2022-07-13T10:14:37-05:00 2021-08-31 201766527 WAUGH & GOODWIN LLP 1365 GARDEN OF THE GODS STE 150 COLORADO SPRINGS CO 80907 990 2020-09-01 510204742 USA HOCKEY INC USAH 7195768724 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 PATRICK KELLEHER EXECUTIVE DIRECTOR 7195768724 2022-07-11 1 PATRICK KELLEHER 999009999 RITA F CHRISTENSEN P00290681 7195909777 2022-07-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MIKE TRIMBOLI 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 42713940 0 3724 X WWW.USAHOCKEY.COM X 1936 DC USA HOCKEY, INC. PROVIDES THE FOUNDATION FOR THE SPORT OF ICE HOCKEY IN AMERICA; HELPS YOUNG PEOPLE BECOME LEADERS, EVEN OLYMPIC HEROES; AND CONNECTS THE GAME AT EVERY LEVEL WHILE PROMOTING A LIFELONG LOVE OF THE SPORT. USA HOCKEY'S PRIMARY EMPHASIS IS ON GRASSROOTS HOCKEY. ALSO, THERE ARE JUNIOR AND ADULT HOCKEY PROGRAMS. 89 89 124 119 0 0 10529336 12033203 34624080 30208046 1003347 1604 338951 454507 46495714 42697360 4009274 3906841 0 0 12352163 13332863 0 0 2113019 22517050 23098801 38878487 40338505 7617227 2358855 29360894 34187999 19003990 21472240 10356904 12715759 X USA HOCKEY, INC. PROVIDES THE FOUNDATION FOR THE SPORT OF ICE HOCKEY IN AMERICA; HELPS YOUNG PEOPLE BECOME LEADERS, EVEN OLYMPIC HEROES; AND CONNECTS THE GAME AT EVERY LEVEL WHILE PROMOTING A LIFELONG LOVE OF THE SPORT. USA HOCKEY'S PRIMARY EMPHASIS IS ON GRASSROOTS HOCKEY. ALSO, THERE ARE JUNIOR AND ADULT HOCKEY PROGRAMS. 0 0 9439166 125000 28999234 MEMBERSHIP SERVICES PROVIDED ITS MAGAZINE AND INSURANCE COVERAGE WHILE PARTICIPATING IN ANY SANCTIONED EVENTS TO OVER 520,000 MEMBERS. PUBLISHED VARIOUS EDUCATIONAL MATERIALS. PROCESSED ANNUAL REGISTRATION FOR ALL MEMBERS AND MAINTAINS A HISTORICAL AND CURRENT MEMBER DATABASE. 8161313 1943266 1261833 INTERNATIONAL PROGRAMS - TEAMS PARTICIPATE IN INTERNATIONAL COMPETITIONS AT VARIOUS AGE GROUPS. 4050406 85802 NATIONAL TEAM DEVELOPMENT - CONDUCTED DEVELOPMENT PROGRAMS THAT PROVIDED ON-ICE AND GAME SITUATION TRAINING AND EDUCATION FOR 15 - 18 YEAR OLD PLAYERS. 1330417 15010 COACHING 2650957 1285575 24014 PLAYER DEVELOPMENT 425616 90014 ADULT HOCKEY 86183 ANNUAL CONGRESS/MID-WINTER MEETINGS 850860 22500 YOUTH PROGRAM 559541 553000 JUNIOR PROGRAM 1940576 164146 OFFICIALS 1576483 AMERICAN DEVELOPMENT MODEL 9420633 1838575 315684 31071518 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 0 1 0 1 525 0 1 124 1 0 0 0 0 0 0 0 0 0 0 0 0 X 89 89 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X X THE ORGANIZATION 7195768724 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 WAYNE SAWCHUK DIRECTOR PACIFIC DISTRICT 1.00 X 0 0 0 MICHAEL BLABAC ATHLETE DIRECTOR 5.00 X 0 0 0 CHRIS BUTLER ATHLETE DIRECTOR 5.00 X 0 0 0 CRAIG BRADY ATHLETE DIRECTOR 5.00 X 0 0 0 CAITLIN