2019-11-15T03:33:00-06:00 2018-12-31 ERNST & YOUNG US LLP TWO NORTH CENTRAL AVENUE STE 2300 PHOENIX AZ 85004 990 2018-01-01 811084129 VITALANT GROUP RETURN % TANYA PERRY BLOO 4809464201 PO Box 1867 Scottsdale AZ 85252 TANYA PERRY EXECUTIVE VP, CFO 4806755506 2019-11-12 true PATRICK SHIELDS P01508556 6023223000 2019-11-13 70.162.82.4 86597020193195000006 2019-11-15 P C1FB216E02A8E0FF4B10C7F1585D3311BD03F0CC E94FFBFEF556666C2017410EF3F1708D338ADEDF 2018 2020-03-31 21:24:44Z DAVID GREEN PO Box 1867 Scottsdale AZ 85252 106218164 true true 6167 X www.vitalant.org X BLOOD BANKING AND RESEARCH. SEE SCHEDULE O FOR MORE INFORMATION. X 15 13 765 252 0 55595 285786 322569 91931507 97336067 336348 496170 6752 0 92560393 98154806 172862 247648 0 0 34861484 36362803 0 0 0 58673546 64176715 93707892 100787166 -1147499 -2632360 47183967 33306737 30584999 14190201 16598968 19116536 X SEE SCHEDULE O FOR FURTHER DETAIL. false true 83140508 247648 97336067 SEE SCHEDULE O FOR FURTHER DETAIL. 83140508 true true false false false false false false false false true false false false true true false true false false false false false false false false false true false true false false false false false false false false true false true false false true true true false false true 80 0 true 765 true false false false false false false false false false false false false X 15 13 false false false false true true true true true false false true false true true true true true true CA X TANYA PERRY 4806755506 6210 E OAK STREET SCOTTSDALE AZ 85257 JOSEPH L ARENA TRUSTEE/VICE CHAIR - BCRBC 1.0 0.0 X X 0 0 0 DAVID GREEN TRUSTEE - BCRBC 1.0 50.0 X 0 690754 55265 JOHN S LEWIS TRUSTEE/CHAIR-BCRBC,TRUSTEE-LS 2.0 3.0 X X 0 37000 0 MARC P PRESS TRUSTEE - BCRBC 1.0 0.0 X 0 0 0 BHAVI SHAH TRUSTEE/SEC/TREAS/GC-BCRBC 5.0 50.0 X X 0 367776 36748 PAUL E STANDER MD TRUSTEE - BCRBC 1.0 2.0 X 0 23500 0 William Powers TRUSTEE/CHAIRMAN - LS 1.0 0.0 X X 0 0 0 James Peterson TRUSTEE/Vice Chair - LS 1.0 2.0 X X 0 22500 0 TERRI L PROCTOR ESQ TRUSTEE/Treasurer - LS 1.0 2.0 X X 0 22500 0 KEVIN CLOWARD TRUSTEE - LS (THRU 7/18) 1.0 0.0 X 0 0 0 FRANK ERCOLI MD TRUSTEE - LS 1.0 0.0 X 0 0 0 Eric Frykman MD TRUSTEE - LS 1.0 0.0 X 0 0 0 THELMA KORPMAN MD TRUSTEE - LS 1.0 0.0 X 0 0 0 Raymond Prospero TRUSTEE - LS 1.0 0.0 X 0 0 0 JAMES R SCHRAITH TRUSTEE - LS 1.0 3.0 X 0 40125 0 MICHAEL SEQUEIRA MD TRUSTEE - LS 1.0 0.0 X 0 0 0 Frederick Axelrod MD Trustee/CEO/Pres/Sec - LS 55.0 0.0 X 418923 0 27325 TANYA PERRY EVP/CFO - BCRBC 5.0 50.0 X 0 347293 42361 DENNIS M TODD PHD PRESIDENT/CEO - BCRBC 55.0 0.0 X 397248 0 37902 Scott A Miller VP BUS DEV/CFO - LS 45.0 0.0 X 255704 0 31339 Donald J Chaffin VP Chief Medical Officer - LS 45.0 0.0 X 308847 0 32055 Michael T Davenport Regional Director - BCRBC 45.0 0.0 X 192771 0 342 Kevin D Moore VP OPERATIONS - LS 45.0 0.0 X 175021 0 23802 