ased on others' salaries and effetiveness. The oard reviews and disusses any modifiations to the exeutive diretor's salary efore a full oard vote. 05. Other offier or key employee ompensation (Part VI, line 15 The exeutive diretor makes reommendations for the ompensation of key offiers ased on merit and omparale organizations and/or outside ompensation survey data. The oard reviews and disusses any modifiations to all salaries efore a full oard vote. 06. Governing douments, et, availale to puli (Part VI, line 19) Ative Minds makes its governing douments and finanial statements availale to the For Paperwork Redution At tie, see the Instrutions for Form 990 or 990-EZ. Shedule O (Form 990 or 990-EZ) (2013)

Shedule O (Form 990 or 990-EZ) (2013) Name of the organization Employer identifiation numer Ative Minds In. 20-0587172 Page 2 puli upon request. The 990 is availale on the internet at Ative Minds' wesite and at Guidestar. Shedule O (Form 990 or 990-EZ) (2013)

Name(s) as shown on return Statement of Program Servie Aomplishments 2013 Your Soial Seurity Numer Ative Minds In. 20-0587172 Form 990, Part III(a) Program Servie Code Program Servie Expenses $113470 Grants and alloations inluded in aove expense $0 Program Servies Revenue $50847 Explanation Puli Eduation and Awareness Campaigns: Ative Minds has reated Awareness Day programming for our hapters and supporters suh as National Day without Stigma, National Stress out Day, and National Eating Disorders Awareness Week. During these programs, large numers of students and ommunity memers are introdued to mental health topis that are very relevant and often misunderstood, in an approahale way. By eduating through innovative and relevant means inluding a omprehensive wesite at www.ativeminds.org, and an interative presene on Faeook, Twitter, and YouTue, Ative Minds aims to raise puli onsiousness and hange the way mental health issues are understood and pulily approahed. 01 STM.LD

Name(s) as shown on return Statement of Program Servie Aomplishments 2013 Your Soial Seurity Numer Ative Minds In. 20-0587172 Form 990, Part III() Program Servie Code Program Servie Expenses $146740 Grants and alloations inluded in aove expense $0 Program Servies Revenue $111000 Explanation Send Silene Paking, suiide awareness program: Suiide laims the lives of more than 1,100 ollege students eah year, and eah one of those deaths touhes us all. Send Silene Paking is an award winning exhiit of 1,100 donated akpaks representing the numer of ollege student lives lost to suiide eah year. Ative Minds has olleted and ontinues to ollet akpaks and personal stories in memory or in honor of loved ones impated y suiide. By displaying akpaks with personal stories that put a fae to lives lost to suiide, Send Silene Paking arries the message that preventing suiide is not just aout lowering statistis, ut also aout saving the lives of students, daughters, sons, rothers, sisters and friends aross the nation 01 STM.LD