CAHOW ATHLETE DIRECTOR 5.00 X 0 0 0 BRIANNA DECKER ATHLETE DIRECTOR 5.00 X 0 0 0 KENDALL COYNE SCHOFIELD ATHLETE DIRECTOR 5.00 X 0 0 0 TAYLOR LIPSETT EXEC COMM ATHLETE DIRECTOR 5.00 X 0 0 0 ROBERT ESCHE ATHLETE DIRECTOR 5.00 X 0 0 0 LYNDSEY FRY ATHLETE DIRECTOR 5.00 X 0 0 0 JOHN-MICHAEL LILES ATHLETE DIRECTOR 5.00 X 0 0 0 JONATHON BLUM ATHLETE DIRECTOR 5.00 X 0 0 0 ERIC NYSTROM ATHLETE DIRECTOR 5.00 X 0 0 0 JENNIFER POTTER ATHLETE DIRECTOR 5.00 X 0 0 0 JAMES SLATER ATHLETE DIRECTOR 5.00 X 0 0 0 ALEX LYON ATHLETE DIRECTOR 5.00 X 0 0 0 CHRIS VAN TIMMEREN COLLEGE CLUB SECTION DIREC 1.00 X 0 0 0 GEORGE ATKINSON EXEC COMM DIRECTOR AT LARG 1.00 X 0 0 0 SHAWNA DAVIDSON DIRECTOR AT LARGE 1.00 X 0 0 0 SARAH FRASER DIRECTOR AT LARGE 1.00 X 0 0 0 SHELLEY LOONEY DIRECTOR AT LARGE 1.00 X 0 0 0 CHRIS CLARK DIRECTOR AT LARGE 1.00 X 0 0 0 JAY FINNIGAN DIRECTOR ATLANTIC DISTRICT 1.00 X 0 0 0 GLENN HEFFERAN DIRECTOR ATLANTIC DISTRICT 1.00 X 0 0 0 FRANK MCGADY DIRECTOR ATLANTIC DISTRICT 1.00 X 0 0 0 GENE PALECCO DIRECTOR ATLANTIC DISTRICT 1.00 X 0 0 0 ALAN DEMING DIRECTOR CENTRAL DISTRICT 1.00 X 0 0 0 LARRY HELLWIG DIRECTOR CENTRAL DISTRICT 1.00 X 0 0 0 MICHAEL MULLALLY DIRECTOR CENTRAL DISTRICT 1.00 X 0 0 0 LES TEPLICKY DIRECTOR CENTRAL DISTRICT 1.00 X 0 0 0 MICHAEL MACMILLAN DIRECTOR COACHES SECTION 1.00 X 0 0 0 ERIC BALLARD DIRECTOR COLLEGE CLUB SECT 1.00 X 0 0 0 JJ O'CONNOR DIRECTOR DISABLED HOCKEY S 1.00 X 0 0 0 CHRISTINE MAYER DIRECTOR MASSACHUSETTS DIS 1.00 X 0 0 0 THOMAS MCGRATH DIRECTOR MASSACHUSETTS DIS 1.00 X 0 0 0 STEVE RIZZO DIRECTOR MASSACHUSETTS DIS 1.00 X 0 0 0 GORDON BOWMAN DIRECTOR MICHIGAN DISTRICT 1.00 X 0 0 0 DAN JAROSHEWICH DIRECTOR MICHIGAN DISTRICT 1.00 X 0 0 0 ROGER MAURITHO DIRECTOR MICHIGAN DISTRICT 1.00 X 0 0 0 KEVIN WOOD DIRECTOR MICHIGAN DISTRICT 1.00 X 0 0 0 KAYE PINKOWSKI DIRECTOR MID AM DISTRICT 1.00 X 0 0 0 THOMAS CLINE DIRECTOR MID AMERICAN DIST 1.00 X 0 0 0 JOHN KAROLCIK DIRECTOR MID AMERICAN DIST 1.00 X 0 0 0 SCOTT GRAY DIRECTOR MINNESOTA DISTRIC 1.00 X 0 0 0 DOUGLAS KEPHART DIRECTOR MINNESOTA DISTRIC 1.00 X 0 0 0 DAVID MARGENAU DIRECTOR MINNESOTA DISTRIC 1.00 X 0 0 0 STEVEN OLEHEISER DIRECTOR MINNESOTA DISTRIC 1.00 X 0 0 0 BOB DEGREGORIO JR DIRECTOR NCAA 1.00 X 0 0 0 MICHAEL SNEE DIRECTOR NCAA 1.00 X 0 0 0 CHERYL BONAWITZ DIRECTOR NEW ENGLAND DISTR 1.00 X 0 0 0 RICHARD OLIVER DIRECTOR NEW ENGLAND DISTR 1.00 X 0 0 0 THOMAS REGAN DIRECTOR NEW ENGLAND DISTR 1.00 X 0 0 0 JOE BAUDO DIRECTOR NEW YORK DISTRICT 1.00 X 0 0 0 JOSEPH EPPOLITO DIRECTOR NEW YORK DISTRICT 1.00 X 0 0 0 MARK LAMARR DIRECTOR NEW YORK DISTRICT 1.00 X 0 0 0 GARY LEBRUN DIRECTOR NEW YORK DISTRICT 1.00 X 0 0 0 DWAYNE DILLINGER EXEC COMM DIRECTOR NORTHERN PLAINS 1.00 X 0 0 0 GREGORY EVENSON DIRECTOR NORTHERN PLAINS D 1.00 