Julianna H Quarles VP TECH/CLINICAL AFFAIRS - LS 45.0 0.0 X 146327 0 30385 DONALD HUNYH TECHNICAL DIRECTOR - LS 45.0 0.0 X 130872 0 17597 SUSAN BARNES Former CFO - BCRBC 0.0 0.0 X 0 355600 0 2025713 1907048 335121 23 true true false CREATIVE TESTING SOLUTIONS 2424 W ERIE DR TEMPE AZ 85282 BLOOD TESTING SVCS 7391653 Merchants Building Maintenance LLC 1190 Monterey Park MONTEREY PARK CA 91754 MAINTENANCE SERVICES 260743 DELIVER-IT PO BOX 4920 CERRITOS CA 90703 Delivery Services 221796 IT Synergistics LLC 26 Security Drive JACKSONVILLE TN 38305 IT CONSULTANT 144872 UPS PO Box 894820 LOS ANGELES CA 90189 Delivery Services 117565 8 322569 215709 322569 BLOOD AND COMPONENTS SERVICE FEES 622110 86766380 86766380 0 0 LABORATORY SERVICES 621500 6149695 6149695 0 0 PLASMA FOR FRACTIONATION 446110 4083344 4083344 0 0 ALL OTHER PROGRAM SERVICE REVENUE 900099 336648 336648 0 97336067 391955 391955 0 0 0 0 0 8167573 0 8033798 29560 133775 -29560 104215 104215 0 0 0 0 0 0 0 0 0 0 98154806 97336067 0 496170 247648 247648 0 0 0 0 1043460 1043460 0 27420598 21540110 5880488 788556 620026 168530 0 5070924 4040137 1030787 0 2039265 1551631 487634 0 0 0 0 0 2083751 0 2083751 0 32200 0 32200 0 0 0 0 0 0 89903 0 89903 975847 761887 213960 282325 282325 0 0 2581654 1479413 1102241 0 832724 249828 582896 0 0 0 0 0 2706856 918150 1788706 0 1997677 314265 1683412 0 0 0 0 0 0 0 0 0 427163 0 427163 0 0 0 0 0 1383419 522703 860716 0 433886 235889 197997 0 BLOOD & COMPONENT PRODUCTS 29763259 29763259 0 0 OPERATING & TESTING SUPPLIES 16362218 16362218 0 DONOR RECOGNITION & PROMO 1412028 1412028 0 ALL OTHER EXPENSES 2811805 2838991 -27186 100787166 83140508 17646658 0 0 0 0 0 1060093 1561984 1062513 174882 0 0 13362701 7178640 0 0 0 0 0 0 6332327 866989 321248 133121 27233247 15387395 12985476 11845852 11232579 11062822 374067 0 0 0 0 0 452963 482447 47183967 33306737 17905057 5512351 0 0 659172 0 0 0 0 0 0 0 11243157 8212946 0 0 777613 464904 30584999 14190201 X 16598968 19116536 0 0 0 0 16598968 19116536 47183967 33306737 X -2632360 -930682 6080610 X false false false X 1078000 74028 414938 285786 322569 2175321 75837901 113387098 99807004 91938258 97336067 478306328 0 0 0 76915901 113461126 100221942 92224044 97658636 480481649 5375 5375 0 5375 5375 480476274 516711 270733 251788 326816 391955 1758003 0 516711 270733 251788 326816 391955 1758003 0 761 0 761 77433373 113731859 100473730 92550860 98050591 482240413 0.99634 0.99620 0.00364 0.00360 X false false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2582743 2582743 13967913 6896086 7071828 195597 31953 1780817 9865646 8084829 163644 621348 374528 246820 11845852 0 RETIREMENT PLAN PAYABLE LT 464904 464904 X Schedule D, Part X, Line 2 AT DECEMBER 31, 2018, THE COMPANY EVALUATED WHETHER IT HAD UNCERTAIN TAX POSITIONS THAT SHOULD BE RECOGNIZED OR DERECOGNIZED BASED ON A 'MORE LIKELY