2022-08-08T19:39:14-05:00 2021-09-30 521446779 JOHNSON LAMBERT LLP 4242 SIX FORKS ROAD SUITE 1500 RALEIGH NC 27609 990 2020-10-01 521529448 ASSOCIATION OF MATERNAL AND CHILD HEALTH PROGRAMS ASSO 2027750436 1825 K STREET NW NO 250 WASHINGTON DC 20006 TERRANCE MOORE CEO 2027750436 2022-08-08 1 TERRANCE MOORE 999009999 J CALVIN MARKS P01226973 9197196400 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z TERRANCE MOORE 1825 K STREET NW NO 250 WASHINGTON DC 20006 10815027 0 X WWW.AMCHP.ORG X 1987 DC TO PROTECT AND PROMOTE THE OPTIMAL HEALTH OF WOMEN, CHILDREN, AND FAMILIES 18 18 46 20 0 0 6115438 10261479 387343 384324 36275 26598 52923 142626 6591979 10815027 1099420 3687800 0 0 3172522 3986050 0 0 47219 2460938 2705635 6732880 10379485 -140901 435542 4540417 4228675 3016207 1969230 1524210 2259445 X THE MISSION OF THE ASSOCIATION OF MATERNAL & CHILD HEALTH PROGRAMS IS TO PROTECT AND PROMOTE THE OPTIMAL HEALTH OF WOMEN, CHILDREN, AND FAMILIES. 0 0 8921019 3687800 MATERNAL AND CHILD HEALTH (MCH) PROGRAMS AND POLICY: THE EDUCATIONAL AND TECHNICAL ASSISTANCE PROGRAMS ARE INTENDED TO STRENGHTEN AND SUPPORT STATE LEADERSHIP CAPACITY AND ACCOUNTABILITY IN STATE MATERNAL AND CHILD HEALTH PROGRAMS. AMCHP PARTNERED WITH FEDERAL AGENCIES, NATIONAL ORGANIZATIONS, AND OTHER KEY STAKEHOLDERS AND STAFF TO ENHANCE LEADERSHIP CAPACITY OF THE MCH WORKFORCE, ENCOURAGE AND SUPPORT ENGAGEMENT OF INDIVIDUALS AND FAMILIES WITHIN THE MCH POPULATION, AND STRENGTHEN THE STATE MCH PROGRAMS' ABILITY TO CARRY OUT CORE FUNCTIONS OF PUBLIC HEALTH PRACTICE TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES. 300369 LEGISLATIVE ACTIVITIES: THE ASSOCIATION OF MATERNAL & CHILD HEALTH PROGRAMS PROVIDES REGULAR INFORMATION TO ITS MEMBERSHIP AND STAKEHOLDERS ON PUBLIC POLICY ISSUES AFFECTING THE FIELD OF MATERNAL AND CHILD HEALTH. THESE ISSUES INCLUDE FEDERAL BUDGET ALLOCATIONS INCLUDING SEQUESTRATION, CHANGES IN PROGRAMS PROVIDING HEALTH INSURANCE COVERAGE TO MCH POPULATIONS, AND THE STATUS OF A RANGE OF PROGRAMS ADMINISTERED AT THE STATE LEVEL IN PARTNERSHIP WITH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. ACTIVITIES INCLUDE PUBLICATION OF NEWSLETTERS, DEVELOPMENT OF POLICY ANALYSIS, LEARNING OPPORTUNITIES FOR STATES TO SHARE THEIR PERSPECTIVES WITH EACH OTHER, AND ALLOWABLE ACTIVITIES TO EDUCATE POLICYMAKERS AND ASSURE THEY HAVE INFORMATION TO SUPPORT DECISIONS AFFECTING MCH POPULATIONS AND PROGRAMS. 220123 ANNUAL CONFERENCE: THE ANNUAL CONFERENCE DIRECTLY DELIVERED EDUCATIONAL FORUMS ON MCH ISSUES, FOSTERED EXCHANGE OF IDEAS AND EXPERIENCES AMONG MEMBERS AND THEIR PARTNERS, AND DISTRIBUTED INFORMATION ON STATE AND NATIONAL MCH ACTIVITIES AND STATE APPROACHES TO ADDRESS MCH PROBLEMS. IT WAS ALSO A FORUM FOR NUMEROUS TECHNICAL ASSISTANCE SESSIONS THAT PROMOTE EFFECTIVE PRACTICES FOR STATE MCH PROGRAMS. 