2020-04-14T09:41:57-05:00 2019-08-31 201766527 WAUGH & GOODWIN LLP 1365 GARDEN OF THE GODS SUITE 150 COLORADO SPRINGS CO 80907 990 2018-09-01 742553720 USA HOCKEY FOUNDATION USAH 7195768724 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 PAT KELLEHER EXECUTIVE DIRECTOR 7195768724 2020-04-13 1 JILL J GOODWIN CPA P00450838 7195909777 2020-04-13 65.153.45.234 2020-04-13 14:59:06 MD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1944F7713AA21C633C3B6EB21D6769F96ADA2BF4 2018 2020-09-23 17:36:50Z JIM SMITH 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 22423889 0 X WWW.USAHOCKEYFOUNDATION.COM X 1989 MN THE USA HOCKEY FOUNDATION IS A CHARITABLE AND EDUCATIONAL NON-PROFIT CORPORATION THAT PROVIDES LONG-RANGE FINANCIAL SUPPORT FOR USA HOCKEY, INC. AND PROMOTES THE GROWTH OF AMATUER HOCKEY IN THE UNITED STATES OF AMERICA. THE FOUNDATION'S PRIMARY GOALS ARE TO ENHANCE USA HOCKEY'S MISSION AND ACTIVITIES; TO PROVIDE FUNDING FOR EDUCATION AND TRAINING OF HIGH PERFORMANCE ATHLETES, AND TO PROVIDE OPPORTUNITIES FOR GREATER PARTICIPATION THROUGHOUT THE COUNTRY. 19 19 6 20 1238257 0 11950596 10835460 2609729 2310462 1287803 1184132 2133808 2556331 17981936 16886385 9455784 9355161 0 0 2504544 2634987 0 0 592122 4236639 3834362 16196967 15824510 1784969 1061875 52337495 52057148 16757738 16366194 35579757 35690954 X TO RAISE FUNDS AND ACQUIRE ASSETS FOR USA HOCKEY, INC. (AN EXEMPT ORGANIZATION) IN SUPPORT OF ITS EFFORTS TO PROMOTE A SAFE AND ENJOYABLE LEARNING AND PLAYING EXPERIENCE FOR ALL OF ITS PARTICIPANTS AND ENTHUSIASTS, AND TO ENCOURAGE THE GROWTH OF THE SPORT AT THE AMATEUR LEVEL. 0 0 9355161 9355161 SUPPORT FOR USA HOCKEY, INC. IN ORDER TO SUPPORT HOCKEY PROGRAMS. ADDITIONAL FUNDING IS PROVIDED IN THE FORM OF BLOCK GRANTS TO AFFILIATED 501 (C)(3) ENTITIES. 4366164 2708581 PLYMOUTH ARENA PROJECT - TO PROVIDE A WHOLLY OWNED HOME FOR THE NATIONAL TEAM DEVELOPMENT PROGRAM. THE FOUNDATION IS THE SOLE MEMBER OF PLYMOUTH. 2700 435047 ALUMNI PROGRAM AND OTHER PROGRAMS 13724025 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 3 0 1 6 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 AR SC WI MI X THE FOUNDATION 7195768724 1775 BOB JOHNSON DR COLORADO SPRINGS CO 80906 RON DEGREGORIO CHAIRPERSON 2.00 10.00 X X 0 0 0 PAUL GEORGE TREASURER 2.00 X X 0 0 0 JIM SMITH PRESIDENT 2.00 10.00 X X 0 0 0 JACK NORQUAL MEMBER 2.00 X 0 0 0 LOU NANNE MEMBER 2.00 X 0 0 0 TONY ROSSI MEMBER 2.00 X 0 0 0 JAMES F WHITE JR MEMBER 2.00 X 0 0 0 JOHN VANBIESBROUCK MEMBER 2.00 5.00 X 0 0 0 NICK LOPARDO MEMBER 2.00 X 0 0 0 CHARLES FUERTSCH MEMBER 2.00 5.00 X 0 0 0 JOHN BEADLE MEMBER 2.00 5.00 X 0 0 0 PETER KARMANOS JR MEMBER 2.00 X 0 0 0 DAVE KLASNICK VICE PRESIDENT 2.00 5.00 X X 0 0 0 JOHN FLEMING MEMBER 2.00 X 0 0 0 BILL HALL MEMBER 2.00 10.00 X 0 0 0 AJ MLECZKO GRISWOLD MEMBER 2.00 X 0 0 0 GAVIN REGAN SECRETARY 2.00 5.00 X X 0 0 0 DONNA GUARIGLIA MEMBER 2.00 10.00 X 0 0 0 MICHAEL TRIMBOLI MEMBER 2.00 5.00 X 