THAN NOT' THRESHOLD FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING THOSE TAX POSITIONS THAT WOULD NOT BE SUSTAINED UPON EXAMINATION IN ACCORDANCE WITH GUIDANCE RELATED TO ASC 740 "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES." THE TAX YEARS FOR THE COMPANY THAT ARE SUBJECT TO AUDIT BY THE IRS AND STATE DEPARTMENTS OF REVENUE ARE GENERALLY THE TAX YEARS ENDED DECEMBER 31, 2015, THROUGH THE CURRENT TAX YEAR EXCEPT IN CERTAIN STATES WHERE THE OPEN TAX YEARS GENERALLY BEGIN WITH THE TAX YEAR ENDED DECEMBER 31, 2014. AS OF DECEMBER 31, 2018, THE COMPANY HAS NOT IDENTIFIED ANY SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF A TAX LIABILITY. THE COMPANY DOES NOT ANTICIPATE A CHANGE IN UNCERTAIN TAX POSITIONS FOR THE 12 MONTHS FOLLOWING THE YEAR ENDED DECEMBER 31, 2018. AS OF DECEMBER 31, 2018, THE COMPANY HAD NO INTEREST OR PENALTIES QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. true VITALANT 6210 E OAK STREET SCOTTSDALE AZ 85257 860098929 501(C)(3) 241122 BLOOD RESEARCH 1 SCHEDULE I, PART I, LINE 2 SPONSORSHIPS AND DONATIONS TO OTHER TAX-EXEMPT ENTITIES ARE MADE IN SUPPORT OF THEIR MISSIONS AND ARE MONITORED VIA THE GOVERNANCE PRACTICES OF THOSE ENTITIES. X true true X X true true false false false false false true false DAVID GREEN TRUSTEE - BCRBC 0 610854 0 68200 0 11700 0 29500 0 25765 0 746019 0 0 BHAVI SHAH TRUSTEE/SEC/TREAS/GC-BCRBC 0 322776 0 34300 0 10700 0 11000 0 25748 0 404524 0 0 Frederick Axelrod MD Trustee/CEO/Pres/Sec - LS 413973 0 0 0 4950 0 8250 0 19075 0 446248 0 0 0 TANYA PERRY EVP/CFO - BCRBC 0 330543 0 7150 0 9600 0 27122 0 15239 0 389654 0 0 DENNIS M TODD PHD PRESIDENT/CEO - BCRBC 384560 0 0 0 12688 0 17937 0 19965 0 435150 0 0 0 Scott A Miller VP BUS DEV/CFO - LS 255704 0 0 0 0 0 6880 0 24459 0 287043 0 0 0 Donald J Chaffin VP Chief Medical Officer - LS 308847 0 0 0 0 0 8250 0 23805 0 340902 0 0 0 Michael T Davenport Regional Director - BCRBC 192771 0 0 0 0 0 0 0 342 0 193113 0 0 0 Kevin D Moore VP OPERATIONS - LS 175021 0 0 0 0 0 5261 0 18541 0 198823 0 0 0 Julianna H Quarles VP TECH/CLINICAL AFFAIRS - LS 146327 0 0 0 0 0 6580 0 23805 0 176712 0 0 0 SUSAN BARNES Former CFO - BCRBC 0 0 0 0 0 355600 0 0 0 0 0 355600 0 12284 SCHEDULE J, PART I, LINE 1A BCRBCS PRESIDENT AND CHIEF EXECUTIVE OFFICER, DENNIS M. TODD, PH.D., RECEIVED A TAX GROSS-UP RELATED TO A TAXABLE AUTO LEASE PAYMENT WHICH WAS INCLUDED IN SCHEDULE J, COLUMN (B)(III). SCHEDULE J, PART I, LINE 4A CERTAIN EMPLOYEES RECEIVED SEVERANCE PAYMENTS DURING 2018 AS FOLLOWS: SUSAN BARNES - $355,600 THESE AMOUNTS ARE TAXABLE AND ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). SCHEDULE J, PART I, LINE 4B VITALANT HAS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. CERTAIN EMPLOYEES RECEIVED DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING 2018 AS FOLLOWS: SUSAN BARNES - $12,284 