71189 MEMBERSHIP, COMMUNICATION, AND OTHER PROGRAMS 71189 9512700 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 51 0 1 46 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X TERRANCE MOORE 2027750436 1825 K STREET NW STE 250 WASHINGTON DC 20006 JONATHAN WEBB CEO (TO MAR '21) 40.00 X 236250 0 28195 CAROLINE STAMPFEL INTERIM CEO/DIRECTOR OF PROGRAMS 35.00 X 142072 0 30352 NIKEISHA OGLETREE ASSOCIATE DIRECTOR 35.00 X 132141 0 29608 AMY HADDAD DIRECTOR OF POLICY & GOV'T 35.00 X 131530 0 29870 STACY COLLINS ASSOCIATE DIRECTOR, HEALTH 35.00 X 113571 0 25939 CHERYL CLARK AD, EQUITY, EPIDEMIOLOGY, & EVALUATION 35.00 X 102308 0 17606 MANDA HALL PRESIDENT 1.00 X X 0 0 0 SHIRLEY PAYNE PAST PRESIDENT 2.00 X X 0 0 0 CATE WILCOX PAST PRESIDENT (TO MAY '21)) 2.00 X X 0 0 0 BELINDA PETTIFORD PRESIDENT-ELECT 2.00 X X 0 0 0 KARIN DOWNS TREASURER 2.00 X X 0 0 0 GINA MONEY SECRETARY 2.00 X X 0 0 0 MARCUS ALLEN DIRECTOR 2.00 X 0 0 0 LISA ASARE DIRECTOR 2.00 X 0 0 0 DAWN BAILEY FAMILY REPRESENTATIVE 2.00 X 0 0 0 EDEN BEZY DIRECTOR 2.00 X 0 0 0 LACY FEHRENBACH DIRECTOR 2.00 X 0 0 0 DEBORAH GARNEAU DIRECTOR 2.00 X 0 0 0 JANIS GONZALES DIRECTOR 2.00 X 0 0 0 RACHEL HUTSON DIRECTOR 2.00 X 0 0 0 MARILYN JOHNSON DIRECTOR AT LARGE 2.00 X 0 0 0 MARCUS JOHNSON-MILLER DIRECTOR 2.00 X 0 0 0 CONNIE MITCHELL DIRECTOR 2.00 X 0 0 0 KIMBERLY SEALS DIRECTOR AT LARGE (FROM DEC '20) 2.00 X 0 0 0 CASSANDRA SINES FAMILY REPRESENTATIVE (FROM JUN '21) 2.00 X 0 0 0 DONNA YADRICH FAMILY REPRESENTATIVE (TO MAY '21) 2.00 X 0 0 0 857872 0 161570 6 0 1 0 RSM US LLP 1250 H STREET NW STE 700 WASHINGTON DC 20005 ACCOUNTING CONSULTANTS 313113 DESIGNDATA 610 PROFESSIONAL DR 102 GAITHERSBURG MD 20879 INFORMATION TECHNOLOGY SERVICES 167392 2 528240 9143091 590148 10261479 REGISTRATION FEES 900099 384324 384324 384324 26598 26598 142626 142626 142626 10815027 384324 0 169224 X 3687800 3687800 372101 293691 75267 3143 2771375 2187354 560582 23439 177364 139997 35877 1490 218793 172697 44258 1838 446417 352367 90300 3750 2365 2365 282331 282331 8923 8923 1474622 1279438 193681 1503 72377 46264 26113 222623 29547 193076 323470 323470 33776 33672 104 112734 110396 2338 80411 80411 9923 9923 DUES & SUBSCRIPTIONS 25774 25553 221 EQUIPMENT 12182 12182 ALLOCATION OF M&G 0 1142267 -1154323 12056 44124 11657 32467 10379485 9512700 819566 47219 784012 1660121 111328 111479 2151292 920007 160341 164175 772574 380841 457144 391733 800362 914347 75938 66813 4540417 4228675 1100231 660044 620007 620851 538300 0 757669 688335 3016207 1969230 X 1512146 2247381 12064 12064 1524210 2259445 4540417 4228675 X 435542 96377 203316 X 0 1 X 1 1 1 X 5980721 5466805 6708951 6115438 10261479 34533394 5980721 5466805 6708951 6115438 10261479 34533394 34533394 21221 27342 34504 36275 26598 145940 21785 19217 24129 52923 71423 189477 34868811 2394892 0.99040 0.96500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 37956 37956 10348491 10386447 669322 167331 