0 0 0 ROBERT WELDON ASST. TREASURER THRU JUNE 2019 15.00 25.00 X 0 251724 42796 PAT KELLEHER EXECUTIVE DIRECTOR 10.00 30.00 X 0 348846 44649 KELLY MAHNCKE ASST. TREASURER 15.00 25.00 X 0 0 0 TAMARA TRANTER SENIOR DIRECTOR, DEVELOPMENT 40.00 X 133532 0 19190 133532 600570 106635 1 0 1 0 0 10835460 290000 10835460 ICE & SKATING FEES 900099 1474150 1474150 RELATED PARTY RENTAL INCOME 900099 367500 367500 TICKET REVENUE 900099 284055 284055 SPECIAL EVENTS 900099 101035 101035 LEAGUE REVENUE 900099 83722 83722 2310462 522602 522602 776354 291446 484908 484908 484908 4779531 4118001 661530 661530 661530 2700641 1128057 1572584 373427 1199157 ADVERTISING 541800 407427 368327 39100 MISCELLANEOUS INCOME 900099 91412 91412 498839 16886385 3143628 1238257 1669040 9355161 9355161 2114045 1081261 675925 356859 57690 57690 265678 108353 104829 52496 197574 81022 89517 27035 28225 28225 4775 4775 60813 60291 522 96225 96225 74297 6808 5800 61689 228753 212235 15923 595 281626 148185 111163 22278 998600 779049 219551 62310 11179 3161 47970 835956 823769 12187 121193 88539 30141 2513 REPAIRS AND MAINTENANCE 428904 394772 34132 GAME COSTS 160319 160319 CHILDRENS SKATE CLASSES 127607 127607 SPECIAL EVENTS 119232 119232 205527 140619 44743 20165 15824510 13724025 1508363 592122 1363919 1208314 733376 687489 1492359 1268417 96800 150300 207401 253558 358030 327461 34163335 4911373 27769823 29251962 17837491 16125568 1626955 1689603 851341 1094476 52337495 52057148 447129 331712 215791 150770 10894602 10688725 5200216 5194987 16757738 16366194 X 33170418 32901730 2243463 2619348 165876 169876 35579757 35690954 52337495 52057148 X 1061875 -905678 -45000 X X 0 1 X 1 0 X X 1 USA HOCKEY INC 510204742 10 1 9355161 0 1 9355161 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 1 THE PURPOSE OF THE FOUNDATION IS TO RAISE FUNDS AND ACQUIRE ASSETS THAT WILL ENABLE USA HOCKEY, INC. TO ENCOURAGE, IMPROVE AND PROMOTE AMATEUR ICE HOCKEY IN THE UNITED STATES. USA HOCKEY, INC. HAS MANY DISTRICTS AND AFFILIATES AND NEW AFFILIATES MAY BE ADDED AT ANY TIME. THESE AFFILIATES ARE ALSO SUPPORTED BY THE FOUNDATION BUT DUE TO THE GROWING LIST OF AFFILIATES THE GOVERNING DOCUMENTS DO NOT LIST EACH AFFILIATE OR DISTRICT. PART IV, SECTION A, LINE 6 THE FOUNDATION PROVIDES GRANTS RELATED TO AMATEUR ICE HOCKEY. SOME OF THOSE GRANTS MAY BE TO MEDICAL FACILITIES DOING RESEARCH, HOCKEY EQUIPMENT COMPANIES THAT ARE DEVELOPING EQUIPMENT SUITED FOR DISABLED HOCKEY PLAYERS OR ICE ARENAS THAT PROVIDE ICE TIME FOR THE HOCKEY IS FOR EVERYONE PROGRAM. THESE FUNDS SUPPORT AMATEUR ICE HOCKEY AND ARE KEY TO THE GROWTH AND SAFETY OF AMATEUR ICE HOCKEY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 690000 0 171721 4000 1200 176921 167176 4000 545 171721 162915 4000 261 167176 158672 4000 243 162915 154436 4000 236 158672 0.96020 0.03980 0 0 3295000 3295000 26130329 4044998 22085331 2750020 826889 1923131 1987986 39486 1948500 29251962 GRANT PAYABLE