X 0 0 0 KENNETH REINHARD DIRECTOR OFFICIALS SECTION 1.00 X 0 0 0 STEVE LAING DIRECTOR PACIFIC DISTRICT 1.00 X 0 0 0 KRISTOPHER KNAUSS DIRECTOR PACIFIC DISTRICT 1.00 X 0 0 0 JON GUSTAFSON DIRECTOR PACIFIC DISTRICT 1.00 X 0 0 0 BILL DALY DIRECTOR PROFESSIONAL SPOR 1.00 X 0 0 0 DON FEHR DIRECTOR PROFESSIONAL SPOR 1.00 X 0 0 0 THOMAS BRANDEN DIRECTOR REGISTRARS SECTIO 1.00 X 0 0 0 TC LEWIS DIRECTOR ROCKY MOUNTAIN DI 1.00 X 0 0 0 GEOFFREY PASHKOWSKI DIRECTOR ROCKY MOUNTAIN DI 1.00 X 0 0 0 MARK SERVAES DIRECTOR ROCKY MOUNTAIN DI 1.00 X 0 0 0 KATHLEEN SMITH DIRECTOR ROCKY MOUNTAIN DI 1.00 X 0 0 0 MARC FRIEDMAN DIRECTOR SOUTHEASTERN DISTRIC 1.00 X 0 0 0 JOHN COLEMAN DIRECTOR SOUTHEASTERN DIST 1.00 X 0 0 0 CHRISTOPHER POWERS DIRECTOR SOUTHEASTERN DIST 1.00 X 0 0 0 JAMES MAIMONE DISTRICT DIRECTOR MASSACHU 1.00 X 0 0 0 MICHAEL MULHALL DIRECTOR SOUTHEASTERN DISTRICT 1.00 X 0 0 0 JULIE CHU EXEC COMMITTEE ATHLETE REP 1.00 X 0 0 0 MOLLY ENGSTROM EXEC COMMITTEE ATHLETE REP 1.00 X 0 0 0 MEGHAN DUGGAN ATHLETE DIRECTOR 1.00 X 0 0 0 CHRIS WASHBURN DIRECTOR NEW ENGLAND DISTRICT 1.00 X 0 0 0 BRUCE URBAN EXEC COMM DIRECTOR AT LARGE 1.00 X 0 0 0 DON GOULD GIRLS/WOMENS SECTION DIREC 1.00 X 0 0 0 PAUL DAY DIRECTOR MID AMERICAN DISTRICT 1.00 X 0 0 0 DON MULDER USA HOCKEY VICE PRESIDENT 5.00 2.00 X X 0 0 0 DONNA KAUFMAN USA HOCKEY VICE PRESIDENT 5.00 2.00 X X 0 0 0 MICHAEL TRIMBOLI USA HOCKEY VICE PRESIDENT 5.00 2.00 X X 0 0 0 GAVIN REGAN USA HOCKEY VICE PRESIDENT 5.00 2.00 X X 0 0 0 WILLIAM HALL SECRETARY 10.00 2.00 X X 0 0 0 DONNA GUARIGLIA TREASURER 10.00 2.00 X X 0 0 0 JOHN TOBIN DIRECTOR AT LARGE 1.00 X 0 0 0 KEITH BARRETT USA HOCKEY VICE PRESIDENT 5.00 2.00 X X 0 0 0 PATRICK KELLEHER EXECUTIVE DIRECTOR 30.00 10.00 X 359634 0 55752 KELLY MAHNCKE AST. ED FINANCE 30.00 10.00 X 200818 0 27198 RON DEGREGORIO CHAIRMAN OF THE BOARD 10.00 2.00 X 0 0 0 JAMES SMITH PRESIDENT 10.00 2.00 X 0 0 0 JOHN VANBIESBROUCK AST. EXEC DIRECTOR OF HOCK 40.00 X 198868 0 32281 CASEY JORGENSEN GENERAL COUNSEL 40.00 X 216478 0 46555 DAVID FISCHER SENIOR DIRECTOR, COMMUNICA 40.00 X 159665 0 40481 KEVIN MCLAUGHLIN AST. ED OF HOCKEY DEVELOPM 40.00 X 165546 0 39535 KENNETH MONAGHAN SR DIRECTOR NTDP & ARENA 40.00 X 160329 0 39071 ANTHONY DRISCOLL AST. EXEC DIRECTOR OF MARK 40.00 X 203379 0 43015 1664717 0 323888 9 0 1 0 INTEGRASS 956 INTERNATIONAL PARKWAY STE 1590 LAKE MARY FL 32746 REGISTRATION SYSTEMS 505875 TOUCHPOINT MEDIA INC 505 HIGHWAY 169 NORTH SUITE 465 MINNEAPOLIS MN 55441 PRINTING & PUBLISHING COST FOR THE USA H 441398 FAEGRE BAKER DANIELS LLP 2200 WELLS FARGO CENTER 90 S 7TH S MINNEAPOLIS MN 55402 LEGAL SERVICES 206590 SPORT NGIN INC 1400 VAN BUREN ST NE STE 200 MINNEAPOLIS MN 55413 USAH WEBSITE HOSTING, MAINTENANCE, & SUP 122550 KIRTON MCCONKIE