THESE AMOUNTS WERE INCLUDED IN TAXABLE WAGES AND ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III) AND ALSO IN COLUMN (F) SINCE THESE AMOUNTS HAVE PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. THIS PLAN WAS FROZEN AS OF DECEMBER 31, 2011. SCHEDULE J, PART I, LINE 7 LIFESTREAM EMPLOYEES RECEIVED BONUSES FOR MEETING CERTAIN ORGANIZATIONAL GOALS. LIFESTREAM HAS TOTAL DISCRETION IN THE PAYMENT OF THE BONUSES. X recognition 99 215709 0 false true false SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN COLUMN (B). TRANSFER OF NET ASSETS DUE TO MERGER 2018-12-31 -6080610 BOOK VALUE 860098929 VITALANT 6210 E OAK STREET SCOTTSDALE AZ 85257 501(C)(3) true true false false true true true true false SCHEDULE N, PART I EFFECTIVE JANUARY 1, 2019, BERGEN COMMUNITY REGIONAL BLOOD CENTER ("BCRBC") MERGED INTO VITALANT. AS A RESULT OF THE MERGER, BCRBC TRANSFERRED ALL ITS ASSETS TO VITALANT. BCRBC CONTINUES TO OPERATE SERVICES AND PROGRAMS AS PREVIOUSLY, NOW AS AN INTEGRAL PART OF THE OPERATIONS OF VITALANT. NO SEVERANCE OR CHANGE OF CONTROL PAYMENTS WERE MADE AS A RESULT OF THE MERGER. EMPLOYEES OF BCRBC CONTINUED ON AS EMPLOYEES OF VITLANT. SCHEDULE N, PART I, LINE 2A CERTAIN MEMBERS OF THE BCRBC BOARD OF DIRECTORS WERE MEMBERS OF THE VITALANT BOARD OF DIRECTORS BOTH BEFORE AND AFTER THE MERGER. SCHEDULE N, PART I, LINE 2B THE EMPLOYEES OF BCRBC BECAME EMPLOYEES OF VITALANT AFTER THE MERGER. FORM 990, PART I, LINE 2 AND PART III, LINE 3 THE VITALANT GROUP EXEMPTION INCLUDES THE FOLLOWING: 1) VITALANT - THE CENTRAL ORGANIZATION / PARENT 2) BERGEN COMMUNITY REGIONAL BLOOD CENTER ("BCRBC") - SUBORDINATE 3) BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES ("LIFESTREAM") - SUBORDINATE THIS GROUP RETURN REPRESENTS THE ACTIVITIES OF THE SUBORDINATES. VITALANT, AS THE CENTRAL ORGANIZATION, FILES ITS OWN FORM 990. EFFECTIVE JANUARY 1, 2019 BERGEN COMMUNITY REGIONAL BLOOD CENTER ("BCRBC") MERGED INTO VITALANT. VITALANT IS THE SURVIVING ENITY. BCRBC CONTINUES TO OPERATE SERVICES AND PROGRAMS AS PREVIOUSLY, NOW AS AN INTEGRAL PART OF VITALANT. FORM 990, PART III, LINE 1 VITALANT THE MISSION OF VITALANT IS TO MAKE A DIFFERENCE IN PEOPLE'S LIVES BY BRINGING TOGETHER THE BEST PEOPLE, INSPIRING INDIVIDUALS TO DONATE BLOOD, PRODUCING A SAFE AND AMPLE BLOOD SUPPLY, ADVANCING CUTTING-EDGE RESEARCH AND EMBRACING CONTINUOUS QUALITY IMPROVEMENT. VITALANT, ONE OF THE NATION'S OLDEST AND LARGEST NONPROFIT COMMUNITY BLOOD SERVICE PROVIDERS, SUPPLIES COMPREHENSIVE TRANSFUSION MEDICINE SERVICES TO NEARLY 1,000 HOSPITALS AND HEALTH CARE PARTNERS FOR PATIENTS IN NEED ACROSS 40 STATES. BCRBC THE MISSION OF BCRBC IS TO PROMOTE THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH-QUALITY BLOOD AND TISSUE SERVICES, EDUCATION AND INNOVATIVE RESEARCH, UTILIZING STATE-OF-THE-ART TECHNOLOGY. LIFESTREAM THE MISSION OF LIFESTREAM, A