0 0 451277 498411 482761 669322 2101771 3152657 31612 28172 46816 37956 144556 112819 124603 120690 167331 525443 788165 631673 287124 344549 140901 93717 47184 391733 DEFERRED RENT 373335 DEFERRED TENANT IMPROVEMENT 315000 688335 X 10902481 96377 96377 10806104 8923 8923 10815027 10167246 0 10167246 8923 203316 212239 10379485 PART X, LINE 2: FOR THE YEAR ENDED SEPTEMBER 30, 2021, AMCHP HAS DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XII, LINE 4B - OTHER ADJUSTMENTS: RETURN GRANTS 203,316. 1 PARENTS AS TEACHERS NATIONAL CENTER INC 2228 BALL DRIVE ST LOUIS MO 63146 431569124 501(C)(3) 728674 CARES TELEHEALTH SUBGRANTEE TO SUPPORT NATIONAL VIRTUAL HOME VISITING EDUCATION AND TECHNICAL ASSISTANCE HAWAII DEPARTMENT OF HEALTH 1250 PUNCHBOWL ST HONOLULU HI 96813 996000449 115 221495 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT SISTER SONG INC 1237 RALPH DAVID ABERNATHY SW ATLANTA GA 30310 510544927 501(C)(3) 200000 TO BUILD THE CAPACITY OF PUBLIC HEALTH SYSTEMS AND SERVICES IN THE ENHANCING REVIEWS AND SURVEILLANCE TO ELIMINATE MATERNAL MORTALITY (ERASE MM) INITIATIVE, ACTED AS THE FISCAL AGENT FOR BLACK MAMAS MATTER ALLIANCE UTAH STATE UNIVERSITY 2400 OLD MAIN HILL LOGAN UT 84322 876000528 501(C)(3) 189214 CARES TELEHEALTH SUBGRANTEE TO SUPPORT IMPLEMENTATION OF TELEAUDIOLOGY AND OTHER VIRTUAL SERVICES FOR INFANTS AT RISK FOR HEARING LOSS NATIONWIDE E3 DIAGNOSTICS INC 3333 N KENNICOTT AVE ALRINGTON HEIGHTS IL 60004 362852863 165890 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT; ALL ITEMS WERE PURCHASED ON BEHALF OF PROJECT SUBAWARDEE AGENCIES (WISCONSIN DEPARTMENT OF HEALTH SERVICES) UNIVERSITY OF GUAM UNIVERSITY DR MANGILAO GU 96923 980032933 501(C)(3) 100000 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT IOWA DEPARTMENT OF PUBLIC HEALTH 321 E 12TH ST 6TH FLOOR DES MOINES IA 50319 426004523 115 100000 SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT PUEBLO OF SAN FELIPE 127 HAGEN RD SAN FELIPE PUEBLO NM 87001 850210848 100000 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT UTAH DEPARTMENT OF HEALTH PO BOX 142002 SALT LAKE CITY UT 84114 876000545 115 90963 8977 ELECTRONICS PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT JOY CONSULTANTS INC 136 MENDIOLA DRIVE AGANA HEIGHTS GU 96910 660844148 99918 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT, AS A FISCAL AGENT ON BEHALF OF THE FEDERATED STATES OF MICRONESIA MINISTRY OF HEALTH NEW JERSEY DEPARTMENT OF PUBLIC HEALTH PO BOX 360 TRENTON NJ 08625 216000928 115 99714 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT CONNECTICUT CHILDRENS MEDICAL CENTER 282 WASHINGTON STREET HARTFORD CT 06106 060646755 501(C)(3) 98126 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT GEORGIA DEPARTMENT OF PUBLIC HEALTH STATE OF GEORGIA BLDG 2 PEACHTREE ST 5 ATLANTA GA 30303 900676388 115 97621 LTSAE STATE SYSTEMS GRANTS T-CETRA BUSINESS