PO BOX 45120 SALT LAKE CITY UT 84145 INTERNAL INVESTIGATION AND LEGAL SERVICE 111245 5 8359221 2185939 1488043 267503 12033203 MEMBERSHIP FEES 900099 25536262 25536262 CORPORATE SPONSORSHIPS 900099 2713830 2713830 TOURNAMENTS & EXHIBITIONS 711300 1951280 1951280 RELATED PARTY RENTAL INCOME 900099 5184 5184 MARKETING INCOME 900099 1490 1490 30208046 1604 1604 447414 447414 23673 16580 7093 7093 42697360 30662553 0 1604 X 3906841 3906841 919372 440258 333905 145209 8747275 5952467 2359629 435179 504048 344957 134165 24926 2475873 1203335 1166977 105561 686295 474876 173536 37883 489800 470441 19359 71105 71105 4606236 3764876 623948 217412 224924 106071 118853 1771191 1641865 99293 30033 243399 44680 198284 435 886627 350000 536627 5426481 4459384 51435 915662 602723 458555 144168 5730397 5372303 358094 OTHER 1120367 916714 169337 34316 EQUIPMENT 485410 406288 38331 40791 ICE RENTAL 407919 429419 -21500 CORPORATE SPONSOR - VIK 267503 246845 20658 764719 551784 204035 8900 40338505 31071518 7153968 2113019 1643147 2129204 15776042 19777646 1244000 1267000 1979512 1804311 1958817 1889086 9046964 7374403 1866365 1672561 750000 750000 4143011 4898191 29360894 34187999 2727170 4151981 13957131 17320259 2185939 133750 0 19003990 21472240 X 9287101 12303939 1069803 411820 10356904 12715759 29360894 34187999 2358855 0 X 0 1 X 0 0 X 10508906 11061644 10614577 10529336 12033203 54747666 34021353 41038500 32589493 34903281 30679133 173231760 171175 184200 229950 275275 860600 44701434 52284344 43434020 45707892 42712336 228840026 3800 3800 3800 3800 3800 19000 0 3800 3800 3800 3800 3800 19000 228821026 3304 1004294 12712 1003347 1604 2025261 3304 1004294 12712 1003347 1604 2025261 44704738 53288638 43446732 46711239 42713940 230865287 0.99110 0.99110 0.00880 0.00880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 911096 420073 491023 8135868 6954330 1181538 1672561 GRANTS RECEIVABLE FROM USA HOCKEY FOUNDATION 3652866 DUE FROM USA HOCKEY FOUNDATION 1245325 4898191 X 42713940 16580 16580 42697360 0 42697360 40355085 16580 16580 40338505 0 40338505 PART X, LINE 2: INCOME TAXES THE CORPORATION AND THE FOUNDATION QUALIFY AS TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, ARE NOT SUBJECT TO FEDERAL INCOME TAX. NEITHER ENTITY IS A PRIVATE FOUNDATION. HARP QUALIFIES UNDER THE PROVISIONS OF SECTION 501 OF THE INTERNAL REVENUE CODE TO BE EXEMPT FROM FEDERAL INCOME TAXES. ACCORDINGLY, NO TAX PROVISION HAS BEEN RECORDED. THE CORPORATION'S, FOUNDATION'S, AND HARP'S FORMS 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, ARE SUBJECT TO EXAMINATION BY VARIOUS TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THE DATE THEY WERE FILED. MANAGEMENT OF THE CORPORATION BELIEVES THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PLYMOUTH AC AND BECK ROAD, AS SINGLE-MEMBER LLCS, ARE CONSIDERED DISREGARDED ENTITIES FOR INCOME TAX REPORTING PURPOSES. ACCORDINGLY, THEIR ACTIVITY IS REPORTED ON THE FOUNDATION'S TAX RETURN. PROFITS THAT ARE GENERATED FROM ACTIVITIES UNRELATED TO THE EXEMPT PURPOSES COULD BE SUBJECT TO INCOME TAX. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES CHARGED TO EXPENSE IN AUDITED STATEMENTS MERCHANDISING COST CHARGED TO EXPENSE IN AUDITED STATEMENTS 16,580. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES CHARGED TO EXPENSE IN AUDITED STATEMENTS MERCHANDISING COST CHARGED TO EXPENSE IN AUDITED STATEMENTS 16,580. EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 PROGRAM SERVICE TRAVEL 577170 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 PROGRAM SERVICE TRAVEL 105379 0 0 0 0 0 0 682549 0 682549 0 0 0 0 0 0 PART III ACCOUNTING METHOD: 1 ATLANTIC AMATEUR HOCKEY ASSOCIATION 251 E GLEN AVE RIDGEWOOD NJ 07450 237375622 501(C)(3) 89858 BLOCK GRANT ALASKA STATE HOCKEY ASSOCIATION 1321 HILLCREST DRIVE ANCHORAGE AK 99503 920129499 501(C)(3) 19950 BLOCK GRANT AMATEUR HOCKEY ASSOCIATION ILLINOIS 1843 ADMIRAL COURT GLENVIEW IL 60026 362883831 501(C)(3) 71360 BLOCK GRANT ARIZONA AMATEUR HOCKEY ASSOCIATION PO BOX 17714 FOUNTAIN HILLS AZ 85269 860954646 501(C)(3) 20615 BLOCK GRANT CALIFORNIA AMATEUR HOCKEY ASSOCIATION 2720 LINCOLN AVE CLOVIS CA 93611 330254897 501(C)(3) 76535 BLOCK GRANT CAROLINA AMATEUR HOCKEY ASSOCIATION 6514 DORNOCH DR GREENSBORO NC 27410 311709238 501(C)(3) 21248 BLOCK GRANT COLLEGE HOCKEY INC 591 NORTH AVE 2 WAKEFIELD MA 01880 271436145 501(C)(3) 600000 PROMOTE COLLEGE HOCKEY COLORADO AMATEUR HOCKEY ASSOCIATION 3860 BALSAM STREET WHEATRIDGE CO 80033 841303384 501(C)(3) 36110 BLOCK GRANT IDAHO AMATEUR HOCKEY ASSOCIATION PO BOX 1238 KETCHUM ID 83340 820515812 501(C)(3) 9028 BLOCK GRANT MASSACHUSETTS HOCKEY 72 FAIRWAY DRIVE NEWTON MA 02465 043130566 501(C)(3) 104558 BLOCK GRANT MICHIGAN AMATEUR HOCKEY ASSOCIATION 20044 NORTH SHORE DRIVE SPRING LAKE MI 49456 382556088 501(C)(3) 110355 BLOCK GRANT MID WEST AMATEUR HOCKEY ASSOCIATION 16565 S 96TH STREET PAPILLION NE 68046 421457750 501(C)(3) 16125 BLOCK GRANT MID-AMERICAN HOCKEY ASSOCIATION 1127 COUNTRY CLUB ROAD MONONGAHELA PA 15063 351964943 501(C)(3) 93135 BLOCK GRANT MINNESOTA HOCKEY 317 WASHINGTON STREET ST PAUL MN 55102 411458420 501(C)(3) 15000 BOYS & GIRLS CAMP GRANT MISSOURI HOCKEY INC 2409 LIBERTY DRIVE MARYVILLE IL 62062 431602178 501(C)(3) 17023 BLOCK GRANT MONTANA AMATEUR HOCKEY ASSOCIATION 2600 QUEEN STREET MISSOULA MT 59801 820580433 501(C)(3) 11890 BLOCK GRANT NEW ENGLAND DISTRICT HOCKEY 47 BURNHAM LANE COLCHESTER VT 05446 020495890 501(C)(3) 70850 BLOCK GRANT NEW YORK STATE AMATEUR HOCKEY ASSOCIATION 