NONPROFIT ORGANIZATION ENGAGED IN THE COLLECTION, DEVELOPMENT, AND DISBURSEMENT OF BLOOD AND BLOOD PRODUCTS, IS TO HELP SAVE LIVES BY CONNECTING DONORS AND PATIENTS THROUGH THE GIFT OF BLOOD. IN ADDITION TO COLLECTING AND SUPPLYING BLOOD THROUGH A NUMBER OF FIXED COLLECTION SITES AND BLOOD DRIVES AROUND THE SAN BERNARDINO AND RIVERSIDE COUNTIES, LIFESTREAM PREPARES AND SUPPLIES SPECIALTY BLOOD PRODUCTS TO PATIENTS THROUGHOUT THE COUNTIES IT SERVES. FORM 990, PART III, LINE 4A BCRBC PROMOTE THE HEALTH OF OUR COMMUNITY BY PROVIDING HIGH-QUALITY BLOOD AND TISSUE SERVICES, EDUCATION AND INNOVATIVE RESEARCH, UTILIZING STATE-OF-THE-ART TECHNOLOGY IN SYNERGY WITH STRATEGIC PARTNERSHIPS AND ALLIANCES. LIFESTREAM APPROXIMATELY 143,708 INDIVIDUALS DONATED MORE THAN 105,584 BLOOD CELLS AND 18,126 APHERESIS COLLECTIONS THAT PROVIDED PLATELETS, PLASMA AND RED BLOOD CELLS. BLOOD WAS COLLECTED AT FIXED COLLECTION SITES AND BLOOD DRIVES THROUGHOUT THE SAN BERNARDINO AND RIVERSIDE COMMUNITIES. LIFESTREAM ALSO SUPPLIED SPECIALTY PRODUCTS SUCH AS RED CELLS AND PLASMA FOR PEDIATRIC PATIENTS, HIGH DOSE WHITE BLOOD CELLS TO TREAT PATIENTS WITH INFECTIONS, LARGE VOLUME APHERESIS PLASMA FOR BURN, TRAUMA AND TRANSPLANT PATIENTS AND POOLED CRYOPRECIPITATE AND FACTOR CONCENTRATES FOR PATIENTS WITH BLEEDING DISORDERS. AUTOLOGOUS AND DIRECTED DONATION SERVICES WERE MADE AVAILABLE TO PATIENTS AND THEIR FAMILIES WHO DESIRED TO DONATE BLOOD IN ADVANCE OF ANTICIPATED NEED. AS ONE OF TWO AABB (AMERICAN ASSOCIATION OF BLOOD BANKS) ACCREDITED IMMUNOHEMATOLOGY LABS IN SAN BERNARDINO AND RIVERSIDE COUNTIES, LIFESTREAM IS AN EXPERT AT SOLVING COMPLEX PROBLEMS INVOLVING RARE BLOOD TYPES AND OTHER SOPHISTICATED BLOOD CENTER SERVICES AND PREPARES SPECIALIZED BLOOD PRODUCTS FOR UNIQUE BLOOD CONDITIONS. LIFESTREAM ALSO CONTRIBUTES TO THE EDUCATION AND ADVANCEMENT OF THE BLOOD BANKING AND TRANSFUSION COMMUNITY BY OFFERING CONTINUING EDUCATION PROGRAMS, INTERNSHIPS FOR STUDENTS, AND LECTURES FOR HOSPITALS AND MEDICAL SOCIETIES. FORM 990, PART IV, LINE 2 THE FOLLOWING ORGANIZATION IS REQUIRED TO COMPLETE SCHEDULE B, SCHEDULE OF CONTRIBUTORS: LIFESTREAM. FORM 990, PART IV, LINE 21 THE FOLLOWING ORGANIZATION REPORTED MORE THAN $5,000 OF GRANTS OR OTHER ASSISTANCE TO ANY DOMESTIC ORGANIZATION OR DOMESTIC GOVERNMENT ON PART IX, COLUMN (A), LINE 1: BCRBC. FORM 990, PART VI, LINE 1A IN RESPECT TO LIFESTREAM, LIFESTREAMS EXECUTIVE COMMITTEE HAS THE POWERS OF THE BOARD OF TRUSTEES BETWEEN BOARD MEETINGS, UNLESS PROHIBITED BY LAW, THE ARTICLES OF INCORPORATION, amended and restated bylaws, OR AFFILIATION AGREEMENT WITH VITALANT. FORM 990, PART VI, LINE 6 VITALANT IS THE SOLE CORPORATE MEMBER OF BCRBC AND LIFESTREAM. FORM 990, PART VI, LINE 7A AS THE SOLE MEMBER, VITALANT SHALL HAVE THE RIGHT TO APPOINT AND REMOVE THE OFFICERS AND DIRECTORS OF BCRBC. VITALANT, AS