2018-02-13T16:32:14-06:00 2017-08-31 201766527 WAUGH & GOODWIN LLP 1365 GARDEN OF THE GODS SUITE 150 COLORADO SPRINGS CO 80907 990 2016-09-01 742553720 USA Hockey Foundation USAH 7195768724 1775 Bob Johnson Drive Colorado Springs CO 80906 PAT KELLEHER Executive Director 7195768724 2018-02-05 1 Jill J Goodwin CPA P00450838 7195909777 65.153.45.234 2018-02-05 17:35:38 MS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1944F7713AA21C633C3B6EB21D6769F96ADA2BF4 2016 2021-01-29 14:40:06Z Jim Smith 1775 Bob Johnson Drive Colorado Springs CO 80906 18192639 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 4 20 1403741 -19326 10302031 10664024 2436386 2523398 1306879 859496 1939277 2048764 15984573 16095682 8969895 9107568 0 0 2614701 2583017 0 0 727817 4370045 4248399 15954641 15938984 29932 156698 52534692 53183211 24556975 23548364 27977717 29634847 X TO RAISE FUNDS AND ACQUIRE ASSETS FOR USA HOCKEY, INC. (AN EXEMPT ORG.) AND TO ENCOURAGE, IMPROVE AND PROMOTE AMATEUR ICE HOCKEY IN THE UNITED STATES. 0 0 9107568 9107568 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. 4562973 2506381 Plymouth arena project - to provide a wholly owned home for the National Team Development Program. The Foundation is the sole member of Plymouth. 30386 17017 Patty Kazmaier memorial award 22140 509734 OTHER PROGRAMS INCLUDING SLED HOCKEY AWARENESS, ALUMNI PROGRAM, AND B. BURKE INTERNSHIP 22140 509734 13723067 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 4 0 1 4 1 1 1 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 Larry Reid Member 2.00 5.00 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 Dave Ogrean Executive Director 2.00 48.00 X 417341 0 57448 Robert Weldon Asst. Treasurer 15.00 25.00 X 236640 0 42376 Pat Kelleher AED, Membership Developmen 10.00 30.00 X 209614 0 39911 863595 0 139735 3 0 1 0 0 10664024 5111 10664024 Ice & Skating fees 900099 1475955 1475955 Related Party rental income 900099 717500 717500 Ticket revenue 900099 251859 251859 league revenue 900099 59519 59519 patty kazmaier memorial 900099 17017 17017 1548 1548 2523398 442814 442814 338358 203069 135289 135289 135289 1282978 866296 416682 416682 416682 2559213 1027592 1531621 169280 1362341 Advertising 541800 324157 282757 41400 miscellaneous income 900099 57697 57697 381854 16095682 3033132 1403741 994785 9107568 9107568 28906 28906 2060921 1080313 682304 298304 65057 53176 11881 257319 133240 108957 15122 170814 85124 64563 21127 22839 21436 1403 54878 54254 624 92892 92892 105186 8169 4003 93014 207776 207331 445 221301 131183 60704 29414 1299399 1079475 219924 109811 43900 11752 54159 890686 881947 8739 103128 85131 15456 2541 Repairs and maintenance 390496 356933 33563 Equipment/facilities re 220009 56290 17167 146552 game costs 175685 175685 Miscellaneous 105877 19900 51548 34429 248436 167360 60426 20650 15938984 13723067 1488100 727817 1128621 1171528 1966215 1971565 826137 1349190 142822 91864 183176 197457 329241 532342 31603053 3015792 28881366 28587261 16654383 16973225 1322277 1470499 1100454 838280 52534692 53183211 784617 271079 97384 99115 11345209 11080052 7785150 6754300 4544615 5343818 24556975 23548364 X 26374823 27791103 1449018 1681868 153876 161876 27977717 29634847 52534692 53183211 X 156698 1500432 0 X X 0 1 X 1 0 X X 1 USA HOCKEY INC 510204742 10 1 9107568 0 1 9107568 