57 COUNTRYGATE LANE TONWANDA NY 14150 161184849 501(C)(3) 109075 BLOCK GRANT NORTH DAKOTA AMATEUR HOCKEY ASSOCIATION 609 5TH ST SE JAMESTOWN ND 58401 450411123 501(C)(3) 13422 BLOCK GRANT OREGON STATE HOCKEY ASSOCIATION 1460 SE 58TH AVE PORTLAND OR 97215 930791934 501(C)(3) 6648 BLOCK GRANT PACIFIC NORTHWEST AMATEUR HOCKEY ASSOCIATION 111 W REGINA AVE SPOKANE WA 99218 911088618 501(C)(3) 22930 BLOCK GRANT POTOMAC VALLEY AMATEUR HOCKEY ASSOC 9007 LENNINGS LANE BALTIMORE MD 21237 522139421 501(C)(3) 52248 BLOCK GRANT SOUTH DAKOTA AMATEUR HOCKEY ASSOCIATION 218 STATE AVE BROOKINGS SD 57006 460409014 501(C)(3) 5985 BLOCK GRANT SOUTHERN AMATEUR HOCKEY ASSOCIATION 1234 HALIFAX ROAD KNOXVILLE TN 37922 582502660 501(C)(3) 22330 BLOCK GRANT STATEWIDE AMATEUR HOCKEY OF FLORIDA 2324 NE 20TH AVE WILTON MANORS FL 33305 593417365 501(C)(3) 37740 BLOCK GRANT TEXAS AMATEUR HOCKEY ASSOCIATION 2512 GEIBERGER DRIVE PLANO TX 75025 731458493 501(C)(3) 38805 BLOCK GRANT US HOCKEY LEAGUE 850 W JACKSON BLVD STE 703 CHICAGO IL 60607 421484283 501(C)(3) 1112955 GRANT UTAH AMATEUR HOCKEY ASSOCIATION PO BOX 263 OAKLEY UT 84055 870356292 501(C)(3) 11325 BLOCK GRANT WISCONSIN AMATEUR HOCKEY ASSOCIATION N550 GANNON RD LOT M20 LODI WI 53555 391929213 501(C)(3) 41683 BLOCK GRANT SERVING THE AMERICAN RINKS 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 841537531 501(C)(6) 125000 GRANT TO SUPPORT OPERATIONS NATIONAL HOCKEY LEAGUE 1185 AVENUE OF THE AMERICAS NEW YORK NY 10036 980036067 501(C)(6) 165311 USHL SUPPORT US HOCKEY LEAGUE 850 W JACKSON BLVD STE 703 CHICAGO IL 60607 421484283 501(C)(3) 65000 NHL DRAFT/NCAA GRANT NORTH AMERICAN HOCKEY LEAGUE 2601 AVENUE OF THE STARS STE 400 FRISCO TX 75034 383203750 501(C)(3) 47000 PLAYER ADVANCEMENT GRANT NORTH AMERICAN HOCKEY LEAGUE 2601 AVENUE OF THE STARS STE 400 FRISCO TX 75034 383203750 501(C)(3) 506000 NAHL GRANT MINNESOTA HOCKEY 1403 SE 5TH STREET GRAND RAPIDS MN 55744 411458420 501(C)(3) 120803 BLOCK GRANT NEVADA AMATEUR HOCKEY ASSOCIATION 2333 VIA FIRENZE HENDERSON NV 89044 880306161 501(C)(3) 6060 BLOCK GRANT 32 2 PART I, LINE 2: GRANTEES ARE REQUIRED TO DEMONSTRATE THEIR ELIGIBILITY PRIOR TO FUNDS BEING DISTRIBUTED. X 1 1 X X X 0 0 0 0 0 0 0 1 0 PATRICK KELLEHER EXECUTIVE DIRECTOR 319855 0 30000 0 9779 0 28306 0 27446 0 415386 0 0 0 CASEY JORGENSEN GENERAL COUNSEL 208739 0 0 0 7739 0 19059 0 27496 0 263033 0 0 0 ANTHONY DRISCOLL AST. EXEC DIRECTOR OF MARK 202713 0 0 0 666 0 18269 0 24746 0 246394 0 0 0 JOHN VANBIESBROUCK AST. EXEC DIRECTOR OF HOCK 197021 0 0 0 1847 0 7636 0 24645 0 231149 0 0 0 KELLY MAHNCKE AST. ED FINANCE 193745 0 0 0 7073 0 17520 0 9678 0 228016 0 0 0 KEVIN MCLAUGHLIN AST. ED OF HOCKEY DEVELOPM 164050 0 0 0 1496 0 14789 0 24746 0 205081 0 0 0 DAVID FISCHER