TO USA HOCKEY, INC. 3939143 DUE TO USA HOCKEY, INC. 1255844 5194987 X 15121740 -905678 -905678 16027418 96048 762919 858967 16886385 15010543 45000 45000 14965543 96048 762919 858967 15824510 PART III, LINE 4: THE COLLECTION CONSISTS OF TWO OIL PAINTINGS AND PHOTOS VALUED AT $690,000 THAT WERE DONATED. INCLUDED IN THE COLLECTION ARE PHOTOS OF FORMER HOCKEY PLAYERS THAT HAVE BEEN IMPORTANT IN THE DEVELOPMENT OF THE SPORT. PART V, LINE 4: THESE ENDOWMENT FUNDS ARE DESIGNATED TO SUPPORT THE BRIAN FISHMAN MEMORIAL FUND. PART X, LINE 2: THE FOUNDATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, IS NOT SUBJECT TO FEDERAL INCOME TAX. ACCORDINGLY, NO INCOME TAX PROVISION HAS BEEN RECORDED. THE FOUNDATION'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, IS SUBJECT TO REVIEW GENERALLY FOR THREE YEARS AFTER THE DATE FILED. MANAGEMENT OF THE FOUNDATION BELIEVES THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS EXPENSES FROM REVENUE 762,919. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNCOLLECTIBLE PLEDGE RECEIVABLE IN EXPENSE ON FINANCIAL STATEMENTS 45,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS EXPENSES FROM REVENUE 762,919. NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 CONTRIBUTION REVENUE CONTRIBUTION REVENUE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 ADVENT HEALTH CENTER ICE 3173 CYPRESS RIDGE BLVD WESLEY CHAPEL FL 33544 454034706 30000 DISABLED GRANT - ICE TIME AHAI DIVERSITY PROGRAM 225 HATLEN AVENUE MOUNT PROSPECT IL 60056 362883831 501(C)(3) 10000 HIFE GRANT AMATEUR HOCKEY ASSOCIATION OF ILLINOIS 13608 CAREFREE AVE ORLAND PARK IL 60462 362883831 501(C)(3) 34726 BLOCK GRANT, DISABLED GRANT AMERICAN HEARING IMPAIRED HOCKEY ASSOCIATION INC 9345 HARDING AVE EVANSTON IL 60203 237380537 501(C)(3) 20000 TO SUPPORT OPERATIONS AMERICAN HOCKEY COACHES ASSOCIATION 7 CONCORD ST GLOUCESTER MA 01930 020348525 501(C)(3) 20000 TO SUPPORT OPERATIONS ATLANTIC AMATEUR HOCKEY ASSOCIATION 251 E GLEN AVE RIDGEWOOD NJ 07450 237375622 501(C)(3) 17852 BLOCK GRANT CALIFORNIA AMATEUR HOCKEY ASSOCIATION 1187 N WILLOW AVE SUITE 103-708 FRESNO CA 93725 330254897 501(C)(3) 14193 BLOCK GRANT CLARK PARK COALITION 1130 CLARK ST DETROIT MI 48209 383462192 501(C)(3) 10000 HIFE GRANT COLORADO AMATEUR HOCKEY ASSOCIATION 3860 BALSAM ST WHEATRIDGE CO 80033 841303384 501(C)(3) 6484 BLOCK GRANT COLUMBUS ICE HOCKEY CLUB 1189 DENNISON AVE COLUMBUS OH 43201 311653367 501(C)(3) 10000 HIFE GRANT DETROIT ICE DREAMS HOCKEY ASSOCIATION 3110 E VERNOR APT 201 DETROIT MI 48228 473138161 501(C)(3) 10000 HIFE GRANT DINO MIGHTS 3400 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 411831084 501(C)(3) 10000 HIFE GRANT DOMINIK HASEK YOUTH HOCKEY LEAGUE INC 2607 NIAGARA ST BUFFALO NY 14207 161605422 501(C)(3) 10000 HIFE GRANT EASTERN MICHIGAN UNIVERSITY FOUNDATION 344 MCKENNEY HALL YPSILANTI MI 48197 382953297 501(C)(3) 42624 SPEC GRANT ED SNIDER YOUTH HOCKEY FOUNDATION 3601 S BROAD ST