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 400000 0 162915 4000 261 167176 158672 4000 243 162915 154436 4000 236 158672 151206 3000 230 154436 148981 2000 225 151206 0.96830 0.03170 0 0 3295000 3295000 26677416 2628278 24049138 1630637 387514 1243123 28587261 Grant Payable to USA Hockey, Inc. 4153520 due to USA Hockey, Inc. 1190298 5343818 X 16764479 1500432 1500432 15264047 831635 831635 16095682 15107349 0 15107349 831635 831635 15938984 Part III, Line 4: The collection consists of two oil paintings valued at $400,000 that were donated with a restriction the Foundation could not sell them until 2010. 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 831,635. Part XII, Line 4b - Other Adjustments: Reclass expenses from revenue 831,635. 1 AHAI Diversity Program 225 Hatlen Avenue Mount Prospect IL 60056 362883831 501(c)(3) 10000 HIFE Grant Amateur Hockey Association Of Illinois 2S713 Grove Ln Warrenville IL 60555 362883831 501(c)(3) 14027 Block Grant American Hearing Impaired Hockey Association Inc 6623 Columbus Drive Middleton WI 53562 237380537 501(c)(3) 20000 Grant American Hockey Coaches Association 7 Concord St Gloucester MA 01930 020348525 501(c)(3) 20000 Grant Atlantic Amateur Hockey Association 251 E Glen Ave Ridgewood NJ 07450 237375622 501(c)(3) 17636 Block Grant California Amateur Hockey Association 4529 S Chestnut Ave Fresno CA 93725 330254897 501(c)(3) 12674 Block Grant Central Illinois Sled Hockey Association Nfp 106 N Madison St Towanda IL 61776 813717392 501(c)(3) 10000 Labatt Pass It Forward 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) 6377 Block Grant Columbus Ice Hockey Club 1189 Dennison Ave Columbus OH 43201 311653367 501(c)(3) 10000 HIFE Grant Defending The Blue Line 15211 Ravenna Trail Hastings MN 55033 270711063 501(c)(3) 15000 Grant Detroit Ice Dreams Hockey Association 10500 Lyndon St Detroit MI 48238 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) 40905 SPEC Grant Ed Snider Youth Hockey Foundation 3601 S Broad St Philadelphia PA 19148 202885113 501(c)(3) 10000 HIFE Grant Ford Ice Center 5264 Hickory Hollow Parkway Antioch TN 37013 352495140 13000 Disabled Grant (Ice Time) Fort Dupont Ice Hockey Program 1328 Aspen Street NW Washington DC 20012 522123478 501(c)(3) 10000 HIFE Grant Happy Valley Special Hockey Association 713 Storch Rd State College PA 16801 814228646 501(c)(3) 2000 GROW Special Hockey Grant Happy Valley Special Hockey Association 713 Storch Rd State College PA 16801 814228646 501(c)(3) 10000 Labatt Pass It Forward Grant Hockey In Newark Inc 14 New Brier Lane Clifton NJ 07012 262906094 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 Massachusetts Hockey 1 Thompsn Square Ste 105 Charleston MA 02129 043130566 501(c)(3) 21336 Block Grant Michigan Amateur Hockey Association 17809 Lost Pond Lane Spring Lake MI 49456 382556088 501(c)(3) 23412 Block Grant Mid-American Hockey Association 1127 Country Club Road Monongahela PA 15063 351964943 501(c)(3) 16600 Block Grant Minnesota Hockey Association 6806 Forestview Lane N Maple Grove MN 55369 411458420 501(c)(3) 23389 Block Grant Mobility Sports 11212 Ransom Court Fort Wayne IN 46845 205073795 96906 Disabled Grant and Labatt Pass It Forward Grant New England District Hockey 28 Tarbox Road Jericho VT 05465 020495890 501(c)(3) 15159 Block Grant New York State Amateur Hockey Assoc 57 