SENIOR DIRECTOR, COMMUNICA 158210 0 0 0 1455 0 14385 0 26096 0 200146 0 0 0 KENNETH MONAGHAN SR DIRECTOR NTDP & ARENA 158887 0 0 0 1442 0 14325 0 24746 0 199400 0 0 0 PART I, LINE 1A THE EXECUTIVE DIRECTOR, ASSISTANT EXEC DIR FINANCE AND GENERAL COUNSEL ARE PROVIDED MEMBERSHIP TO A COUNTRY CLUB FOR BUSINESS PURPOSES. THE PERSONAL PORTION OF THE MEMBERSHIP IS INCLUDED IN TAXABLE COMPENSATION AND IS INCLUDED IN COLUMN B(III) OF PART II. PART I, LINE 7 ALL EMPLOYEES ARE ELIGIBLE FOR DISCRETIONARY BONUSES BASED UPON A VARIETY OF SUBJECTIVE CRITERIA. ANY BONUSES RECEIVED ARE REPORTED IN COLUMN B(II) OF SCHEDULE J PART II. ALLEGRA MARKETING PRINT & MAIL JIM SMITH, BOARD PRESIDENT, OWNS ENTITY 597 PRINTING BROCHURES & MISC. 0 X AIRLINE TICKETS 1 154174 FAIR MARKET VALUE X HOCKEY EQUIPMENT AND APPAREL 6 94744 FAIR MARKET VALUE X CLOTH ADHESIVE TAPE AND GRIP TAPE 1 18585 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS USA HOCKEY IS A MEMBERSHIP ORGANIZATION WITH OVER 520,000 MEMBERS. THERE ARE TWO CATEGORIES OF MEMBERS, REGISTERED PARTICIPANT MEMBERS AND ALLIED MEMBERS. SOME OF THE REGISTERED PARTICIPANT MEMBERS ARE DESIGNATED AS ELIGIBLE ATHLETES BASED UPON PARTICIPATION IN CERTAIN HOCKEY COMPETITIONS. ALLIED MEMBERSHIP IS DIVIDED INTO VARIOUS SECTIONS, AS ESTABLISHED BY THE BOARD OF DIRECTORS. CURRENT SECTIONS OF USA HOCKEY ARE AS FOLLOWS: OFFICIALS (REFEREES AND LINESMEN), COACHES, COLLEGES, GIRLS'/WOMEN'S, HIGH SCHOOL, AMATEUR HOCKEY ORGANIZATIONS (INCLUDING NATIONAL AMATEUR HOCKEY ORGANIZATIONS), PROFESSIONAL HOCKEY ORGANIZATIONS, REGISTRARS, INDIVIDUAL MEMBERS AND DISABLED HOCKEY. FORM 990, PART VI, SECTION A, LINE 7A MEMBER ELECTIONS OF BOARD OF DIRECTORS EACH DISTRICT DIRECTOR WILL BE ELECTED BY THE REGISTERED PARTICIPANT MEMBERS OF THAT DISTRICT. EACH DIRECTOR REPRESENTING A SECTION OF USA HOCKEY WILL BE ELECTED BY THE ALLIED MEMBERS OF THAT SECTION. EACH ATHLETE DIRECTOR WILL BE ELECTED BY ELIGIBLE ATHLETES. FORM 990, PART VI, SECTION B, LINE 11B A COPY IS GIVEN TO THE AUDIT COMMITTEE AND TO THE EXECUTIVE COMMITTEE MEMBERS FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C USA HOCKEY REQUIRES THAT EACH OF ITS OFFICERS, DIRECTORS, AND EMPLOYEES COMPLETE AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE ON A YEARLY BASIS, AND THOSE QUESTIONNAIRES ARE REVIEWED BY USA HOCKEY'S GENERAL COUNSEL AND, IF APPROPRIATE, OTHERS WITHIN USA HOCKEY TO PROTECT USA HOCKEY AND ITS OFFICERS, DIRECTORS, AND EMPLOYEES FROM THE APPEARANCE OF OR CHARGES OF IMPROPRIETY. PURSUANT TO THE CONFLICT OF INTEREST POLICY, PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO A SPECIFIC MATTER ARE EXCLUDED FROM ANY VOTING OR CONSIDERATION ON THAT MATTER. ANY PERSON THAT FAILS TO COMPLY WITH THE POLICY IS SUBJECT TO