THE SOLE CORPORATE MEMBER OF LIFESTREAM, WILL HAVE THE RIGHT TO NOMINATE TWO VITALANT DESIGNATED DIRECTORS TO SERVE AS FULL VOTING MEMBERS OF LIFESTREAM BOARD. LIFESTREAM WILL HAVE THE RIGHT TO APPROVE THE NOMINATION. FORM 990, PART VI, LINE 7B IN ADDITION TO THE RIGHTS AND POWERS AFFORDED TO VITALANT AS THE CORPORATE MEMBER, VITALANT HAS THE FOLLOWING RIGHTS WITH RESPECT TO BCRBC: (A) AUTHORITY TO OPERATE THE CORPORATION IN A MANNER CONSISTENT WITH THE CORPORATIONS ARTICLES OF INCORPORATION AND BYLAWS. (B) APPROVE ELECTION AND REMOVAL OF DIRECTORS AND OFFICERS; (C) APPROVE AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION; (D) APPROVE AMENDMENT OF THE BYLAWS OF THE CORPORATION; (E) APPROVE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION. VITALANT, AS THE SOLE CORPORATE MEMBER OF LIFESTREAM, HAS THE RIGHT OF FINAL APPROVAL OF THE FOLLOWING ACTIONS, BUT THE LIFESTREAM BOARD WILL HAVE PRIMARY RESPONSIBILITY: 1) TO NOMINATE MEMBERS OF LIFESTREAMS BOARD, 2) ESTABLISHMENT OF GOALS AND MONITORING AND EVALUATING THE PERFORMANCE OF LIFESTREAMS PRESIDENT/CEO, 3) DEVELOPMENT OF LIFESTREAMS STRATEGIC PLAN, 4) ADOPTION OF LIFESTREAMS ANNUAL OPERATING AND CAPITAL BUDGET. VITALANT RESERVES THE RIGHT OF FINAL APPROVAL OF THE FOLLOWING ACTIONS, AND LIFESTREAM WILL GIVE ADVANCE NOTICE PRIOR TO TALKING ANY OF THE FOLLOWING ACTIONS: 1) CHANGES TO LIFESTREAMS MISSION STATEMENT, 2) CHANGES TO LIFESTREAM ARTICLES OF INCORPORATION AND BYLAWS, 3) ESTABLISHMENT OF ANY JOINT VENTURES, MERGERS, PARTNERSHIPS, SUBSIDIARIES AND AFFILIATIONS BETWEEN LIFESTREAM AND ANY OTHER ORGANIZATION, 4) DECISIONS RELATED TO THE HIRING AND TERMINATION OF LIFESTREAMS PRESIDENT/CEO, 5) APPROVING THE INCURRENCE OR REFINANCING OF DEBT OF LIFESTREAM IN EXCESS OF $250,000 IN AGGREGATE, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS, 6) APPROVING ANY SALE OF LIFESTREAM ASSETS IN EXCESS OF $250,000 IN AGGREGATE, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS. VITALANT RESERVES THE RIGHT TO SELECT THE LIFESTREAM INDEPENDENT AUDITORS (EXTERNAL AND INTERNAL) FOLLOWING CONSULTATION WITH THE LIFESTREAM BOARD. FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY THE FINANCE TEAM. A COPY OF THE DRAFT FORM 990 AND SCHEDULES IS SUPPLIED TO ALL CURRENT BOARD MEMBERS PRIOR TO THE MEETING HELD TO ACCEPT THE RETURNS. MEMBERS OF MANAGEMENT REVIEW THE FORM 990 WITH THE BOARD AND ARE AVAILABLE FOR ANSWERING QUESTIONS. ANY COMMENTS FROM THE BOARD ARE CONSIDERED PRIOR TO FILING THE FORM 990 WITH THE IRS. FORM 990, PART VI, LINE 12C BCRBC EACH YEAR, THE BOARD OF TRUSTEES AND SENIOR MANAGEMENT ARE REQUESTED TO SIGN AND RETURN A CONFLICT OF INTEREST FORM TO COMPANY COUNSEL. ANY CONFLICTS DISCLOSED ARE DISCUSSED IN EXECUTIVE SESSION WITH THE BOARD AND RESOLVED. IN ADDITION, IN PREPARATION FOR THE FORM 990 FILING, THE TRUSTEES, OFFICERS AND KEY