PHILADELPHIA PA 19148 202885113 501(C)(3) 10000 HIFE GRANT FORT DUPONT ICE HOCKEY PROGRAM 1328 ASPEN STREET NW WASHINGTON DC 20012 522123478 501(C)(3) 10000 HIFE GRANT ICE HOCKEY IN HARLEM 127 WEST 127TH STREET SUITE 415 NEW YORK NY 10027 133577519 501(C)(3) 10000 HIFE GRANT LONG ISLAND GULLS AMATEUR HOCKEY PO BOX 286 JERICHO NY 11753 113387970 501(C)(3) 5000 JIM JOHANNSON FUND GRANT MASSACHUSETTS HOCKEY 1 THOMPSN SQUARE STE 105 CHARLESTON MA 02129 043130566 501(C)(3) 21357 BLOCK GRANT MAYO CLINIC SPORTS MEDICINE CENTER 201 1ST STREET SW ROCHESTER MN 55905 416011702 501(C)(3) 107376 SPEC GRANT MICHIGAN AMATEUR HOCKEY ASSOCIATION 17809 LOST POND LANE SPRING LAKE MI 49456 382556088 501(C)(3) 22958 BLOCK GRANT MB ICE ARENA - CHICAGO 1801 W JACKSON BLVD CHICAGO IL 60612 371791635 10063 DISABLED GRANT - ICE TIME MEIJER AAA HOCKEY CLUB PO BOX 431 OSHTEMO MI 49077 383811488 5000 DARIAN LOCKLEAR GRANT MID-AMERICAN HOCKEY ASSOCIATION 1127 COUNTRY CLUB ROAD MONONGAHELA PA 15063 351964943 501(C)(3) 17751 BLOCK GRANT MINNESOTA HOCKEY ASSOCIATION 6806 FORESTVIEW LANE N MAPLE GROVE MN 55369 411458420 501(C)(3) 28948 BLOCK GRANT, DISABLED GRANT MIRACLES ON ICE 9 WATERSIDE TERRACE CHERRY HILLS VILLAGE CO 80113 841612399 501(C)(3) 5000 HIFE GRANT MOBILITY SPORTS 11605 FAIRGRIEVE RD JOHANNESBURG MI 49735 205073795 31100 DISABLED GRANT NEW ENGLAND DISTRICT HOCKEY 28 TARBOX ROAD JERICHO VT 05465 020495890 501(C)(3) 14636 BLOCK GRANT NEW YORK STATE AMATEUR HOCKEY ASSOC 57 COUNTRYGATE LANE TONWANDA NY 14150 161184849 501(C)(3) 21888 BLOCK GRANT PITTSBURGH ICE PO BOX 25372 PITTSBURGH PA 15220 251873676 501(C)(3) 10000 HIFE GRANT POTOMAC VALLEY AMATEUR HOCKEY 9007 LENNINGS LANE BALTIMORE MD 21222 522139421 501(C)(3) 10245 BLOCK GRANT RALEIGH YOUTH HOCKEY ASSOCIATION PO BOX 61400 RALEIGH NC 27661 561578314 501(C)(3) 7000 HIFE GRANT SCORE HOCKEY INC PO BOX 260818 MATTAPAN MA 02126 043333592 10000 HIFE GRANT SAN DIEGO SAINTS YOUTH HOCKEY CLUB 3270 CAMINITO EASTBLUFF 95 LAJOLLA CA 92037 571200839 501(C)(3) 10000 HIFE GRANT STATEWIDE AMATEUR HOCKEY FLORIDA 2324 NE 20TH AVE WILTON MANORS FL 33305 593417365 501(C)(3) 6904 BLOCK GRANT TEXAS AMATEUR HOCKEY ASSOCIATION 3931 WALDEN WAY DALLAS TX 75287 731458493 501(C)(3) 7409 BLOCK GRANT TIMS KIDS INC 5057 BENNINGTON PL ROCKLEDGE FL 32955 263922968 501(C)(3) 5000 HIFE GRANT US HOCKEY HALL OF FAME MUSEUM 801 HAT TRICK AVE EVELETH MN 55734 237024870 501(C)(3) 30000 TO SUPPORT OPERATIONS UNITED HEROES LEAGUE 15211 RAVENNA DRIVE HASTINGS MN 55033 270711063 501(C)(3) 15000 TO SUPPORT OPERATIONS USA HOCKEY INC 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 510204742 501(C)(3) 108314 STRELOW GOALIE MENTOR GRANT USA HOCKEY INC 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 510204742 501(C)(3) 6000 RESOURCE LIBRARY GRANT USA HOCKEY INC 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 510204742 501(C)(3) 8200000 NHL GRANT USA HOCKEY INC 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 