SOLUTIONS 7240 MUIRFIELD DR STE 200 DUBLIN OH 43017 208988814 77079 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT; ALL ITEMS WERE PURCHASED ON BEHALF OF PROJECT SUBAWARDEE AGENCIES (NEVADA, KENTUCKY) NEW MEXICO DEPARTMENT OF HEALTH PUBLIC HEALTH DIVISION PO BOX 25307 ALBUQUERQUE NM 87125 856000565 115 74815 SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT AMERICAN SAMOA PO BOX 5666 PAGO PAGO AS 96799 970000676 115 73444 MEDICAL SUPPLIES & TELEHEALTH SERVICES PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT THE EAR FOUNDATION OF ARIZONA 326 E CORONADO RD 203 PHOENIX AZ 85004 860822784 501(C)(3) 72600 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT MASSACHUSETTS DEPARTMENT OF HEALTH 50 MILK ST 16TH FLOOR BOSTON MA 02109 046002284 115 68623 MCEH COIIN PROJECT SUBGRANTEE FOR A PUBLIC HEALTH APPROACH TO REDUCING CHILDRENS EXPOSURE TO LEAD ASSOCIATION OF PUBLIC HEALTH LABORATORIES 8515 GEORGIA AVENUE SUITE 700 SILVER SPRINGS MD 20910 521800436 501(C)(3) 66900 CARES TELEHEALTH SUBGRANTEE TO SUPPORT NATIONAL NEWBORN BLOODSPOT SCREENING PROGRAMS UTILIZE TELEHEALTH AND ADAPT EXISTING COOP FOR PANDEMICS TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS 4180 HIGHWAY 281 BELCOURT ND 58316 450223071 52107 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT GENETIC ALLIANCE INC 4301 CONNECTICUT AVE NW NO 404 WASHINGTON DC 20008 521571905 501(C)(3) 51467 CARES TELEHEALTH SUBGRANTEE TO SUPPORT DEVELOPMENT OF TOOLS AND SUPPORT ON VIRTUAL SERVICES FOR FAMILIES OF CHILDREN WITH NBS-IDENTIFIED CONDITIONS AND THE PROGRAMS AND CLINICIANS WHO PROVIDE HEALTHCARE NATIONWIDE KENTUCKY OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 310 WHITTINGTON PKWY STE 200 LOUISVILLE KY 40222 616001481 115 38622 9827 MEDICAL SUPPLIES PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT OREGON HEALTH AUTHORITY PUBLIC HEALTH DIVISION 800 NE OREGON ST PORTLAND OR 97232 930576060 115 47804 SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT USA PARENT TO PARENT PO BOX 472 STATE COLLEGE PA 16804 203854211 501(C)(3) 47262 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT ASSOCATION OF STATE AND TERRITORIAL HEALTH 2231 CRYSTAL DRIVE NO 450 ARLINGTON VA 22202 351044487 501(C)(3) 39915 MCEH COIIN PROJECT SUBGRANTEE REPRESENTING STATE HEALTH OFFICIALS TO ENGAGE IN LEAD PREVENTION ACTIVITIES NATIONAL ASSOCIATION OF STATE ALCOHOL AND DRUG ABUSE DIRECTORS 1919 PENNSYLVANIA AVE WASHINGTON DC 20006 520983141 501(C)(3) 39100 TO BUILD CAPACITY OF STATE TITLE V PROGRAMS TO ADVANCE STATE-LEVEL POLICY SOLUTIONS TO IMPROVE ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR REPRODUCTIVE-AGE WOMEN. UNIVERSITY OF PUERTO RICO MEDICAL SCIENCES CAMPUS P DR JOSE CELSO BARBOSA SAN JUAN PR 00921 660433762 501(C)(3) 9576 29134 MEDICAL SUPPLIES & TELEHEALTH SERVICES PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT BOSTON UNIVERSITY