EMPLOYEES IDENTIFIED ARE REQUIRED TO RESPOND TO A COMPREHENSIVE CONFLICT OF INTEREST AND FAMILY RELATIONSHIP QUESTIONNAIRE. ANY CONFLICTS DISCLOSED ARE DISCUSSED WITH THE BOARD AND DISCLOSED APPROPRIATELY ON THE FORM 990. LIFESTREAM LIFESTREAM DOES NOT HAVE AN ACTIVE CONFLICT OF INTEREST POLICY; HOWEVER, IN PREPARATION FOR THE FORM 990 FILING, THE TRUSTEES, OFFICERS AND KEY EMPLOYEES IDENTIFIED ARE REQUIRED TO RESPOND TO A COMPREHENSIVE CONFLICT OF INTEREST AND FAMILY RELATIONSHIP QUESTIONNAIRE. ANY CONFLICTS DISCLOSED ARE DISCUSSED WITH THE BOARD AND DISCLOSED APPROPRIATELY ON THE FORM 990. FORM 990, PART VI, LINE 13 LifeStream does not have a written whistleblower policy in effect. FORM 990, PART VI, LINES 15A AND 15B THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE WHO SERVE AS THE COMPENSATION COMMITTEE, AND WHOSE PURPOSE IS, AMONG OTHER THINGS, TO PROVIDE DATA ON THE COMPETITIVENESS OF SALARIES AND BENEFITS FOR THE CEO AND MAKE RECOMMENDATIONS BACK TO THE FULL BOARD FOR APPROVAL. FORM 990, PART VI, LINE 19 THE FORM 990 IS MADE AVAILABLE UPON WRITTEN REQUEST. THE FORM 990 FOR CURRENT AND PAST YEARS IS ALSO POSTED ON GUIDESTAR FOR ORGANIZATIONS TO ACCESS. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 NET ASSET TRANSFER DUE TO MERGER $ 6,080,610 ------------- TOTAL $ 6,080,610 BLOOD BANK SAN BERNARDINORIVERSIDE FDN PO BOX 1429 SAN BERNARDINO CA 92402 208911074 FUNDRAISING CA 501(C)(3) 12A-I BBSBRC true CANYON STATE INSURANCE COMPANY PO BOX 1085 113 S Church St GRAND CAYMAN CJ KY1-1102 981084327 CAPTIVE INSURANCE CJ NA FOREIGN true BIOCARE INC 6210 E OAK STREET SCOTTSDALE AZ 85257 813906720 PHARMA AZ NA C CORP true TRANSFUSION TECHNOLOGY INC 102 CHESTNUT RIDGE ROAD MONTVALE NJ 07645 223494865 INACTIVE NJ BCRBC C CORP 0 0 1.00000 true false true true false false false true true false false false true true false true true true false false BERGEN COMMUNITY REGIONAL BLOOD CENTER (LS) G 356538 ACCRUAL BERGEN COMMUNITY REGIONAL BLOOD CENTER (LS) H 125428 ACCRUAL CENTRAL BLOOD BANK (BCRBC) G 308111 ACCRUAL CENTRAL BLOOD BANK (LS) G 217836 ACCRUAL CENTRAL BLOOD BANK (BCRBC) H 79300 ACCRUAL LIFESOURCE (LS) G 121916 ACCRUAL LIFESOURCE (BCRBC) H 223201 ACCRUAL LIFESTREAM (BCRBC) G 125428 ACCRUAL LIFESTREAM (BCRBC) H 356538 ACCRUAL VIRGINIA BLOOD SERVICES (BCRBC) H 113170 ACCRUAL VIRGINIA BLOOD SERVICES (LS) G 296199 ACCRUAL SCHEDULE R, PART II VITALANT IS THE CENTRAL ORGANIZATION OF THE VITALANT GROUP EXEMPTION. IN ACCORDANCE WITH THE IRS INSTRUCTIONS, VITALANT HAS NOT BEEN INCLUDED ON SCHEDULE R, PART II. SCHEDULE R, PART V, LINE 2 THE NAME IN PARENTHESES IS THE NAME OF THE FILING ORGANIZATION WITH WHICH THE TRANSACTION WAS ENTERED. LIFESHARE COMMUNITY BLOOD SERVICES 105 Cleveland St ELYRIA OH 44035 341163202 LIFE BERGEN COMMUNITY REGIONAL BLOOD CTR 102 CHESTNUT RIDGE ROAD MONTVALE NJ 07645 221541702 BERG