510204742 501(C)(3) 50000 SLED HOCKEY GRANT USA HOCKEY INC 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 510204742 501(C)(3) 100000 WOMEN'S NATIONAL TEAM USA HOCKEY INC 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 510204742 501(C)(3) 50000 SPECIAL PROJECTS GRANT USA HOCKEY INC 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 510204742 501(C)(3) 74190 STARTS WITH A STICK GRANT WESTCHESTER HOCKEY ORGANIZATION INC 44 LEROY AVE VALHALLA NY 10595 263346644 501(C)(3) 10000 HIFE GRANT WISCONSIN AMATEUR HOCKEY ASSOCIATION 720 TULIP LANE WAUPUN WI 53963 391929213 501(C)(3) 7947 BLOCK GRANT 37 5 PART I, LINE 2: GRANT RECIPIENTS ARE REQUIRED TO PERIODICALLY REPORT TO THE FOUNDATION REGARDING THE USE OF FUNDS. 0 0 0 0 0 0 0 1 0 ROBERT WELDON ASST. TREASURER THRU JUNE 2019 0 223100 0 22536 0 6088 0 21951 0 20845 0 294520 0 0 PAT KELLEHER EXECUTIVE DIRECTOR 0 316318 0 25000 0 7528 0 24004 0 20645 0 393495 0 0 TAMARA TRANTER SENIOR DIRECTOR, DEVELOPMENT 127684 0 5000 0 848 0 11796 0 7394 0 152722 0 0 0 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. A COLORADO EDUCATIONAL AND CULTURAL FACILITIES AUTHORITY 840896727 2015-03-01 11400000 PURCHASE AND IMPROVE AN ICE ARENA IN PLYMOUTH, MI TO HOUSE THE NTDP PROGRAM 0 0 0 A 633419 11400000 102416 153774 9854006 1289834 2016 0 0 0 1 A 1 0 0 0 0.04270 0.04270 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 X 1 290000 0 0 0 PART I, COLUMN (B): THE NUMBER CONTRIBUTED IS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 7A USA HOCKEY, INC. VICE PRESIDENTS SERVE AS FOUNDATION DIRECTORS FOR THE LENGTH OF THEIR TERM ON THE USA HOCKEY, INC. BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE FORM 990 IS PROVIDED TO THE EXECUTIVE COMMITTEE FOR REVIEW PRIOR TO FILING. THE TIME ALLOWED FOR THE REVIEW PROCESS IS ONE TO TWO WEEKS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS MUST ANNUALLY SIGN AND RETURN THE CONFLICT OF INTEREST POLICY WHICH IS THEN REVIEWED BY GENERAL COUNCIL. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE USA HOCKEY FOUNDATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, RECORD RETENTION POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: UNCOLLECTIBLE PLEDGE RECEIVABLE -45,000. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PLYMOUTH AC LLC 14900 BECK ROAD PLYMOUTH MI 48170 472547345 OPERATE AND MAINTAIN ARENA MI 2769759 28247335 USA HOCKEY FOUNDATION BECK ROAD LLC 14900 BECK ROAD PLYMOUTH MI 48170 300849104 RESTAURANT AND CONCESSIONS FOR PLYMOUTH ARENA MI 1292762 267547 USA HOCKEY FOUNDATION USA HOCKEY INC 1775 BOB JOHNSON DRIVE COLORADO SPRINGS CO 80906 510204742 TO PROMOTE THE SPORT OF AMATEUR ICE HOCKEY CO 501(C)(3) 9 USA HOCKEY INC 0 HOCKEY AND RINK PROTECTION INC 76 ST PAUL STREET STE 500 BURLINGTON VT 05401 300266799 PROVIDE INSURANCE FOR ICE HOCKEY PARTICIPANTS COACHES OFFICIALS & VOLUNTEERS VT 501(C)(3) 11 USA HOCKEY INC 0 0 1 1 1 1 0 0 0 0 1 0 1 0 1 1 1 1 0 1