GRANTS RECEIVABLE 881 COMMONWEALTH AVE 4TH FLOOR BOSTON MA 02215 042103547 501(C)(3) 36254 MCH WORKFORCE DEVELOPMENT CENTER SUBGRANTEE FOR POLICY EXPERTISE IN HEALTH CARE FINANCE FOR CYSHCN HANDS & VOICES PO BOX 669276 MARIETTA GA 30066 208914111 501(C)(3) 30795 CARES TELEHEALTH SUBGRANTEE TO SUPPORT FAMILIES OF DEAF AND HARD OF HEARING CHILDREN AND THE AGENCIES THAT SUPPORT THEM UTILIZE VIRTUAL SERVICES NATIONALLY PUBLIC HEALTH INSTITUTE 555 12TH STREET 10TH FLOOR OAKLAND CA 94607 941646278 501(C)(3) 30321 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION 58 EDGEWOOD AVE 3RD FLOOR ATLANTA GA 30303 581845423 501(C)(3) 26209 SUB-AWARDEE ON THE PRISM PROJECT (P-14), DEVELOPING RESOURCES ON POLICY APPROACHES TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE DISORDERS IN REPRODUCTIVE AGE WOMEN UNITED STATES BREASTFEEDING COMMITTEE 4044 N LINCOLN AVE NO 288 CHICAGO IL 60618 593674883 501(C)(3) 25217 2019 - 2021 ASSIST IN DEVELOPING EARLY CHILDHOOD NUTRITION EDUCATIONAL MODULES AND SUPPORTING BREASTFEEDING COALITIONS IN RESPONDING TO COVID-19 PANDEMIC INVENTIS NORTH AMERICA INC 2503 S WASHINGTON AVE 586 TITUSVILLE FL 32780 301089101 23489 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT; ALL ITEMS WERE PURCHASED ON BEHALF OF PROJECT SUBAWARDEE AGENCIES (WISCONSIN) RHODE ISLAND DEPARTMENT OF HEALTH 3 CAPITOL HILL PROVIDENCE RI 02908 470049123 115 20291 SDOH COIIN PROJECT SUBGRANTEE TO IMPLEMENT COIIN PROJECT CENTER FOR HEALTH POLICY DEVELOPMENT 10 FREE ST 2ND FLOOR PORTLAND ME 04101 521576801 501(C)(3) 20047 MCEH COIIN PROJECT SUBGRANTEE POLICY AND MEDICAID EXPERTISE, PROVISION OF TA TO TEAMS STATE OF NEVADA 101 N CARSON STREET SUITE 5 CARSON CITY NV 89154 886000022 115 19324 MEDICAL SUPPLIES & ELECTRONICS PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT NATIONAL ASSOCIATION OF COUNTY AND CITY OFFICIALS 1201 EYE STREET NW 4TH FLOOR WASHINGTON DC 20005 521426663 501(C)(3) 18852 CARES TELEHEALTH CONSULTANT ON TELEHEALTH IMPLEMENTATION IN LOCAL HEALTH DEPARTMENTS ALASKA DEPARTMENT OF HEALTH AND SOCIAL SERVICES 3601 C ST STE 540 ANCHORAGE AK 99503 926001185 115 18500 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT NATIONAL INSTITUTE FOR CHILDREN'S HEALTH QUALITY 30 WINTER ST 6TH FLOOR BOSTON MA 02108 010647374 501(C)(3) 15382 MCEH COIIN PROJECT SUBGRANTEE FOR QI AND LEARNING COMMUNITY PLATFORM SMALL WORLD YOGA INC 5000 GEORGIA AVENUE NASHVILLE TN 37209 465278254 501(C)(3) 15133 TO INCREASE THE CAPACITY OF STATES/JURISDICTIONS TO IMPROVE, REPLICATE, OR ADAPT EFFECTIVE PRACTICES IN AMCHPS INNOVATION HUB WISCONSIN DEPARTMENT OF HEALTH SERVICES 1 W WILSON ST MADISON WI 53703 396006469 115 15000 PART OF AMCHPS CARES ACT FUNDED-TELEHEALTH IN MCH PUBLIC HEALTH SYSTEMS PROJECT NATIONAL ENVIRONMENTAL HEALTH ASSOCIATION 720 S COLORADO BLVD SUITE 1000-N DENVER CO 80246 840469910 501(C)(3) 12815 MCEH COIIN PROJECT SUBGRANTEE