SANCTIONS AS THE BOARD OF DIRECTORS DEEMS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE. OTHER KEY EMPLOYEE'S COMPENSATION IS DETERMINED BY THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC THROUGH THE USA HOCKEY WEBSITE. REQUESTS CAN ALSO BE MAILED TO THE USA HOCKEY, INC. OFFICES. FORM 990, PART VI LINE 1A EXECUTIVE COMMITTEE THE EXECUTIVE COMMITTEE SHALL CONSIST OF ALL OF THE OFFICERS OF USA HOCKEY AND SUFFICIENT ATHLETE DIRECTORS TO ENSURE THAT NOT LESS THAN 20% OF ITS MEMBERSHIP IS COMPOSED OF ATHLETE DIRECTORS. THREE DIRECTOR REPRESENTATIVES SHALL BE ELECTED BY THE BOARD OF DIRECTORS FROM THE DISTRICT DIRECTORS, SECTION DIRECTORS OR DIRECTORS AT-LARGE. ATHLETE AND DIRECTOR REPRESENTATIVES SERVING ON THE EXECUTIVE COMMITTEE HAVE EXECUTIVE COMMITTEE INCLUDED IN THEIR TITLE. THE EXECUTIVE COMMITTEE SHALL BE EMPOWERED TO ACT ON THE BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS OF THE BOARD PROVIDED THAT (A) THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE AUTHORITY TO AMEND, ALTER, OR REPEAL THE BYLAWS OR RULES AND REGULATIONS, BUT MAY RECOMMEND SUCH CHANGES TO THE BOARD OF DIRECTORS FOR CONSIDERATION AND (B) THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY TO AMEND, ALTER OR REPEAL RULES AND REGULATIONS ONLY IN THE CASE OF AN EMERGENCY WHEN A VOTE OF THE BOARD OF DIRECTORS CANNOT REASONABLY BE OBTAINED, AND IN SUCH EVENT THE ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE PLACED ON THE AGENDA AT THE NEXT MEETING OF THE BOARD OF DIRECTORS FOR RATIFICATION, AMENDMENT OR REPEAL. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,353,119. MANAGEMENT AND GENERAL EXPENSES 623,948. FUNDRAISING EXPENSES 214,212. TOTAL EXPENSES 2,191,279. HONORARIA: PROGRAM SERVICE EXPENSES 2,411,757. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 3,200. TOTAL EXPENSES 2,414,957. USA HOCKEY FOUNDATION 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 742553720 TO RAISE FUNDS AND ACQUIRE ASSETS FOR USA HOCKEY CO 501(C)(3) LINE 12B, II USA HOCKEY INC 1 SERVING THE AMERICAN RINKS 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 841537531 TO PROVIDE EDUCATION, TRAINING, & NEW RESOURCES TO ICE RINK & ARENA INDUSTRY CO 501(C)(6) USA HOCKEY INC 1 HOCKEY AND RINK PROTECTION INC 76 ST PAUL STREET STE 500 BURLINGTON VT 05401 300266799 TO PROVIDE GENERAL LIABILITY INSURANCE COVERAGE TO THOSE ASSOCIATED W/USAH VT 501(C)(3) LINE 12B, II USA HOCKEY INC 1 1 1 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 USA HOCKEY FOUNDATION K 717500 CASH USA HOCKEY FOUNDATION D 4898191 CASH SERVING THE AMERICAN RINKS B 125000 CASH USA HOCKEY FOUNDATION C 8359221 CASH SERVING THE AMERICAN RINKS A 5184 CASH USA HOCKEY FOUNDATION P 319029 CASH HOCKEY AND RINK PROTECTION INC M 250000 CASH