Countrygate Lane Tonwanda NY 14150 161184849 501(c)(3) 21592 Block Grant Pittsburgh Ice Po Box 25372 Pittsburgh PA 15220 251873676 501(c)(3) 10000 HIFE Grant Potomac Valley Amateur Hockey 7518 Lawrence Road Baltimore MD 21222 522139421 501(c)(3) 9871 Block Grant Prairie Grit Adaptive Sports Po Box 969 Minot ND 58701 813690358 501(c)(3) 10000 Labatt Pass It Forward Grant Promotional Video Productions Llc 399 Breckenridge St Buffalo NY 14213 465647185 6826 Disabled Grant (Video) Pure Hockey 89 Cross Street Holliston MA 01746 463152381 21000 Labatt Pass It Forward Grant Queen City Adpative Recreation Inc 9438 Nugget Hill Place Charlotte NC 28227 813686735 10000 Labatt Pass It Forward Grant SCORE Boston PO Box 8294 Boston MA 02114 043333592 10000 HIFE Grant Sharks Ice LLC 1500 South 10Th Street San Jose CA 95112 464297148 25000 Disabled Grant (Ice Time) Sled Hockey America 28 Cherry Circle Blackwood NJ 08012 550871635 501(c)(3) 40000 Women's Sledge Hockey Grant and Women's Disabled Grant Statewide Amateur Hockey Florida 2324 Ne 20Th Ave Wilton Manors FL 33305 593417365 501(c)(3) 6051 Block Grant Superior Alliance for Independent Living 1200 Wright Street Ste A Marquette MI 49855 383363721 501(c)(3) 10000 Labatt Pass It Forward Grant Disabled Sports USA Po Box 2894 Jackson WY 83001 061741611 501(c)(3) 10000 Labatt Pass It Forward Grant Texas Amateur Hockey Association 803 Highland Lakes Ct Keller TX 76248 731458493 501(c)(3) 6983 Block Grant Tims Kids Inc 5057 Bennington Pl Rockledge FL 32955 263922968 501(c)(3) 10000 HIFE Grant US Hockey Hall Of Fame Museum Po Box 679 Eveleth MN 55734 237024870 501(c)(3) 30000 Grant USA Hockey Inc 1775 Bob Johnson Drive Colorado Springs CO 80906 510204742 501(c)(3) 73891 Strelow Goalie Mentor Grant USA Hockey Inc 1775 Bob Johnson Drive Colorado Springs CO 80906 510204742 501(c)(3) 1755 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) 25000 Sled Hockey Grant Westchester Hockey Organization Inc 44 Leroy Ave Valhalla NY 10595 263346644 501(c)(3) 10000 HIFE Grant Wisconsin Amateur Hockey Association 806 Forest Circle Fond Du Lac WI 54935 391929213 501(c)(3) 7440 Block Grant 38 7 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 0 0 Dave Ogrean Executive Director 405229 0 0 0 12112 0 37234 0 20214 0 474789 0 0 0 Robert Weldon Asst. Treasurer 198162 0 30000 0 8478 0 21235 0 21141 0 279016 0 0 0 Pat Kelleher AED, Membership Developmen 189101 0 20000 0 513 0 18970 0 20941 0 249525 0 0 0 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 227379 11400000 102416 153774 9854006 1289834 2016 0 0 0 1 A 1 0 0 0 0.03990 0.03990 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 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 governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part XII, Line 2c The process has not changed from the prior year. Form 990, Part XI, Line 9 The foundation received $1,000,000 transfer from supported organization for cash flow purposes. Plymouth AC LLC 14900 Beck Road Plymouth MI 48170 472547345 Operate and maintain Arena MI 2898187 27386325 USA Hockey Foundation Beck Road LLC 14900 Beck Road Plymouth MI 48170 300849104 Restaurant and concessions for Plymouth Arena MI 1244932 225218 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 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 0 1 1 0 0 0 0 1 0 0 0 1 1 0 0 0 0