FOR A PUBLIC HEALTH APPROACH TO REDUCING CHILDRENS EXPOSURE TO LEAD FAMILY VOICES PO BOX 37188 ALBUQUERQUE NM 87176 850430800 501(C)(3) 10000 STATE TITLE V LEADERSHIP PROJECT SUBGRANTEE FOR FAMILY ENGAGEMENT DELIVERABLES INCLUDING CASE STUDIES, WEBINARS, AND LEARNING EVENTS THE ASSOCIATION OF STATE PUBLIC HEALTH NUTRITIONISTS PO BOX 37094 TUCSON AZ 85740 521790848 501(C)(3) 6000 2019 - 2021 ASSIST IN DEVELOPING EARLY CHILDHOOD NUTRITION EDUCATIONAL MODULES 38 6 PART I, LINE 2: THE ORGANIZATION REQUIRES PROGRESS REPORTS, FINAL REPORTS, FINANCIAL STATUS REPORTS, AND CONFERENCE CALLS TO MONITOR THE USE OF GRANT FUNDS. X X 0 0 0 0 0 0 0 0 0 JONATHAN WEBB CEO (TO MAR '21) 236250 0 0 0 0 0 17719 0 10476 0 264445 0 0 0 CAROLINE STAMPFEL INTERIM CEO/DIRECTOR OF PROGRAMS 142072 0 0 0 0 0 10655 0 19697 0 172424 0 0 0 NIKEISHA OGLETREE ASSOCIATE DIRECTOR 132141 0 0 0 0 0 9911 0 19697 0 161749 0 0 0 AMY HADDAD DIRECTOR OF POLICY & GOV'T 131530 0 0 0 0 0 9865 0 20005 0 161400 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERSHIP OF THE ASSOCIATION IS COMPRISED OF TITLE V PROGRAM (STATE AND TERRITORY MCH/CYSHCN PROGRAM), REGULAR MEMBERS, AND ASSOCIATE MEMBERS. EACH TITLE V PROGRAM MAY APPOINT UP TO FIVE DELEGATES, WHO HAVE VOTING AUTHORITY ON BEHALF OF THE TITLE V PROGRAM MEMBERS. ONLY DELEGATES ARE ELIGIBLE TO VOTE IN THE ELECTION OF ASSOCIATION OFFICERS AND DIRECTORS, AND ONLY DELEGATES ARE ELIGIBLE FOR ELECTION AS OFFICERS AND DIRECTORS, EXCEPT FOR THE TWO FAMILY REPRESENTATIVE POSITIONS ON THE BOARD OF DIRECTORS. REGULAR MEMBERS ARE STAFF OF TITLE V PROGRAMS OR INDIVIDUALS WHO WORK IN PARTNERSHIPS WITH TITLE V PROGRAMS, INCLUDING FAMILY LIAISONS WORKING IN CONNECTION WITH STATE TITLE V PROGRAMS. ASSCOIATE MEMBERS ARE INDIVIDUALS AND ORGANIZATIONS INTERESTED IN MATERNAL AND CHILD HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ARE ALLOWED TO VOTE IN ELECTIONS. ASSOCIATE MEMBERS ARE NOT ELIGIBLE TO VOTE ON ANY MATTER OR TO HOLD AND OFFICE OR BOARD OF DIRECTOR POSITION, BUT MAY SERVE ON COMMITTEES OF THE ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7B REGULAR MEMBER ARE ELIGIBLE TO VOTE ON ALL MATTERS BEFORE THE ASSOCIATION, EXCEPT ELECTION OF OFFICERS AND DIRECTORS INCLUDING REMOVAL OF DIRECTORS AND CERTAIN AMENDMENTS TO THE BYLAWS. ASSOCIATE MEMBERS ARE NOT ELIGIBLE TO VOTE ON ANY MATTER OR TO HOLD AND OFFICE OR BOARD OF DIRECTOR POSITION, BUT MAY SERVE ON COMMITTEES OF THE ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT 990 WAS PREPARED BY EXTERNAL ACCOUNTANTS AND REVIEWED BY SENIOR MANAGEMENT. THE DRAFT WAS PROVIDED TO THE EXECUTIVE/FINANCE COMMITTEE FOR REVIEW AND COMMENT. A FINAL COPY OF FORM 990 WAS SENT TO THE ENTIRE BOARD BEFORE IT WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL AMCHP DIRECTORS MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST STATEMENT THAT DISCLOSES ANY EXISTING OR POTENTIAL RELATIONSHIPS THAT MAY LEAD TO AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST. BOARD MEMBERS ARE RESPONSIBLE FOR INFORMING THE GOVERNANCE COMMITTEE CHAIR OF ANY SUBSEQUENT CHANGES IN A TIMELY MANNER. THE GOVERNANCE COMMITTEE CHAIR REVIEWS ALL CONFLICT OF INTEREST STATEMENTS. THESE STATEMENTS MAY BE DISTRIBUTED TO THE BOARD OF DIRECTORS AND CHIEF EXECUTIVE OFFICER AND ALSO MAY BE DISCLOSED PUBLICLY. ON REQUEST, AN INTERESTED BOARD MEMBER, OFFICER, OR STAFF MEMBER DOES NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE OF THE BOARD OF DIRECTORS, OR OF ANY COMMITTEE OR SUBCOMMITTEE THEREOF IN WHICH THE SUBJECT OF IS A CONTRACT, TRANSACTION, OR SITUATION IN WHICH THERE MAY BE A PERCEIVED OR ACTUAL CONFLICT OF INTEREST. HOWEVER, THEY MAY BE PRESENT TO PROVIDE CLARIFYING INFORMATION IN SUCH A DISCUSSION OR DEBATE UNLESS OBJECTED TO BY ANY PRESENT BOARD OR COMMITTEE MEMBER FOLLOWING FULL DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST OR ANY CONDITION LISTED ABOVE. THE BOARD OF DIRECTORS DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO, THE BOARD VOTES TO AUTHORIZE OR REJECT THE TRANSACTION OR TAKES ANY OTHER ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT AND PROTECT AMCHP'S BEST INTEREST. VOTES SHALL BE BY A MAJORITY VOTE WITHOUT COUNTING THE VOTE OF ANY INTERESTED DIRECTOR, EVEN IF THE DISINTERESTED DIRECTORS ARE LESS THAN A QUORUM PROVIDED THAT AT LEAST ONE CONSENTING DIRECTOR IS DISINTERESTED. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S SALARY IS REVIEWED AND APPROVED BY THE BOARD ON AN ANNUAL BASIS. IN CONJUNCTION WITH A 360 DEGREE PERFORMANCE MANAGEMENT SYSTEM, THE BOARD USES MARKET SURVEYS OF OTHER NGOS. THE PROCESS AND DECISION IS DOCUMENTED IN WRITTEN FORM AND PLACED IN THE PERSONNEL FILES. WITH AN ESTABLISHED COMPENSATION SYSTEM, THE CEO DETERMINES THE SALARIES OF THE OTHER EMPLOYEES. THE LAST COMPENSATION REVIEW TOOK PLACE IN FEBRUARY 2021. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING EXPENSES: PROGRAM SERVICE EXPENSES 421,623. MANAGEMENT AND GENERAL EXPENSES 63,825. FUNDRAISING EXPENSES 495. TOTAL EXPENSES 485,943. COMMUNICATION SERVICES: PROGRAM SERVICE EXPENSES 250,479. MANAGEMENT AND GENERAL EXPENSES 37,917. FUNDRAISING EXPENSES 294. TOTAL EXPENSES 288,690. AUDIO/VISUAL EXPENSES: PROGRAM SERVICE EXPENSES 36,321. MANAGEMENT AND GENERAL EXPENSES 5,498. FUNDRAISING EXPENSES 43. TOTAL EXPENSES 41,862. HUMAN RESOURCES: PROGRAM SERVICE EXPENSES 106,055. MANAGEMENT AND GENERAL EXPENSES 16,055. FUNDRAISING EXPENSES 125. TOTAL EXPENSES 122,235. PROCESSING FEES: PROGRAM SERVICE EXPENSES 10,775. MANAGEMENT AND GENERAL EXPENSES 1,631. FUNDRAISING EXPENSES 13. TOTAL EXPENSES 12,419. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 454,185. MANAGEMENT AND GENERAL EXPENSES 68,755. FUNDRAISING EXPENSES 533. TOTAL EXPENSES 523,473. FORM 990, PART XI, LINE 9: RETURN GRANTS 203,316.